Browse > Article

Relationship between The Shape of Palatal Vault and Tooth and The Thickness of Palatal Masticatory Mucosa  

Seok, Hwa-Suk (Department of Periodontology, College of Dentistry, Kyung Hee University)
Lee, Man-Sub (Department of Periodontology, College of Dentistry, Kyung Hee University)
Kwon, Young-Hyunk (Department of Periodontology, College of Dentistry, Kyung Hee University)
Park, Joon-Bong (Department of Periodontology, College of Dentistry, Kyung Hee University)
Publication Information
Journal of Periodontal and Implant Science / v.33, no.3, 2003 , pp. 519-531 More about this Journal
Abstract
The aim of present investigation was to clinically measure the thickness of palatal masticatory mucosa in the hard palate as potential donor site for mucogingival surgery, to determine the relation to shape of palatal vault, form of tooth, gender, and to serve the clinical criteria t o choose the proper surgical technique. 84(mean age:25yrs) systemically and periodontally healthy volunteers participated in this study and 18 standard measurement points were defined in the hard palate, located on 3 lies which ran at different distances parallel to the gingival margin. 6 positions were designated on each of these 3 lines between the level of canine and 2nd molar and a bone sounding technique using a periodontal probe with minimal local anesthesia was utilized to assess the thickness of palatal masticatory mucosa. Student t-test was used to determine the difference in mucosal thickness between 2 groups gender, shape of palatal vault (high palatal vault vs. low palatal vault), tooth form (short-wide vs. long narrow) The result of this study were as follows: 1. Soft tissue thickness progressively increased in sites further away from the gingival margin (p<0.01). 2. Depending on position, in line a and line c the masticatory mucosal thickness increased from Ca to M2(p<0.01), but in line b the thickness increased from Ca to P2, and decreased to M1 and increased again to M2. 3. Gender did not influence the thickness of masticatory mucosa. 4. Palatal vault shape was associated with the thickness of masticatory mucosa. Thickness of low palatal vault group was thicker than high palatal group between P2 and M2 position. 5. Form of tooth did not influence the thickness of masticatory mucosa. In conclusion, palatal vault shape was associated with the thickness of masticatory mucosa. So, mucogingival surgery can be considered as a treatment modality in high palatal vault group. But, Gender and tooth form did not influence the thickness of masticatory mucosa.
Keywords
shape of palatal vault; hickness of palatal Masticatory Mucosa;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Orth, C.: A Modification of the Connective Tissue Graft Procedure for the Treatment of Type II and Type III Ridge Deformities, Int. J. Periodont. Rest. Dent. 16: 267-277, 1996
2 Rami, G., Soheir, EK., Luis, M., Raul, C. : Histological Evaluation of Healing and Re-vascu-larization of the Subepithelial Connective Tissue Graft. J. Periodontol., 72:470-478, 2001   DOI   ScienceOn
3 Allen, A. L,: The Use of Supraperiosteal Envelope in Soft Tissue Grafting for Root Coverage, I. Rationale and Technique. Int, J. Periodont. Res. Dent., 3: 217-228, 1994
4 Hall, W. B., Lundergan, W. P.: Free gingival graft. Dent elin North Am 37: 227-242, 1993
5 Azzi, R., Takei, H. H., Etienne, D., Carranza, F, A.: Root Coverage and Papilla Reconstruction Using Autogenous Osseous and Connective Tissue Grafts. Int. J. Periodont. Res, Dent. 21:141-147, 2001
