Research Article
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A novel volumetric analysis using cad/cam scanners in gingival recession treatment

Year 2017, , 72 - 79, 30.10.2017

Hacer Sahin Aydinyurt , Abdullah Seckin Ertugrul

https://doi.org/10.17546/msd.341826
Cited By: 1

Abstract





Objective: In
this study, randomized clinical trial (RCT), the aim was to compare clinical
periodontal data of subepithelial connective tissue graft (SCTG) group and
SCGT+enamel matrix derivatives (EMD) group in terms of gained gingiva volume
(GGV) and gained gingiva surface area (GGSA) by scanners of computer-aided
design/computer-aided manufacturing (CAD/CAM) devices.


Material and Methods: In this study, a total of 35 Miller class I-II gingival recession
defects were involved (n=17 in SCTG group, n=18 in SCTG+EMD group). In
addition to, periodontal clinical parameters, and  three dimensional (3D) images were recorded
by using CAD/CAM system before the treatment, at the 1st month and the 6th months after
the treatment. The images were superimposed by using softwares and GGV, and
GGSA were calculated.


Results: There
was no significant difference in terms of GGV and GGSA values at the 1st
month and 6th months between SCTG+EMD and SCTG groups. Similarly,
there was no  significant difference in
periodontal clinical parameters between groups.


Conclusion: Images
obtained from CAD/CAM system can be easily used in calculating GGV and GGSA
data after the gingival recession treatment and in determining of the success
of administered treatment. It is expected that the evaluation of the success
of many therapeutic approaches for periodontal treatment will be carried out
by using CAD/CAM system in the future.

Keywords

Subepitelial connective tissue grafts Enamel matrix derivatives Gingival recession CAD/CAM Dentistry Periodontics

