Abstract
A thick gingival biotype is a requisite for good periodontal health. It has important role in resisting trauma and subsequent gingival recession. The gingival thickness is a significant predictor of clinical outcome of periodontal surgeries. Various surgical procedures are used to increase the gingival thickness. The present study incorporated the innovative step of placement of chorion membrane to objectively evaluate the increase in thickness of gingival biotype during periodontal pocket therapy. The patients in age group between 25 and 45 years with chronic periodontitis, indicated for flap surgery were selected for the study. The sites with pocket depth of 6–8 mm in the mandibular anterior teeth were divided into test and control sites. Periodontal flap surgery was carried at both the sites and chorion membrane was placed at the test sites. The gingival thickness measurement was assessed using a markings marked on injection needle, these markings were read using digital vernier caliper, pre and post operatively. The baseline values of gingival thickness at test site (1.04 ± 0.19 at mid buccal region, 1.24 ± 0.20 at mid papillary) and control site (0.94 ± 0.11 at mid buccal region, 1.14 ± 0.11 at mid papillary region) showed no statistically significant difference. At test sites, 6 weeks post treatment (1.36 ± 0.16 at mid buccal region and 1.48 ± 0.17 at mid papillary region) as compared to control sites (1.06 ± 0.11 at mid buccal region, 1.24 ± 0.11 at mid papillary) showed statistically significant increase in gingival thickness (p ≤ 0.05*). The innovative step of placement of chorion membrane during periodontal pocket therapy facilitated increase in the gingival thickness in the areas with thin gingival biotype.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Anderegg CR, Metzler DG, Nicoll BK (1995) Gingiva thickness in guided tissue regeneration and associated recession at facial furcation defects. J Periodontol 66:397–402
Barrington EP (1981) An overview of periodontal surgical procedures. J Periodontal 52:518–528
Borghetti A, Gardella JP (1990) Thick gingival auto graft for the coverage of gingival recession: a clinical evaluation. Int J Periodontics Restor Dent 10:216–229
Bryant-Greenwood GD (1998) The extracellular matrix of the human fetal membranes: structure and function. Placenta 19:1–11
Claffey N, Shanley D (1986) Relationship of gingival thickness and bleeding to loss of probing attachment in shallow sites following nonsurgical periodontal therapy. J Clin Periodontol 13:654–657
Foushee DG, Moriarty JD, Simpson DM (1985) Effects of mandibular orthognathic treatment on mucogingival tissues. J Periodontol 56:727–733
Harris RJ (1997) Creeping attachment associated with the connective tissue with partial thickness double pedicle graft. J Periodontal 68:890–899
Huang LH, Neiva RE, Wang HL (2005) Factors affecting the outcomes of coronally advanced flap root coverage procedure. J Periodontol 76:1729–1734
Hwang D, Wang HL (2006) Flap thickness as a predictor of root coverage: a systematic review. J Periodontol 77:1625–1634
Kassab MM, Cohen RE (2003) The etiology and prevalence of gingival recession. J Am Dent Assoc 134:220–225
Koob TJ, Rennert R, Zabek N, Massee M, Lim JJ, Temenoff JS, Gurtner G (2013) Biological properties of dehydrated human amnion/chorion composite grafts: implications for chronic wound healing. Int Wound J 10:493–500
Koob TJ, Lim JJ, Massee M, Zabek N, Rennert R, Gurtner G, Li WW (2014) Angiogenic properties of dehydrated human amnion/chorion allografts: therapeutic potential for soft tissue repair and regeneration. Vasc Cell 6:10
Kothiwale SV (2014) The evaluation of chorion membrane in guided tissue regeneration for periodontal pocket therapy: a clinical and radiographic study. Cell Tissue Bank 15:145–152
Mullen LM, Richards DW, Quaranta V (1999) Evidence that laminin-5 is a component of the tooth surface internal basal lamina, supporting epithelial cell adhesion. J Periodontal Res 34(16):24
Rezaei Z, Kadkodazadeh M, Talbiardakani M (2013) Gingival biotype: a review. Gen Dent 61:14–17
Seibert JL, Lindhe J (1989) Esthetics and periodontal therapy. Lindhe textbook of clinical periodontology, 2nd edn. Munksgaard, Copenhangen, pp 477–514
Tugnait A, Clerehugh V (2001) Gingival recession—its significance and management. J Dent 29:381–394
Vandana KL, Savitha B (2005) Thickness of gingiva in association with age, gender and dental arch location. J Clincperiodontal 32:828–830
Weisgold A (1977) Contours of the full crown restoration. Alpha Omegan 70:77–89
Zachrisson BU (1997) Orthodontics and periodontics. In: Lindhe J, Karring T, Lang NP (eds) Clinical periodontology and implant dentistry, 3rd edn. Munksgaard, Copenhagen, pp 741–793
Zigdon H, Machtei EE (2008) The dimensions of keratinized mucosa around implants affect clinical and immunological parameters. Clin Oral Implants Res 19:387–392
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None.
Rights and permissions
About this article
Cite this article
Kothiwale, S., Rathore, A. & Panjwani, V. Enhancing gingival biotype through chorion membrane with innovative step in periodontal pocket therapy. Cell Tissue Bank 17, 33–38 (2016). https://doi.org/10.1007/s10561-015-9524-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10561-015-9524-7