The effects of gingival biotype on delayed tooth eruption in different age groups: A preliminary cross-sectional study

Aim: The aim of this study is to determine the relationship between gingival biotype and delayed eruption using the probe transparency technique in different age groups. The hypothesis of the present study is that the thick gingival biotype may lead to delayed eruption.Material and Methods: A total of 131 patients (mean age, 90.21± 27.76 months), including 68 males and 63 females were included in the study. Patients were examined in 3 groups according to their dentition periods: between the ages of 3-5 years in Group 1 (G1), 6-8 years in Group 2 (G2), and 9-12 years in Group 3 (G3). Clinically, the gingival biotype was recorded by probe transparency technique. Dental age of the patients was evaluated according to Demirjian method on digital panoramic radiographs. Statistically the chi-square test was used for analysing between the gingival biotype and delayed eruption.Results: The thick gingival biotype was observed in 88.4% and 79.1% in the maxilla and mandible in G1, respectively. In G2, thick biotype-related maxillary delayed eruption was observed in 35% of patients. In G3, the patients who have a thin gingival biotype in mandibular arch showed premature eruption.Conclusion: Delayed eruption may be related especially in thick gingival biotype in maxillary arch.

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Suri L, Gagari E, Vastardis H. Delayed tooth eruption: Pathogenesis, diagnosis, and treatment. A literature review. Am J Orthod Dentofacial Orthop 2004;126(4):432-45.
Huber KL, Suri L, Taneja P. Eruption disturbances of the maxillary incisors: a literature review. J Clin Pediatr Dent 2008;32:221-30.
Parner ET, Heidmann JM, Kjaer I, et al. Biological interpretation of the correlation of emergence times of permanent teeth. J Dent Res 2002;81:451-4.
Svanholt M, Kjaer I. Developmental stages of permanent canines, premolars, and 2nd molars in 244 Danish children. Acta Odontol Scand 2008;66:342-50.
Becker A. General Principles Related to the Diagnosis and Treatment of Impacted Teeth. In: Dunitz M, ed. The Orthodontic Treatment of Impacted Teeth. 3rd Edition. West-Sussex, UK: Wiley-Blackwell; 2013. p.1-9.
O’Connell AC, Torske KR. Primary failure of tooth eruption: a unique case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:714-20.
Tay F, Pang A, Yuen S. Unerupted maxillary anterior supernumerary teeth: report of 204 cases. ASDC J Dent Child 1984;51:289-94.
Katz J, Guelmann M, Barak S. Hereditary gingival fibromatosis with distinct dental, skeletal and developmental abnormalities. Pediatr Dent 2002;24:253-6.
Seibert J, Lindhe J. Textbook of Clinical Periodontology, Esthetics and periodontal therapy. 2nd ed. Copenhagen, Denmark: Munksgaard; 1989.
Ochsenbein C, Ross S. A reevaluation of osseous surgery. Dent Clin North Am 1969;13:87-102.
Olsson M, Lindhe J. Periodontal characteristics in individuals with varying form of the upper central incisors. J Clin Periodontol 1991;18(1):78-82.
Muller HP, Eger T. Gingival phenotypes in young male adults. J Clin Periodontol 1997;24:65-71.
Muller HP, Heinecke A, Schaller N, et al. Masticatory mucosa in subjects with different periodontal phenotypes. J Clin Periodontol 2000;27:621-6.
Demirjian A, Goldstein H, Tanner J. A new system of dental age assessment. Hum Biol 1973;45:211-27.
Karadayi B, Afsin H, Ozaslan A, et al. Development of dental charts according to tooth development and eruption for Turkish children and young adults. Imaging Sci Dent 2014;44:103-13.
Maber M, Liversidge HM, Hector MP. Accuracy of age estimation of radiographic methods using developing teeth. Forensic Sci Int 2006;159:68-73.
Karataş OH, Öztürk F, Dedeoğlu N, et al. Dental age assessment: The applicability of Demirjian method in southwestern of eastern Anatolia region Turkish children. Cumhuriyet Dent J 2012;15:130-37
Fu JH, Yeh CY, Chan HL, et al. Tissue biotype and its relation to the underlying bone morphology. J Periodontol 2010;81:569-74.
Iizuka T, Miller SC, Marks SC. Alveolar bone remodeling after tooth extraction in normal and osteopetrotic (ia) rats. J Oral Pathol Med 1992;21:150-5.
Tran Van PT, Vignery A, Baron R. Cellular kinetics of the bone remodeling sequence in the rat. Anat Rec 1982;202:445-51.
Korf SR. The eruption of permanent central incisors following premature loss of their antecedents. J Dent Child (Chic) 1965;32:39-44.
Manjunath RG, Rana A, Sarkar A. Gingival Biotype Assessment in a Healthy Periodontium: Transgingival Probing Method. J Clin Diagn Res 2015;9:ZC66-9.
Olsson M, Lindhe J, Marinello CP. On the relationship between crown form and clinical features of the gingiva in adolescents. J Clin Periodontol 1993;20:570-7.
Eger T, Muller HP, Heinecke A. Ultrasonic determination of gingival thickness. Subject variation and influence of tooth type and clinical features. J Clin Periodontol 1996;23:839-45.
Panchbhai AS. Dental radiographic indicators, a key to age estimation. Dentomaxillofac Radiol 2011;40:199-212.
Liversidge HM. Interpreting group differences using Demirjian’s dental maturity method. Forensic Sci Int 2010;201:95-101.
Karadayi B, Kaya A, Kolusayin MO, et al. Radiological age estimation: based on third molar mineralization and eruption in Turkish children and young adults. Int J Legal Med 2012;126:933-42.
Newman MG, Takei H, Klokkevold PR, Carranza FA. Gingival disease in childhood. 12th ed. Carranza’s Clinical Periodontology Elsevier Health Sciences; 2015.
Vandana KL, Savitha B. Thickness of gingiva in association with age, gender and dental arch location. J Clin Periodontol 2005;32:828-30.
Kolte R, Kolte A, Mahajan A. Assessment of gingival thickness with regards to age, gender and arch location. J Indian Soc Periodontol 2014;18:478-81.