Srividya Inti, Penmetsa Gautami Subhadra, Subbareddy Bukkapatam Venkata, Lahari Karuturi
Department of Periodontics and Implantology, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.
J Indian Soc Periodontol. 2021 Mar-Apr;25(2):133-137. doi: 10.4103/jisp.jisp_626_19. Epub 2021 Mar 1.
Awareness about pink esthetics among dentists in general needs to be assessed as root coverage procedures are the mainstay of treatment for gingival recession. Concordance among the dentists in figuring out the esthetic outcomes after root coverage procedures is inconsistent. Hence, this study aims to evaluate inter- and intra-examiner reliability of root coverage esthetic scores (RES) between periodontists and nonperiodontists.
The study was conducted using twenty baseline and 6-month posttreatment photographs of Miller's Class I and Class II gingival recessions. The participants that constituted ten periodontists and ten nonperiodontists were assembled in the seminar hall to receive training on protocol and procedures for RES by the investigator. All the participants were shown twenty projections of side-by-side baseline and 6-month outcomes of root coverage procedures. Each projection was shown for 30 s during which the participants were made to use RES system to evaluate the surgical outcomes.
Periodontists showed the highest reliability in the scores of marginal tissue contour with an overall intraexaminer reliability to be perfect among periodontists. Intraexaminer reliability among nonperiodontists was fair, and gingival margin was the parameter with the highest reliability among them. Interexaminer reliability between periodontists and nonperiodontists showed slight reliability concerning gingival margin, and fair reliability was found for marginal tissue contour, soft-tissue texture, mucogingival junction, and gingival color.
Satisfying the esthetic component of gingiva is the duty of every dentist in general and not only the periodontists. Significant variability was found in esthetic scores between the groups, which can probably be attributed to the lack of sufficient knowledge regarding pink esthetics among the nonperiodontists, which needs to be improved.
由于根面覆盖术是牙龈退缩治疗的主要手段，因此需要评估牙科医生对粉色美学的总体认知。牙科医生在确定根面覆盖术后美学效果方面的一致性并不理想。因此，本研究旨在评估牙周病专科医生和非专科医生之间根面覆盖美学评分（RES）的检查者间和检查者内可靠性。
本研究使用了20张米勒I类和II类牙龈退缩的基线照片和治疗后6个月的照片。10名牙周病专科医生和10名非专科医生组成的参与者在研讨厅集合，接受研究者关于RES方案和程序的培训。向所有参与者展示了20组根面覆盖术基线和6个月结果的并排投影。每组投影展示30秒，在此期间让参与者使用RES系统评估手术结果。
牙周病专科医生在边缘组织轮廓评分中显示出最高的可靠性，总体检查者内可靠性在牙周病专科医生中为完美。非专科医生的检查者内可靠性为中等，牙龈边缘是其中可靠性最高的参数。牙周病专科医生和非专科医生之间的检查者间可靠性在牙龈边缘方面显示为轻度可靠，在边缘组织轮廓、软组织质地、膜龈联合和牙龈颜色方面为中等可靠。
满足牙龈美学成分是每位牙科医生的职责，而不仅是牙周病专科医生的职责。两组之间的美学评分存在显著差异，这可能归因于非专科医生对粉色美学缺乏足够的了解，这一点需要改进。
