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Gingival architectural forms in periodontal diseases
The Bulletin of Tokyo Medical and Dental University
|March 1, 1976
Summary
Gingival architectural changes, including recessed and blunted forms, are common in periodontal disease patients. Tooth irregularity and restoration fit significantly impact these gingival alterations.
Area of Science:
- Dentistry
- Periodontology
- Oral Health
Background:
- Periodontal diseases significantly alter gingival architecture.
- Understanding these changes is crucial for effective treatment planning.
Purpose of the Study:
- To investigate the types and incidence of gingival architectural changes in periodontal disease patients.
- To examine the influence of factors like restoration fit, tooth irregularity, pocket depth, and bone loss on these changes.
Main Methods:
- Observation of gingival architectural forms on 1,700 interdental papillae and 3,791 gingival margins in 89 patients.
- Analysis of the correlation between gingival changes and clinical parameters.
Main Results:
- Recessed form was the most frequent marginal gingival change, followed by ledged, festoon, and cleft forms.
- Blunted and enlarged forms were predominant in interdental papillae.
- Increased bone loss correlated with increased blunted and cratered papilla forms and decreased enlarged forms.
- Improperly adapted restorations and tooth irregularity were associated with gingival changes.
- Periodontal pocket depth did not influence gingival form.
Conclusions:
- Gingival architectural changes are varied and influenced by factors beyond periodontal pocket depth.
- Restoration quality and tooth alignment are critical considerations in managing gingival health in periodontal patients.