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年轻白种女性和男性的牙龈表型分布——一项调查研究。

Gingival phenotype distribution in young Caucasian women and men - An investigative study.

机构信息

Clinic of Conservative & Preventive Dentistry, Division of Periodontology & Peri-implant Diseases, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.

Department of Oral and Maxillofacial Surgery, Centre for Dental Medicine, University of Freiburg, Freiburg, Germany.

出版信息

Clin Exp Dent Res. 2022 Feb;8(1):374-379. doi: 10.1002/cre2.482. Epub 2021 Nov 11.

DOI:10.1002/cre2.482
PMID:34766469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8874113/
Abstract

OBJECTIVES

To evaluate the relationship between gingival phenotype and tooth location based on selected index teeth ("Ramfjord") and assess possible differences between women and men.

MATERIAL AND METHODS

Thirty-six women and 20 men voluntarily participated in this investigation with an average age of 23 years (min: 19; max: 37). Gingival phenotypes (GP) were assessed by transparency of a periodontal probe through the buccal gingival margin.

RESULTS

A comparable and similar GP on all index teeth was only found in seven out of the 56 subjects, that is, thin or thick only: Five participants (three male/two female) showed a uniform and constantly thick and two females a constantly thin GP. While the majority of molars (94.6%; p = 0.006) showed a thick GP, premolars (61.6%; p = 0.09) as well as incisors (70.5%; p = 0.046) were predominantly categorized as thin. In addition, significantly thicker GP was in general observed for maxillary teeth (p = 0.001) but without differences between genders (p = 0.722).

CONCLUSION

No constant GP can be expected within one dentition. The use of the "Ramfjord teeth" may serve as a quick overview and reliable method to screen GP distribution.

摘要

目的

评估基于选定的指数牙(“Ramfjord”)的牙龈表型与牙齿位置之间的关系,并评估女性和男性之间可能存在的差异。

材料和方法

36 名女性和 20 名男性自愿参与了这项研究,平均年龄为 23 岁(最小:19;最大:37)。通过牙周探针通过颊侧牙龈边缘的透明度评估牙龈表型(GP)。

结果

在 56 名受试者中,仅有 7 名受试者在所有指数牙上具有可比且相似的 GP,即仅为薄或厚:5 名参与者(3 名男性/2 名女性)表现出均匀且始终较厚的 GP,而两名女性则表现出始终较薄的 GP。虽然大多数磨牙(94.6%;p=0.006)表现出较厚的 GP,但前磨牙(61.6%;p=0.09)和切牙(70.5%;p=0.046)则主要归类为薄。此外,上颌牙齿的 GP 通常更厚(p=0.001),但性别之间没有差异(p=0.722)。

结论

在一个牙列中不能期望有恒定的 GP。使用“Ramfjord 牙齿”可以作为快速概述和可靠的方法来筛选 GP 分布。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ebe/8874113/f4b56037e722/CRE2-8-374-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ebe/8874113/798651230757/CRE2-8-374-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ebe/8874113/f4b56037e722/CRE2-8-374-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ebe/8874113/798651230757/CRE2-8-374-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ebe/8874113/f4b56037e722/CRE2-8-374-g001.jpg

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J Esthet Restor Dent. 2021 Apr;33(3):432-445. doi: 10.1111/jerd.12661. Epub 2020 Sep 21.
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Gingival phenotype modification therapies on natural teeth: A network meta-analysis.天然牙牙龈表型修饰治疗:网络荟萃分析。
J Periodontol. 2020 Nov;91(11):1386-1399. doi: 10.1002/JPER.19-0715. Epub 2020 Jun 12.
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Graftless Tunnel Technique for the Treatment of Multiple Gingival Recessions in Sites with Thick or Very Thick Biotype: A Prospective Case Series.
伴有强烈吮唇习惯的重度牙周牙髓联合病变的协同管理:一例报告
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Gingival phenotype classification by visual and probe visibility assessments: Relationship with thickness and probe design.通过视觉和探针可视性评估进行牙龈表型分类:与厚度和探针设计的关系。
J Periodontol. 2025 Apr;96(4):309-320. doi: 10.1002/JPER.24-0172. Epub 2024 Aug 9.
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Prevalence of the Gingival Phenotype in Adults and Associated Risk Factors: A Systematic Review of the Literature.成人牙龈表型的患病率及相关危险因素:文献系统综述
Clin Pract. 2024 May 8;14(3):801-833. doi: 10.3390/clinpract14030064.
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Clinical and computed tomographic evaluations of periodontal phenotypes in a Chinese population: a cross-sectional study.中国人群牙周表型的临床与计算机断层扫描评估:一项横断面研究。
Clin Oral Investig. 2023 Jul;27(7):3569-3577. doi: 10.1007/s00784-023-04970-y. Epub 2023 Mar 24.
用于治疗厚或极厚生物型部位多处牙龈退缩的无移植隧道技术:一项前瞻性病例系列研究
Int J Periodontics Restorative Dent. 2019 Nov/Dec;39(6):e203-e210. doi: 10.11607/prd.4134.
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Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.系统疾病及发育和获得性状况的牙周表现:2017 年牙周病和种植体周围病分类世界研讨会第 3 工作组的共识报告。
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