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Estimating effects of craniofacial morphology on gingival recession and clinical attachment loss

  • Objectives: Currently, evidence for the association between face morphology, attachment loss and recession is lacking. Face type can be described by the ratio of facial width and facial length. We hypothesize, that the facial type might be related to gingival recession (REC) and clinical attachment loss (CAL) and that a broad face is associated with less recession and attachment loss than a long face. Materials and methods: Data from the 10 year follow-up of the Study of Health in Pomerania (SHIP-2; 2008-2012; 2333 participants) were used. Periodontitis was assessed by probing depth (PD) and clinical attachment loss (CAL). Generalized regression models were used to assess associations between specific landmark distances extracted from magnetic resonance images (MRI) head scans and clinically assessed gingival recession adjusting(REC) or clinical attachment loss(CAL) adjusting for relevant confounders. Results: Maximum cranial width was negatively associated with mean REC and mean CAL (p<0.05). Also, higher mean REC and higher mean CAL correlate positively with long face (B=0.361 with 95% CI), upper anterior facial height. Conclusion: According to the results of the present study, gingival recession and clinical attachment loss were associated with higher Prosopic face and facial length indices results.

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Author: Loutfi Salti
Title Additional (German):Abschätzung der Auswirkungen der kraniofazialen Morphologie auf Gingivarezession und klinischen Attachmentverlust
Referee:Prof. Dr. Ralf Radlanski, Prof. Dr. Thomas KocherORCiD
Advisor:Prof. Dr. Thomas Kocher
Document Type:Doctoral Thesis
Year of Completion:2017
Date of first Publication:2018/02/08
Granting Institution:Ernst-Moritz-Arndt-Universität, Universitätsmedizin (bis 31.05.2018)
Date of final exam:2018/01/23
Release Date:2018/02/08
Tag:clinical attachment loss; craniofacial morphology; gingival biotype; gingival recession; magnetic resonance images
GND Keyword:klinischer Attachmentverlust, kraniofaziale Morphologie, gingivaler Biotyp, gingivale Rezession, Magnetresonanzbilder
Faculties:Universitätsmedizin / Poliklinik für Zahnerhaltung, Parodontologie und Endodontologie
DDC class:600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin und Gesundheit