American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics | 2019

The thickness of posterior buccal attached gingiva at common miniscrew insertion sites in subjects with different facial types.

 
 

Abstract


INTRODUCTION\nThe purpose of this study was to assess the thicknesses of maxillary and mandibular posterior buccal approximal attached gingiva at common miniscrew insertion sites, which has critical importance in determining miniscrew length, in subjects with different facial types.\n\n\nMETHODS\nOne hundred seventy-four subjects with no transversal skeletal discrepancy were included in this study. The facial types of these subjects were evaluated in the sagittal and vertical directions. In the sagittal direction, the subjects were assigned into 3 groups: skeletal Class I, II, and III. Also, each of these groups was divided into subgroups in the vertical direction: low angle, norm, and high angle. Transgingival probing was used to measure the thickness of the buccal attached gingiva.\n\n\nRESULTS\nThe thickness of the buccal attached gingiva between the second premolar-first molar ranged from 1.18\xa0±\xa00.33 to 1.46\xa0±\xa00.28 mm and from 1.28\xa0±\xa00.30 to 1.58\xa0±\xa00.37 mm in the maxilla and mandible, respectively. The thickness of the buccal attached gingiva between the first-second molars ranged from 1.31\xa0±\xa00.41 to 1.60\xa0±\xa00.62 mm and from 1.36\xa0±\xa00.43 to 1.72\xa0±\xa00.52 mm in the maxilla and mandible, respectively. In terms of the thicknesses of the buccal attached gingiva of second premolar-first molar and first-second molars, no statistically significant difference was found between subjects with different facial types.\n\n\nCONCLUSIONS\nIt was determined that the thicknesses of maxillary and mandibular posterior buccal approximal attached gingiva varied between 1.18-1.72. At this point, the insertion of miniscrews of 7-8\xa0mm in length was recommended for maxillary and mandibular posterior buccal regions, in order to obtain adequate insertion depth.

Volume 156 6
Pages \n 800-807\n
DOI 10.1016/j.ajodo.2018.12.024
Language English
Journal American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics

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