References

  • 1. Köseoğlu S, Sağlam M, Pekbağrıyanık T, Savran L, Sütçü R. Level of Interleukin-35 in Gingival Crevicular Fluid, Saliva, and Plasma in Periodontal Disease and Health. J Periodontol [Internet]. 2015 Aug [cited 2017 Jan 15];86(8):964–71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25786564
  • 2. Valderhaug J. Periodontal conditions and carious lesions following the insertion of fixed prostheses: a 10-year follow-up study. Int Dent J [Internet]. 1980 Dec [cited 2017 Aug 16];30(4):296–304. Available from: http://www.ncbi.nlm.nih.gov/pubmed/6935162
  • 3. Goldstein M, Nasatzky E, Goultschin J, Boyan BD, Schwartz Z. Coverage of Previously Carious Roots Is as Predictable a Procedure as Coverage of Intact Roots. J Periodontol [Internet]. 2002 Dec [cited 2017 Aug 16];73(12):1419–26. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12546091
  • 4. Silva RC Da, Joly JC, de Lima AFM, Tatakis DN. Root Coverage Using the Coronally Positioned Flap With or Without a Subepithelial Connective Tissue Graft. J Periodontol [Internet]. 2004 Mar [cited 2017 Aug 16];75(3):413–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15088880
  • 5. Sculean A, Windisch P, Keglevich T, Gera I. Histologic evaluation of human intrabony defects following non-surgical periodontal therapy with and without application of enamel matrix derivatives. J Periodontol. 2003;74:153–60.
  • 6. Ronay V, Sahrmann P, Bindl A, Attin T, Schmidlin PR. Current Status and Perspectives of Mucogingival Soft Tissue Measurement Methods. J Esthet Restor Dent [Internet]. 2011 Jun [cited 2016 Dec 4];23(3):146–56. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21649828
  • 7. Weinländer M, Lekovic V, Spadijer-Gostovic S, Milicic B, Krennmair G, Plenk Jr H. Gingivomorphometry - esthetic evaluation of the crown-mucogingival complex: a new method for collection and measurement of standardized and reproducible data in oral photography. Clin Oral Implants Res [Internet]. 2009 May [cited 2017 Aug 16];20(5):526–30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19522978
  • 8. Rosin M, Splieth C, Hessler M, Gärtner C, Kordass B, Kocher T. Quantification of gingival edema using a new 3-D laser scanning method. J Clin Periodontol [Internet]. 2002 Mar [cited 2016 Dec 4];29(3):240–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11940144
  • 9. Strebel J, Ender A, Paqué F, Krähenmann M, Attin T, Schmidlin PR. In Vivo Validation of a Three-Dimensional Optical Method to Document Volumetric Soft Tissue Changes of the Interdental Papilla. J Periodontol [Internet]. 2009 Jan [cited 2016 Dec 4];80(1):56–61. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19228090
  • 10. Seelbach P, Brueckel C, Wöstmann B. Accuracy of digital and conventional impression techniques and workflow. Clin Oral Investig [Internet]. 2013 Sep 21 [cited 2016 Dec 4];17(7):1759–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23086333
  • 11. Silness J, Löe H. Periodontal Disease in Pregnancy II. Correlation Between Oral Hygiene and Periodontal Condition. Acta Odontol Scand [Internet]. Taylor & Francis; 1964 Jan 2 [cited 2016 Dec 4];22(1):121–35. Available from: http://www.tandfonline.com/doi/full/10.3109/00016356408993968
  • 12. Löe H, Silness J. Periodontal Disease in Pregnancy I. Prevalence and Severity. Acta Odontol Scand [Internet]. Taylor & Francis; 1963 Jan 2 [cited 2016 Dec 4];21(6):533–51. Available from: http://www.tandfonline.com/doi/full/10.3109/00016356309011240
  • 13. Rebele SF, Zuhr O, Schneider D, Jung RE, Hürzeler MB. Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivative for root coverage: a RCT using 3D digital measuring methods. Part II. Volumetric studies on healing dynamics and gingival dimensions. J Clin Periodontol. 2014 Apr;41:593–603.
  • 14. McGuire M, Scheyer E, Nunn M. Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue: comparison of clinical parameters at 10 years. J Periodontol. 2012 Nov;83(11):1353–62.
  • 15. Roman A, Soancă A, Kasaj A, Stratul S-I. Subepithelial connective tissue graft with or without enamel matrix derivative for the treatment of Miller class I and II gingival recessions: a controlled randomized clinical trial. J Periodontal Res [Internet]. 2013 Oct [cited 2016 Dec 4];48(5):563–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23317049
  • 16. Zuhr O, Rebele S, Schneider D, Jung R, Hürzeler M. Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivative for root coverage: a RCT using 3D digital measuring methods. Part I. Clinical and patient-centred outcomes. J Clin Periodontol. 2014 Oct;41:582–92.
  • 17. Rasperini G, Silvestri M, Schenk R, Nevins M. Clinical and histologic evaluation of human gingival recession treated with a subepithelial connective tissue graft and enamel matrix derivative (Emdogain): a case report. Int J Periodontics Restor Dent. 2000;20(3):269–75.
  • 18. Henriques P, Pelegrine A, Nogueira A, Borghi M. Application of subepithelial connective tissue graft with or without enamel matrix derivative for root coverage: a split-mouth randomized study. J Oral Sci. 2010;52(3):463–71.
  • 19. Hammarström L, Heijl L, Gestrelius S. Periodontal regeneration in a buccal dehiscence model in monkeys after application of enamel matrix proteins. J Clin Periodontol [Internet]. 1997 Sep [cited 2016 Dec 4];24(9 Pt 2):669–77. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9310871
  • 20. Moses O, Artzi Z, Sculean A, Tal H, Kozlovsky A, Romanos GE, et al. Comparative Study of Two Root Coverage Procedures: A 24-Month Follow-Up Multicenter Study. J Periodontol [Internet]. 2006 Feb [cited 2016 Dec 4];77(2):195–202. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16460244
  • 21. Pilloni A, Paolantonio M, Camargo PM. Root Coverage With a Coronally Positioned Flap Used in Combination With Enamel Matrix Derivative: 18-Month Clinical Evaluation. J Periodontol [Internet]. 2006 Dec [cited 2016 Dec 4];77(12):2031–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17209788
  • 22. Aroca S, Keglevich T, Nikolidakis D, Gera I, Nagy K, Azzi R, et al. Treatment of class III multiple gingival recessions: a randomized-clinical trial. J Clin Periodontol [Internet]. 2010 Jan [cited 2016 Dec 4];37(1):88–97. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19968743
  • 23. Mehl A, Gloger W, Kunzelmann K-H, Hickel R. A New Optical 3-D Device for the Detection of Wear. J Dent Res [Internet]. 1997 Nov 8 [cited 2017 Aug 16];76(11):1799–807. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9372798
  • 24. Lehmann KM, Kasaj A, Ross A, Kämmerer PW, Wagner W, Scheller H. A New Method for Volumetric Evaluation of Gingival Recessions: A Feasibility Study. J Periodontol [Internet]. 2012 Jan [cited 2016 Dec 4];83(1):50–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21563950
  • 25. Lehmann KM, Kasaj A, Ross A, Willershausen I, Schmidtmann I, Staedt H, et al. A novel method for evaluating periodontal recession: a feasibility study. Int J Comput Dent [Internet]. 2011 [cited 2017 Aug 16];14(4):297–307. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22324221
  • 26. Windisch SI, Jung RE, Sailer I, Studer SP, Ender A, Hämmerle CHF. A new optical method to evaluate three-dimensional volume changes of alveolar contours: a methodological in vitro study. Clin Oral Implants Res [Internet]. 2007 Oct [cited 2016 Dec 4];18(5):545–51. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17590160

