Analysis of Influencing Factors on the Degree of Anterior Gingival Papilla Defect in Patients with Periodontitis Accompanied by Alveolar Ridge Resorption
ZHAO Jianxin
Abstract：Objective To analyze the influencing factors of the degree of anterior gingival papilla defect in patients with periodontitis withalveolar ridge resorption.Methods A selection was conducted on 40 periodonti-tis withalveolar ridge resorption patients in the Department of Stomatology of our hospital from February 2020 to February 2023(146 cases of upper anterior teeth gingival papilla).According to the degree of defect,they were di-vided into four groups:no defect group(40 cases),mild defect group(52 cases),moderate defect group(28 cases),and severe defect group(26 cases),with 10 patientsin each group.The cone-beam CT(CBCT)examination results were statistically analyzed,in order to analyze the correlation between the degree of defects in the upper anterior gingival papilla and the results of cone beam CT examination.Results On the coronal plane,the distance from crest to adjacent CEJ line,(pCEJ-BC),distance from adjacent contact point to crest(CP-BC),and Buccal Lingual Bone Width(BCW)of the four groups were gradually increased(P＜0.05),but Gingival Papilla Height(PH)of the four groupsat bone crest level was gradually decreased(P＜0.05).However,there were no significant differences in Heel Distance(RD)and Clinical Attachment Loss(CAL)at the bone crest level among the 4 groups(P-＞0.05).The defection degree of the upper gingival papilla was negatively correlated with PH(P＜0.05),and positively correlated with CP-BC,pCEJ-BC,and BCW(P＜0.05).Conclusion The influencing factors of the degree of upper anterior gingival papilla defect in patients with periodontitis and alveolar ridge resorption include CP-BC,pCEJ-BC,BCW,and PH.Therefore,in future clinical work,the soft and hard tissue augmentationshould be fully considered,and if necessary,the shape of the dental crown should be adjusted to achieve better aesthetic effects.
Keywords：periodontitisalveolar ridge resorptiongingival recession
Publication Date：2024-05-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 573-576 )