Analysis of esthetic scores in gingival recession root coverage.
Journal name: Journal of Indian Society of Periodontology
Original article title: Analysis of root coverage esthetic score in patients treated for gingival recession: An interexaminer reliability
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Inti Srividya, Gautami Subhadra Penmetsa, Bukkapatam Venkata Subbareddy, Karuturi Lahari
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Analysis of root coverage esthetic score in patients treated for gingival recession: An interexaminer reliability
Year: 2021 | Doi: 10.4103/jisp.jisp_626
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
The increasing awareness of esthetics among dental patients has prompted a necessary evaluation of how well dentists, particularly periodontists and nonperiodontists, can assess the esthetic outcomes of root coverage procedures for gingival recession. The study's objective was to investigate the inter- and intra-examiner reliability of Root Coverage Esthetic Scores (RES) used by both specialists and general dentists. The focus on pink esthetics—referring to the aesthetic quality of the gums and surrounding tissues—demonstrates the critical role of periodontal training in achieving satisfactory patient outcomes.
Variability in Esthetic Assessments
The results highlighted a significant disparity in the reliability of aesthetic score assessments between periodontists and nonperiodontists. Periodontists exhibited perfect intraexaminer reliability when evaluating parameters such as marginal tissue contour and gingival margin, while nonperiodontists showed only fair reliability in their evaluations. This discrepancy is likely due to the periodontists’ specialized training, which enhances their understanding of soft-tissue aesthetics compared to general dentists. The findings suggest that nonperiodontists struggle to consistently evaluate the esthetic outcomes of root coverage procedures, raising questions about the reliability of their assessments and the need for improved training in pink esthetics.
Conclusion
This study underscores the importance of specialized training in periodontal aesthetics, as periodontists demonstrated a markedly higher consistency in evaluating esthetic outcomes than their nonperiodontist counterparts. With significant variability observed in the scores between the two groups, there is an imperative for dental professionals to enhance their knowledge of pink esthetics to meet patient expectations more effectively. The call to action emphasizes the necessity for continuous education and training to elevate the standards of care provided, ensuring that all dental practitioners are equipped to achieve optimal esthetic results for their patients.
FAQ section (important questions/answers):
What was the aim of the study on root coverage esthetic scores?
The study aimed to evaluate the inter- and intra-examiner reliability of root coverage esthetic scores (RES) between periodontists and nonperiodontists, focusing on their ability to assess esthetic outcomes after root coverage procedures.
What was the sample size and study design used?
The study included twenty photographs of Miller's Class I and Class II gingival recessions. Ten periodontists and ten nonperiodontists participated, receiving training on the RES system before evaluating the surgical outcomes based on the photographs.
How did periodontists' reliability compare to nonperiodontists?
Periodontists demonstrated perfect intraexaminer reliability in scoring, while nonperiodontists showed only fair reliability. This variability indicates differences in knowledge and experience regarding pink esthetics in periodontal treatment.
What were the main findings regarding interexaminer reliability?
Interexaminer reliability between periodontists and nonperiodontists showed slight reliability for gingival margin scores and fair reliability for marginal tissue contour and soft-tissue parameters, highlighting the inconsistency in evaluations by nonperiodontists.
What conclusions can be drawn from the study results?
The study concluded that significant variability exists between periodontists and nonperiodontists in esthetic scoring, emphasizing the need for improved knowledge and training in pink esthetics among general dentists to meet patient expectations.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Analysis of esthetic scores in gingival recession root coverage.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
A 'Table' in the context of this study serves as a structured way to present data and results. It enables readers to easily compare parameters related to root coverage esthetic scores, such as reliability among different groups of dentists. Tables summarize findings effectively, making complex data more digestible for analysis and interpretation.
2) Reliability:
Reliability refers to the consistency of measurements or ratings in the study. It assesses how similarly different evaluators score esthetic outcomes of periodontal procedures. High reliability indicates that the scores provided by periodontists and nonperiodontists are consistent, reinforcing the trustworthiness of their evaluations in clinical practice and research.
3) Study (Studying):
The 'Study' denotes a systematic investigation focused on assessing differences in esthetic scores between periodontists and nonperiodontists. It aims to evaluate intra- and inter-examiner reliability using photographic assessments of gingival recession. The study's findings contribute to understanding the educational gaps in periodontal esthetic assessments among dental professionals.
4) Knowledge:
Knowledge pertains to the understanding of pink esthetics and periodontal procedures held by dentists. The study highlights that periodontists possess more extensive knowledge compared to nonperiodontists, influencing their ability to evaluate esthetic outcomes accurately. This gap underscores the need for improved education and training regarding esthetic considerations in dental treatments.