6 Khoury, F., Happe, A,: The Palatal Subepithelial Connective Tissue Flap Method for Soft Tissue Management to Cover Maxillary Defects: A Clinical Report, Int J Oral Maxillofac Implants, 15:415-418, 2000
7 Muller, H.P., Schaller, N., Eger, T., Heinecke, A.: Thickness of Masticatory Mucosa., J Clin Periodontol., 27:431-436, 2000   DOI   ScienceOn
8 Muller, HP, Schaller, N., Eger, T.: Ultrasonic Determination of Thickness of masticatory Mucosa: A Methodologic Study., Oral Surg Oral Med Oral Pathol Oral Radiol Endod., 88:248-253, 1999   DOI   ScienceOn
9 Studer, SP., Allen, EP., Rees, TC., Kouba, A.: The Thickness of Masticatory Mucosa in the Human Hard Palate and Tuberosity as Potential Donor Sites for Ridge Augmentation Procedure. J. Periodontol., 68:145-151, 1997   DOI   ScienceOn
10 Goaslind, GD., Robertson, PB., Mahan, CJ., Morrison, WW., Olson, J V.: Thickness of Facial Gingiva, J. Periodontol., 48:768-771, 1977   DOI
11 강철흔, 장문택, 류성훈, 김형섭 : 한국성인의 각화치은 두께측정에 관한 연구，대한치주과학회지. 30(1):179-187, 2000
12 Harris, R. J.: Human Histologic Evaluation of Root Coverage Obtained with a Connective Tissue with Partial Thickness Double Pedicle graft. :A Case Report, J. Periodontol, 70:813-821, 1999   DOI
13 Eger, T., Muller, H. P., Heinecke, A.: Ultrasonic determination of gingival thickness.; Subject variation and influence of tooth type and clinical features. J. Clin. Periodontol. 23:839-845, 1996   DOI   ScienceOn
14 Nelson, S. W.: Subperiosteal Connective Tissue Grafts for Pocket Reduction and Preservation of Gingival Esthetics: A Case Report, J. Periodontol, 72:1092-1099, 2001   DOI   ScienceOn
15 Mealey, B. L., Neubauer, M. F., Butzin, C. A., Waldrop, T. C.: Use of Furcal Bone Sounding to Improve Accuracy of Furcation Diagnosis. J. Periodontol. 65:649-657, 1994   DOI   ScienceOn
16 Seibert. JS., and Louis. JV. : Soft tissue ridge augmentation utilizing a combination Onlay-Interpositional Graft Procedure, Int. J. Periodont. Res. Dent. 16:311-321, 1996
17 Nelson, S. W.: The Subepithelial Connective Tissue Graft. A Bilaminar Reconstructive Procedure for the Coverage of Denuded Root Surfaces. J. Periodontol., 58:95-102, 1987   DOI
18 Lindhe, H.: Clinical Periodontology and Implant Dentistry 3rd edi.: 550-596, 1998
19 Renvert, S., Badersten, A., Nilveus, R., Egelberg, J.: Healing after treatment of periodontal intra osseous defects. I. Comparative study of clinical methods. J. Clin. Periodontol, 8:387-399, 1981   DOI
20 Langer, B. and Calagna, L.: The Subepithelial Connective Tissue Graft. J. Prosthet Dent, 44:363-371, 1980   DOI   ScienceOn
21 Uchida, H., Kobayashi, K., Nagao, M.: Measurement in vivo of Masticatory Mucosal Thickness with 20 B-mode Ultrasonic Diagnostic Equipment. J. Dent. Res. 68:95-100, 1989   DOI   ScienceOn
22 Richardson, E. R., Dunn, G. F., Bryant, W. J., Lawrence, F.: Comparison of human palatal vault height and tooth length. Oral Surg Oral Med Oral Pathol 32(2):324-331, 1971   DOI   ScienceOn
23 Allen, EP., Gainza, C., Farthing, G and Newbold, D.: Improved technique for localized ridge aug-mentation, J. Periodontol., 195-199, 1985
24 Muller, H. P., Eger, T.: Gingival phenotypes in young male adults. J. Clin. Periodontol. 24:65-71, 1997   DOI   ScienceOn
25 Muller, HP, Heinecke, A., Schaller, N., Eger, T.: Masticatory Mucosa in Subjects with Different Periodontal Phenotype, J Clin Periodontol, 27:621-626, 2000   DOI   ScienceOn
26 Olsson, M., Lindhe, J. and Marinello, C. P.: On the relationship between crown form and clinical features of the gingival in adolescents. J. Clin. Periodontol. 20:570-577, 1993   DOI   ScienceOn
