Abstract
Amaç: Bruksizm; diş sıkma ve gıcırdatma alışkanlığı olarak tanımlanan parafonksiyonel bir durumdur ve periodonsiyum üzerindeki olumsuz etkileri bilinmektedir. Dişeti biyotipi sondlama derinliği, keratinize dişeti genişliği, gingival ataçman gibi anatomik faktörlerden etkilenir ve ince/kalın/orta gibi sınıflanabilir. İnce dişeti biyotipi, gingival çekilmeler gibi durumlar açısından risk oluşturur. Bu çalışmanın amacı; bruksizmi olan ve olmayan grupları dişeti biyotipi açısından karşılaştırmak ve bruksizmin dişeti biyotipi üzerine klinik etkisini değerlendirmektir. Gereç ve Yöntem: Bu çalışma için164 kişiye bruksizm anketi uygulandı. Periodontal olarak sağlıklı 33 bruksist birey çalışma grubuna; benzer özelliklere sahip 30 bruksist olmayan birey kontrol grubuna dahil edildi. Her iki grupta da klinik periodontal ölçümlerin yanı sıra diş eti biyotipini değerlendirmek için diş eti kalınlığı, keratinize diş eti genişliği, periodontal cep derinliği ve diş eti çekilmesi miktarı ölçüldü. Ölçümler alt ve üst çene, sağ ve sol 1. Keser, 2.keser ve kanin dişlerin mid-fasiyal yüzeyinden yapıldı. Diş eti kalınlığı, periodontal sondun anahattının marjinal gingivadan görünürlüğüyle değerlendirildi (GT-TRAN). Gruplar arası karşılaştırmada ki kare ve student-t test kullanıldı. Bulgular: Gruplar; yaş, cinsiyet dağılımı ve periodontal klinik indeksler açısından benzerdi. Bruksist olan ve olmayan bireyler arasında dişeti kalınlıkları bakımından istatistiksel olarak anlamlı bir fark bulunmadı. Bruksist bireylerde üst çenede her diş bölgesi için keratinize dişeti genişliği daha yüksek bulundu ancak bu fark istatistiksel olarak anlamlı değildi. Sonuç: Dişeti biyotipi ve bruksizm arasında ilişki bulunmadı.
Keywords
References
- 1. Manfredini D, Ahlberg J, Mura R, Lobbezoo F. Bruxism is unlikely to cause damage to the periodontium. Findings from a systematic literature Assessment. J Periodontol. 2015 Apr;86(4):546-55.
- 2. Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment. Periodontol.2000; 11, 18-28.
- 3. Srivastava B, Chandra S, Jaiswal JN, Saimbi CS, Srivastava D. Cross-sectional study to evaluate variations in attached gingiva and gingival sulcus in the three periods of dentition. J Clin Pediatr Dent. 1990;15:17-24.
- 4. LJ Jin, G Pelekos, F Liu. The gingival biotype in a cohort of Chinese subjects with and without history of periodontal disease. J Periodontal Res. 2017 Dec;52(6):1004- 1010.
- 5. Zweers J, Thomas RZ, Slot DE, Weisgold AS, Van der Weijden FG. Characteristics of periodontal biotype, its dimensions, associations and prevalence: A systematic review. J Clin Periodontol. 2014;41:958-971.
- 6. García-Cortés J, Loyola-Rodríguez J, Monárrez-Espino J. Gingival biotypes in Mexican students aged 17-19 years old and their associated anatomic structures, sociodemographic and dietary factors. J Oral Sci. 2019;61(1):156-163.
- 7. Seibert J, Lindhe J. Esthetics and periodontal therapy. In: Lindhe J, ed. Textbook of Clinical Periodontology. Copenhagen: Munksgaard; 1989:477-514.
- 8. Fischer KR, Richter T, Kebschull M, Petersen N, Fickl S. On the relationship between gingival biotypes and gingival thickness in young Caucasians. Clin Oral Implants Res. 2015;26:865-869.
- 9. Fonseca DM, Bonfate G, Valle AL, Freitas SFT: Diagnóstico pela anamnese da disfunção craniomandibular. Revista Gaucha de Odontologia 1994; 42:23-28.
- 10. Cook DR, Mealey BL, Verrett RG, et al. Relationship between clinical periodontal biotype and labial plate thickness: an in vivo study. Int J Periodontics Restorative Dent. 2011;31:345-354.
- 11. Bevilaqua-Grossi D, Chaves TC, de Oliveira AS, Monteiro-PedroV. Anamnestic Index Severity and Signs and Symptoms of TMD. Cranio. 2006 Apr;24(2):112-8.
- 12. Müller HP, Heinecke A, Schaller N, Eger T. Masticatory mucosa in subjects with different periodontal phenotypes. J Clin Periodontol. 2000; 27, 621-626.
- 13. Vandana KL, Savitha B. Thickness of gingiva in association with age, gender and dental arch location. J Clin Periodontol. 2005; 32, 828-830.
- 14. Jing WD, Xu L, Xu X, Hou JX, Li XT. Association between Periodontal Biotype and Clinical Parameters: A Cross-sectional Study in Patients with Skeletal Class III Malocclusion. Chin J DentRes. 2019;22(1):9-19.
- 15. Olsson M, Lindhe J. Periodontal characteristics in individuals with varying form of the upper central incisors. J Clin Periodontol. 1991;18:78‐82.
- 16. Matarese G, Isola G, Ramaglia L, Dalessandri D, Lucchese A, Alibrandi A et al. Periodontal biotype: characteristic, prevalence and dimensions related to dental malocclusion. Minerva Stomatol. 2016; 65, 231-238.
