TY - JOUR
T1 - Estimating effects of craniofacial morphology on gingival recession and clinical attachment loss
AU - Salti, Loutfi
AU - Holtfreter, Birte
AU - Pink, Christiane
AU - Habes, Mohamad
AU - Biffar, Reiner
AU - Kiliaridis, Stavros
AU - Krey, Karl Friedrich
AU - Bülow, Robin
AU - Völzke, Henry
AU - Kocher, Thomas
AU - Daboul, Amro
N1 - Funding Information:
Conflict of interest and source of funding statement The authors declare that there are no conflicts of interest in this study. SHIP is part of the Community Medicine Research net (www.medizin.uni-greifswald.de/cm) of the University of Greifswald, Germany, which is funded by the German Federal Ministry of Education and Research (BMBF, grant 01ZZ96030, 01ZZ0701), the Ministry of Education, Research and Cultural Affairs as well as the Ministry of Social Affairs of the Federal State of Mecklenburg-West Pomerania. L.S. was supported by an educational grant from the Deutsche Gesellschaft für Zahn-, Mund- und Kieferheilkunde. All contributions to the SHIP data collection by dental and medical examiners, technicians, interviewers and assistants are gratefully acknowledged.
Publisher Copyright:
© 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Objectives: Evidence on possible associations between facial morphology, attachment loss and gingival recession is lacking. We analysed whether the facial type, which can be described by the ratio of facial width and length (facial index), is related to periodontal loss of attachment, hypothesizing that a broad face might be associated with less gingival recession (GR) and less clinical attachment loss (CAL) than a long face. Materials and methods: Data from the 11-year follow-up of the population-based Study of Health in Pomerania were used. Periodontal loss of attachment was assessed by GR and CAL. Linear regression models, adjusted for age and gender, were used to assess associations between specific landmark based distances extracted from magnetic resonance imaging head scans and clinically assessed GR or CAL (N = 556). Results: Analysing all teeth, a higher maximum cranial width was associated with a lower mean GR (B = −0.016, 95% CI: −0.030; −0.003, p = 0.02) and a lower mean CAL (B = −0.023, 95% CI: −0.040; −0.005, p = 0.01). Moreover, a long narrow face was significantly associated with increased mean GR and CAL (facial index, P for trend = 0.02 and p = 0.01, respectively). Observed associations were more pronounced for incisors and canines than for premolars and molars. Conclusion: This study revealed craniofacial morphology, specifically the cranial width and the facial index, as a putative risk factor for periodontal loss of attachment.
AB - Objectives: Evidence on possible associations between facial morphology, attachment loss and gingival recession is lacking. We analysed whether the facial type, which can be described by the ratio of facial width and length (facial index), is related to periodontal loss of attachment, hypothesizing that a broad face might be associated with less gingival recession (GR) and less clinical attachment loss (CAL) than a long face. Materials and methods: Data from the 11-year follow-up of the population-based Study of Health in Pomerania were used. Periodontal loss of attachment was assessed by GR and CAL. Linear regression models, adjusted for age and gender, were used to assess associations between specific landmark based distances extracted from magnetic resonance imaging head scans and clinically assessed GR or CAL (N = 556). Results: Analysing all teeth, a higher maximum cranial width was associated with a lower mean GR (B = −0.016, 95% CI: −0.030; −0.003, p = 0.02) and a lower mean CAL (B = −0.023, 95% CI: −0.040; −0.005, p = 0.01). Moreover, a long narrow face was significantly associated with increased mean GR and CAL (facial index, P for trend = 0.02 and p = 0.01, respectively). Observed associations were more pronounced for incisors and canines than for premolars and molars. Conclusion: This study revealed craniofacial morphology, specifically the cranial width and the facial index, as a putative risk factor for periodontal loss of attachment.
KW - clinical attachment loss
KW - craniofacial morphology
KW - gingival biotype
KW - gingival recession
KW - magnetic resonance images
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U2 - 10.1111/jcpe.12661
DO - 10.1111/jcpe.12661
M3 - Article
C2 - 27930822
AN - SCOPUS:85013392399
VL - 44
SP - 363
EP - 371
JO - Journal of Clinical Periodontology
JF - Journal of Clinical Periodontology
SN - 0303-6979
IS - 4
ER -