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• W3092234854 abstract "Background: The majority of patients receiving a prosthetic restoration, especially in the upper anterior, require not only a functional but also a highly aesthetic outcome. Gingival thickness (GT) is one of the important parameters affecting the outcome of various procedures around natural teeth and dental implants; e.g., a thin compared to a thick gingiva is associated with an increased risk for an inferior aesthetic outcome after immediate implant placement. Aim/Hypothesis: To evaluate the potential of a new probe system (Colorvue biotype probe; CBP) to assess GT. Materials and Methods: Eight examiners judged gingival thickness in 3 teeth (central and lateral incisor, canine) in each of 50 patients, using standardized photographs. The diagnostic potential of visual judgement, standard periodontal probe (SPP) transparency, and CBP transparency was calculated, based on GT measurement with transgingival sounding. Results: Considering GT = 1 mm as cut-off value, NOe of the assessment methods showed high sensitivity to correctly identify all cases with GT ≤ 1 mm; in contrast, cases with a GT > 1 mm were classified correctly with high specificity. Considering GT = 1.5 mm as cut-off value, all assessment methods showed high sensitivity in correctly identifying all cases with GT ≤ 1.5 mm; in contrast, cases with GT > 1.5 mm were classified often incorrectly (low specificity). When using the CBP transparency to judge GT most of the cases were considered as “medium” (i.e., 65.3 to 96%) and only 1-10 cases per examiner were judged as either “thick” or “very thick”. The highest – still only moderate – agreement (kappa = 0.427) among all 8 examiners was achieved when using SPP, while visual judgement showed fair agreement (kappa = 0.211) and CBP showed slight agreement (kappa = 0.112). Conclusions and Clinical Implications: Assessing GT using CBP transparency appears less precise/accurate and achieves a lower inter-rater agreement compared with the use of SPP and a subclassification into thin/medium/thick/very thick cases was not reliable. Specifically, there was insufficient sensitivity and specificity to identify the thin high-risk cases, and at the same time a discrimination between “thick” and “very thick” gingiva was not possible. Keywords: Biotype, gingival thickness, periodontal probe, reproducibility, reliability" @default.
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• W3092234854 date "2020-10-01" @default.
• W3092234854 modified "2023-10-16" @default.
• W3092234854 title "Colorvue biotype probe – A new method for the assessment of the gingival thickness?" @default.
• W3092234854 doi "https://doi.org/10.1111/clr.117_13644" @default.
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