Year 2017, , 72 - 79, 30.10.2017

Hacer Sahin Aydinyurt , Abdullah Seckin Ertugrul

https://doi.org/10.17546/msd.341826
Cited By: 1

Abstract

References

  • 1. Köseoğlu S, Sağlam M, Pekbağrıyanık T, Savran L, Sütçü R. Level of Interleukin-35 in Gingival Crevicular Fluid, Saliva, and Plasma in Periodontal Disease and Health. J Periodontol [Internet]. 2015 Aug [cited 2017 Jan 15];86(8):964–71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25786564
  • 2. Valderhaug J. Periodontal conditions and carious lesions following the insertion of fixed prostheses: a 10-year follow-up study. Int Dent J [Internet]. 1980 Dec [cited 2017 Aug 16];30(4):296–304. Available from: http://www.ncbi.nlm.nih.gov/pubmed/6935162
  • 3. Goldstein M, Nasatzky E, Goultschin J, Boyan BD, Schwartz Z. Coverage of Previously Carious Roots Is as Predictable a Procedure as Coverage of Intact Roots. J Periodontol [Internet]. 2002 Dec [cited 2017 Aug 16];73(12):1419–26. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12546091
  • 4. Silva RC Da, Joly JC, de Lima AFM, Tatakis DN. Root Coverage Using the Coronally Positioned Flap With or Without a Subepithelial Connective Tissue Graft. J Periodontol [Internet]. 2004 Mar [cited 2017 Aug 16];75(3):413–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15088880
  • 5. Sculean A, Windisch P, Keglevich T, Gera I. Histologic evaluation of human intrabony defects following non-surgical periodontal therapy with and without application of enamel matrix derivatives. J Periodontol. 2003;74:153–60.
  • 6. Ronay V, Sahrmann P, Bindl A, Attin T, Schmidlin PR. Current Status and Perspectives of Mucogingival Soft Tissue Measurement Methods. J Esthet Restor Dent [Internet]. 2011 Jun [cited 2016 Dec 4];23(3):146–56. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21649828
  • 7. Weinländer M, Lekovic V, Spadijer-Gostovic S, Milicic B, Krennmair G, Plenk Jr H. Gingivomorphometry - esthetic evaluation of the crown-mucogingival complex: a new method for collection and measurement of standardized and reproducible data in oral photography. Clin Oral Implants Res [Internet]. 2009 May [cited 2017 Aug 16];20(5):526–30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19522978
  • 8. Rosin M, Splieth C, Hessler M, Gärtner C, Kordass B, Kocher T. Quantification of gingival edema using a new 3-D laser scanning method. J Clin Periodontol [Internet]. 2002 Mar [cited 2016 Dec 4];29(3):240–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11940144
  • 9. Strebel J, Ender A, Paqué F, Krähenmann M, Attin T, Schmidlin PR. In Vivo Validation of a Three-Dimensional Optical Method to Document Volumetric Soft Tissue Changes of the Interdental Papilla. J Periodontol [Internet]. 2009 Jan [cited 2016 Dec 4];80(1):56–61. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19228090
  • 10. Seelbach P, Brueckel C, Wöstmann B. Accuracy of digital and conventional impression techniques and workflow. Clin Oral Investig [Internet]. 2013 Sep 21 [cited 2016 Dec 4];17(7):1759–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23086333
  • 11. Silness J, Löe H. Periodontal Disease in Pregnancy II. Correlation Between Oral Hygiene and Periodontal Condition. Acta Odontol Scand [Internet]. Taylor & Francis; 1964 Jan 2 [cited 2016 Dec 4];22(1):121–35. Available from: http://www.tandfonline.com/doi/full/10.3109/00016356408993968
  • 12. Löe H, Silness J. Periodontal Disease in Pregnancy I. Prevalence and Severity. Acta Odontol Scand [Internet]. Taylor & Francis; 1963 Jan 2 [cited 2016 Dec 4];21(6):533–51. Available from: http://www.tandfonline.com/doi/full/10.3109/00016356309011240
  • 13. Rebele SF, Zuhr O, Schneider D, Jung RE, Hürzeler MB. Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivative for root coverage: a RCT using 3D digital measuring methods. Part II. Volumetric studies on healing dynamics and gingival dimensions. J Clin Periodontol. 2014 Apr;41:593–603.