27 Kydd, W. L., Daly, C. H., Wheeler, J. B. 3rd: The Thickness Measurement of Masticatory Mucosa in vivo. Int. Dent. J. 21(4): 430-441, 1971
28 Kocher, T., Immertreu, E., Plagmann, H. C.: On the relationshipbetween crown form and the outcome after periodontal treatment. : A retrospective study. J. Dent. Res. 74(3): 1731-1737, 1995   DOI
29 Raetzke, P. B.: Covering Localized Areas of Root Exposure Employing the 'Envelope' Technique. J. Periodontol., 56:397-402, 1985   DOI
30 Tai, H.: Autogenous Masticatory Mucosal Grafts in Extraction Socket Seal Procedures: A Comparison between Sockets Grafted with Demineralized Freeze-dried Bone and Deproteinized Bovine Bone Mineral. Clin, Oral. Impl, Res, 10:289-296, 1999   DOI   PUBMED   ScienceOn
31 Langer, B., and Calagna, L. J. : The Subepithelial Connective Tissue Graft A New Approach to the Enhancement of Anterior Cosmetics, Int. J. Periodont. Res. Dent. 2:23-33, 1982
32 Olsson, M. and Lindhe, J.: Periodontal characteristics in individuals with varying form of the upper central incisors. J. Clin. Periodontol. 18:78-82, 1991   DOI
33 Philippe, B., Daniel, E., Jean-Pierre, O., Rolf, N.: Subepithelial Connective Tissue Grafts in the Treatment of Gingival Recession. A Comparative study of 2 Procedures., J. Periodontol., 65:929-936, 1994   DOI   ScienceOn
34 Bruno, J. F.: Connective Tissue Graft Technique Assuring Wide Root Coverage. Int. J. Periodont, Res. Dent. 2:127-138, 1994
35 Wara-aswapati, N., Pitiphat, W., Chandrapho, N., Rattanayatikul, C., Karimbux, N.: Thickness of Palatal Masticatory Mucosa Associated with Age., J. Periodontol., 72:1407-1412, 2001   DOI
36 Maurer, A., Leone, C. W.: Use of a Serially Layered Double Connective Tissue Graft Approach to Enhance Maxillary Anterior Esthetics. Int. J. Periodont. Res. Dent. 21:497-503, 2001
37 Howell, M. M., Cassingham, R. J., Yukna, R. A.: Relationship of Maxillary Molar Root Angulation and Palatal Vault Height. J. Periodontal. 57:25-28, 1986   DOI
38 Muller, HP, Eger, T.: Masticatory Mucosa and Periodontal Phenotype: A Review, Int. J. Periodont Rest. Dent. 22:172-183, 2002
39 Novaes, A. B. Jr. and Novaes, A. B: Soft tissue management for primary closure in guided bone regeneration: Surgical technique and case report. Int. J. Oral. Maxillofac Implants 12:84-87, 1997
40 Studer, S.P., Naef, R., and Scharer, P. : Adjustment of localized alveolar ridge defects by soft tissue transplantation to improve mucogingival esthetics : A proposal for clinical classification and evaluation of procedures, Quintessence int. 28:785-805, 1997
41 Langer, B. and Calagna, L.: The Subepithelial Connective Tissue Graft. J. Prosthet Dent, 44:363-371, 1980   DOI   ScienceOn
42 Jahnke, P. V., Sandifer, J. B., Gher, M. E., Gray, J. L., and Richardson, A. C.,: Thick Free Gingival and Connective Tissue Autografts for Root Coverage. J. Periodontol., 64:315-322, 1993   DOI   ScienceOn
43 Rosenquist B.: A comparison of methods of soft tissue management following the immediate placement of implants into extraction sockets. Int. J. Oral. Maxillofac Implants 12:43-51, 1997   PUBMED
44 Landsberg, C. J.: Socket Seal Surgery Combined with Immediate Implant Placement: A Novel Approach for Single Tooth Replacement. Int. J. Periodont. Res. Dent. 17:141-149, 1997
45 조익현, 김현철, 박정미, 장문택, 김형섭 : 건강한 한국 성인에서 경구개와 상악결절부위 저작점막의 두께 측정, 대한치주과학회지 31(3):641-649, 2001
46 Ursell, M. J.: Relationships between alveolar bone levels measured at surgery, estimated by transgingival probing and clinical attachment level measurements. J. Clin. Periodontol. 16:81-86, 1989   DOI