5) Pur:
The term 'Poor' describes the inadequate reliability observed among nonperiodontists when scoring certain parameters, such as marginal tissue contour and soft-tissue texture. This indicates a significant variability and inconsistency in their assessments. The poor reliability raises concerns about the trustworthiness of nonperiodontists' esthetic evaluations in clinical settings.
6) Perception:
'Perception' in this context refers to how different evaluators view and interpret esthetic outcomes of periodontal procedures. The study explores variations in perception between trained periodontists and general dentists, emphasizing the subjectivity in evaluating esthetics, which can result from experience and knowledge about pink esthetics.
7) Rules:
'Rules' could refer to the criteria established for evaluating esthetic outcomes in root coverage procedures. These rules, including scoring parameters from the Root Coverage Esthetic Score system, guide evaluators in providing standard assessments. Adhering to rules enhances objectivity and consistency in evaluations across different practitioners.
8) Calculation:
Calculation involves using statistical methods to determine the interclass correlation coefficient (ICC) and other metrics that assess reliability in the study. By calculating these values, researchers gain insights into the consistency of different evaluators' scores, providing quantitative support for their analyses and conclusions about esthetic assessments.
9) Training:
Training is a critical component of the study, as it signals the preparation provided to participants before scoring esthetic outcomes. The effectiveness of training can significantly impact the reliability of evaluations. Continuous training in pink esthetics for nonperiodontists is recommended to enhance their assessment skills in clinical practice.
10) Relative:
'Relative' refers to the comparisons made between periodontists and nonperiodontists in this study. The relative differences highlight the variations in scoring reliability and knowledge about esthetic procedures. Understanding these relative merits informs educational strategies and efforts to elevate esthetic evaluation skills among general dentists.
11) Post:
'Post' typically concerns the evaluations conducted after a dental procedure, specifically regarding the six-month follow-up photography in this study. The post-treatment assessments are crucial for determining the effectiveness of root coverage procedures, and they help quantify improvements in gingival esthetics that patients experienced following treatment.
12) Measurement:
Measurement in this research pertains to the assessment of parameters such as gingival margin, soft-tissue texture, and mucogingival junction. Accurate measurements are vital for determining esthetic outcomes and evaluating the success of root coverage procedures. The methods of measurement used significantly influence the conclusions drawn from the study.
13) Observation:
Observation refers to the act of closely examining photographs to assess the esthetic outcomes of dental procedures. It is a key process in evaluating the effectiveness of root coverage through the perspectives of different evaluators. The study underscores how observation skills differ between specialists and general practitioners.
14) Discussion:
The 'Discussion' section of the study evaluates and interprets the findings, placing them in the broader context of periodontal esthetics. This segment reflects on implications for practice, knowledge gaps among dental professionals, and the importance of improving esthetic evaluations across different levels of experience and training.
15) Observing:
'Observing' emphasizes the evaluative aspect of the study where participants analyze photographic outcomes to judge improvements in esthetics post-treatment. Effective observing hinges on the evaluator's expertise and understanding of periodontal esthetics, impacting the quality and reliability of their assessments in clinical scenarios.
16) Medicine:
'Medicine' in this context relates to the field of healthcare that encompasses various treatments, including periodontal procedures. Understanding the intersection of dental health and esthetics highlights the importance of integrating routine care with aesthetic considerations, ensuring patients receive both functional and visually appealing results from dental interventions.
17) Disease:
'Disease' refers to conditions like periodontal disease that can lead to gingival recession. Comprehensive knowledge about the impact of such diseases on oral esthetics is essential for dental practitioners to make informed decisions about treatment plans and to effectively communicate the esthetic implications to patients.
18) Surface:
'Surface' pertains to the visible aspects of the gingiva and teeth that are evaluated for esthetic outcomes. The perception of surface characteristics, such as color and texture, plays a crucial role in the assessments conducted by dentists. Understanding surface qualities helps in achieving a harmonious smile.
19) Landi (Lamdi):
'Landi' may represent a reference to a key author or researcher relevant to the study. Their work or methodology may play a significant role in the analysis of esthetic assessments or provide a framework that aids in understanding the reliability and outcomes of the research conducted.
20) Field:
'Field' refers to the domain of dentistry, particularly the subfield of periodontics that focuses on soft tissue health and esthetics. The study elucidates the need for specialized understanding within this field to address patient demands for esthetic outcomes effectively and to enhance knowledge among general dentists.