  • 14. McGuire M, Scheyer E, Nunn M. Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue: comparison of clinical parameters at 10 years. J Periodontol. 2012 Nov;83(11):1353–62.
  • 15. Roman A, Soancă A, Kasaj A, Stratul S-I. Subepithelial connective tissue graft with or without enamel matrix derivative for the treatment of Miller class I and II gingival recessions: a controlled randomized clinical trial. J Periodontal Res [Internet]. 2013 Oct [cited 2016 Dec 4];48(5):563–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23317049
  • 16. Zuhr O, Rebele S, Schneider D, Jung R, Hürzeler M. Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivative for root coverage: a RCT using 3D digital measuring methods. Part I. Clinical and patient-centred outcomes. J Clin Periodontol. 2014 Oct;41:582–92.
  • 17. Rasperini G, Silvestri M, Schenk R, Nevins M. Clinical and histologic evaluation of human gingival recession treated with a subepithelial connective tissue graft and enamel matrix derivative (Emdogain): a case report. Int J Periodontics Restor Dent. 2000;20(3):269–75.
  • 18. Henriques P, Pelegrine A, Nogueira A, Borghi M. Application of subepithelial connective tissue graft with or without enamel matrix derivative for root coverage: a split-mouth randomized study. J Oral Sci. 2010;52(3):463–71.
  • 19. Hammarström L, Heijl L, Gestrelius S. Periodontal regeneration in a buccal dehiscence model in monkeys after application of enamel matrix proteins. J Clin Periodontol [Internet]. 1997 Sep [cited 2016 Dec 4];24(9 Pt 2):669–77. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9310871
  • 20. Moses O, Artzi Z, Sculean A, Tal H, Kozlovsky A, Romanos GE, et al. Comparative Study of Two Root Coverage Procedures: A 24-Month Follow-Up Multicenter Study. J Periodontol [Internet]. 2006 Feb [cited 2016 Dec 4];77(2):195–202. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16460244
  • 21. Pilloni A, Paolantonio M, Camargo PM. Root Coverage With a Coronally Positioned Flap Used in Combination With Enamel Matrix Derivative: 18-Month Clinical Evaluation. J Periodontol [Internet]. 2006 Dec [cited 2016 Dec 4];77(12):2031–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17209788
  • 22. Aroca S, Keglevich T, Nikolidakis D, Gera I, Nagy K, Azzi R, et al. Treatment of class III multiple gingival recessions: a randomized-clinical trial. J Clin Periodontol [Internet]. 2010 Jan [cited 2016 Dec 4];37(1):88–97. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19968743
  • 23. Mehl A, Gloger W, Kunzelmann K-H, Hickel R. A New Optical 3-D Device for the Detection of Wear. J Dent Res [Internet]. 1997 Nov 8 [cited 2017 Aug 16];76(11):1799–807. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9372798
  • 24. Lehmann KM, Kasaj A, Ross A, Kämmerer PW, Wagner W, Scheller H. A New Method for Volumetric Evaluation of Gingival Recessions: A Feasibility Study. J Periodontol [Internet]. 2012 Jan [cited 2016 Dec 4];83(1):50–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21563950
  • 25. Lehmann KM, Kasaj A, Ross A, Willershausen I, Schmidtmann I, Staedt H, et al. A novel method for evaluating periodontal recession: a feasibility study. Int J Comput Dent [Internet]. 2011 [cited 2017 Aug 16];14(4):297–307. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22324221
  • 26. Windisch SI, Jung RE, Sailer I, Studer SP, Ender A, Hämmerle CHF. A new optical method to evaluate three-dimensional volume changes of alveolar contours: a methodological in vitro study. Clin Oral Implants Res [Internet]. 2007 Oct [cited 2016 Dec 4];18(5):545–51. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17590160
There are 26 citations in total.