- 17. Kaya Y, Alkan Ö, Keskin S. An evaluatuion of the gingival biotype and the width of keratinized gingiva in the mandibular anterior region of individuals with different dental malocclusion groups and levels of crowding. Korean J Orthod 2017; 47: 176-185.
- 18. Lee WZ, Ong MMA, Yeo AB. Gingival profiles in a select Asian cohort: A pilot study. J Investig Clin Dent. 2018 Feb;9(1).
Abstract
Aim: Bruxism; is a parafunctional condition defined as the habit of grinding and clenching. Its negative effects on periodontium are well known. The gingival biotype is affected by anatomical factors such as probing depth, keratinized gingival width, gingival attachment, and can be classified as thin/thick or thin/thick/mixed. Thin gingival biotype is a risk for gingival recessions. The aim of this study; to compare homogenous groups with and without bruxism in terms of gingival biotype and to evaluate the clinical effect of bruxism on gingival biotype. Materials and Methods: Bruxism questionnaire was applied to 164 subjects. 33 periodontally healthy bruxist subjects were included in the study group; 30 non-bruxist subjects with similar characteristics were included in the control group. In addition to clinical periodontal measurements, gingival thickness, keratinized gingival width, periodontal pocket depth and gingival recession were measured in both groups to assess gingival biotype. Measurements were made from the mid-facial surface of the maxillary and mandibular first and second incisors and canines. GT was assessed by probe visibility through the marginal gingiva (GTTRAN). Results between groups were analyzed using chi square test and student t-test. Results:The groups were similar in terms of age and gender distribution, and also periodontal clinical indices. There was no statistically significant difference in gingival thickness between bruxist and non-bruxist subjects. In bruxist subjects, keratinized gingival width was found to be higher in the maxilla for all teeth, but this difference was not statistically significant. Conclusion: There was no correlation between gingival biotype and bruxism.
Keywords
References
- 1. Manfredini D, Ahlberg J, Mura R, Lobbezoo F. Bruxism is unlikely to cause damage to the periodontium. Findings from a systematic literature Assessment. J Periodontol. 2015 Apr;86(4):546-55.
- 2. Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment. Periodontol.2000; 11, 18-28.
- 3. Srivastava B, Chandra S, Jaiswal JN, Saimbi CS, Srivastava D. Cross-sectional study to evaluate variations in attached gingiva and gingival sulcus in the three periods of dentition. J Clin Pediatr Dent. 1990;15:17-24.
- 4. LJ Jin, G Pelekos, F Liu. The gingival biotype in a cohort of Chinese subjects with and without history of periodontal disease. J Periodontal Res. 2017 Dec;52(6):1004- 1010.
- 5. Zweers J, Thomas RZ, Slot DE, Weisgold AS, Van der Weijden FG. Characteristics of periodontal biotype, its dimensions, associations and prevalence: A systematic review. J Clin Periodontol. 2014;41:958-971.
- 6. García-Cortés J, Loyola-Rodríguez J, Monárrez-Espino J. Gingival biotypes in Mexican students aged 17-19 years old and their associated anatomic structures, sociodemographic and dietary factors. J Oral Sci. 2019;61(1):156-163.
- 7. Seibert J, Lindhe J. Esthetics and periodontal therapy. In: Lindhe J, ed. Textbook of Clinical Periodontology. Copenhagen: Munksgaard; 1989:477-514.
- 8. Fischer KR, Richter T, Kebschull M, Petersen N, Fickl S. On the relationship between gingival biotypes and gingival thickness in young Caucasians. Clin Oral Implants Res. 2015;26:865-869.
- 9. Fonseca DM, Bonfate G, Valle AL, Freitas SFT: Diagnóstico pela anamnese da disfunção craniomandibular. Revista Gaucha de Odontologia 1994; 42:23-28.
- 10. Cook DR, Mealey BL, Verrett RG, et al. Relationship between clinical periodontal biotype and labial plate thickness: an in vivo study. Int J Periodontics Restorative Dent. 2011;31:345-354.
- 11. Bevilaqua-Grossi D, Chaves TC, de Oliveira AS, Monteiro-PedroV. Anamnestic Index Severity and Signs and Symptoms of TMD. Cranio. 2006 Apr;24(2):112-8.
- 12. Müller HP, Heinecke A, Schaller N, Eger T. Masticatory mucosa in subjects with different periodontal phenotypes. J Clin Periodontol. 2000; 27, 621-626.
- 13. Vandana KL, Savitha B. Thickness of gingiva in association with age, gender and dental arch location. J Clin Periodontol. 2005; 32, 828-830.
- 14. Jing WD, Xu L, Xu X, Hou JX, Li XT. Association between Periodontal Biotype and Clinical Parameters: A Cross-sectional Study in Patients with Skeletal Class III Malocclusion. Chin J DentRes. 2019;22(1):9-19.
- 15. Olsson M, Lindhe J. Periodontal characteristics in individuals with varying form of the upper central incisors. J Clin Periodontol. 1991;18:78‐82.
- 16. Matarese G, Isola G, Ramaglia L, Dalessandri D, Lucchese A, Alibrandi A et al. Periodontal biotype: characteristic, prevalence and dimensions related to dental malocclusion. Minerva Stomatol. 2016; 65, 231-238.
- 17. Kaya Y, Alkan Ö, Keskin S. An evaluatuion of the gingival biotype and the width of keratinized gingiva in the mandibular anterior region of individuals with different dental malocclusion groups and levels of crowding. Korean J Orthod 2017; 47: 176-185.
- 18. Lee WZ, Ong MMA, Yeo AB. Gingival profiles in a select Asian cohort: A pilot study. J Investig Clin Dent. 2018 Feb;9(1).
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Dentistry |
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 31, 2019 |
| Published in Issue | Year 2019 Volume: 46 Issue: 3 |