Details

Subjects Health Care Administration
Journal Section Research Article
Authors

Hacer Sahin Aydinyurt

Abdullah Seckin Ertugrul

Publication Date October 30, 2017
Published in Issue Year 2017

Cite

APA Sahin Aydinyurt, H., & Ertugrul, A. S. (2017). A novel volumetric analysis using cad/cam scanners in gingival recession treatment. Medical Science and Discovery, 4(10), 72-79. https://doi.org/10.17546/msd.341826
AMA Sahin Aydinyurt H, Ertugrul AS. A novel volumetric analysis using cad/cam scanners in gingival recession treatment. Med Sci Discov. October 2017;4(10):72-79. doi:10.17546/msd.341826
Chicago Sahin Aydinyurt, Hacer, and Abdullah Seckin Ertugrul. “A Novel Volumetric Analysis Using cad/Cam Scanners in Gingival Recession Treatment”. Medical Science and Discovery 4, no. 10 (October 2017): 72-79. https://doi.org/10.17546/msd.341826.
EndNote Sahin Aydinyurt H, Ertugrul AS (October 1, 2017) A novel volumetric analysis using cad/cam scanners in gingival recession treatment. Medical Science and Discovery 4 10 72–79.
IEEE H. Sahin Aydinyurt and A. S. Ertugrul, “A novel volumetric analysis using cad/cam scanners in gingival recession treatment”, Med Sci Discov, vol. 4, no. 10, pp. 72–79, 2017, doi: 10.17546/msd.341826.
ISNAD Sahin Aydinyurt, Hacer - Ertugrul, Abdullah Seckin. “A Novel Volumetric Analysis Using cad/Cam Scanners in Gingival Recession Treatment”. Medical Science and Discovery 4/10 (October 2017), 72-79. https://doi.org/10.17546/msd.341826.
JAMA Sahin Aydinyurt H, Ertugrul AS. A novel volumetric analysis using cad/cam scanners in gingival recession treatment. Med Sci Discov. 2017;4:72–79.
MLA Sahin Aydinyurt, Hacer and Abdullah Seckin Ertugrul. “A Novel Volumetric Analysis Using cad/Cam Scanners in Gingival Recession Treatment”. Medical Science and Discovery, vol. 4, no. 10, 2017, pp. 72-79, doi:10.17546/msd.341826.
Vancouver Sahin Aydinyurt H, Ertugrul AS. A novel volumetric analysis using cad/cam scanners in gingival recession treatment. Med Sci Discov. 2017;4(10):72-9.

Cited By

The accuracy and reliability of digital measurements of gingival recession versus conventional methods
BMC Oral Health
Hytham N. Fageeh
https://doi.org/10.1186/s12903-019-0851-0