Estimation of vestibular depth: An observational cross-sectional study

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Estimation of vestibular depth: An observational cross-sectional study
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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Author:

Tanya Nandkeoliar, Ashish Kumar, Sachidananda Chungkham, Sinam Subhaschandra Singh


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Estimation of vestibular depth: An observational cross-sectional study

Year: 2023 | Doi: 10.4103/jisp.jisp_293

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

The research focuses on the variability of vestibular depth (VD) in the oral cavity, which is defined as the distance between specific anatomical landmarks in the mouth, such as the gingival margin and the incisal edge. The objective of the study was to determine the average VD across different age groups, with participants divided into four groups: ages 6–14, 15–30, 31–50, and over 50 years. They were further categorized based on periodontal health, distinguishing between periodontally healthy individuals and those experiencing gingival recession (GR). The depth measurements were significant to inform dental practitioners about normal ranges of VD and their potential implications on oral health and treatment outcomes.

Impact of Gingival Recession on Vestibular Depth

One of the key findings of the study is the relationship between gingival recession and VD. The research finds that VD is generally reduced in individuals suffering from GR compared to their periodontally healthy counterparts. For instance, young adults approximately 15–30 years old generally exhibit deeper vestibular depths than younger children in the mixed dentition stage. As individuals aged, particularly those over 50, the measurements indicated a notable increase in VD. However, in cases of GR, the measurements of VD from the gingival margin were consistently lower across all age groups. The association highlights that a decrease in VD could be linked to the extent of gingival recession, suggesting that understanding these measurements can assist practitioners in recognizing and managing periodontal issues.

Conclusion

This study establishes a foundational range of vestibular depth across various demographics, enhancing the understanding of oral anatomy and its clinical significance. The data indicate that VD decreases as GR progresses, which may influence future treatment planning, particularly for interventions such as root coverage therapy and prosthetic fittings. By defining what constitutes a normal VD, practitioners can be better equipped to diagnose and address potential periodontal complications. Future research is warranted to refine definitions of a "shallow vestibule" and investigate further variables influencing VD, including systemic conditions and variations among different populations.

FAQ section (important questions/answers):

What is vestibular depth (VD) and why is it important?

Vestibular depth (VD) is the distance between the lip and the mucobuccal fold. It is crucial for aesthetics, oral hygiene compliance, and proper denture stability, influencing plaque control and the outcome of periodontal treatment.

How was the study on VD conducted and what were the groups?

The study involved a cross-sectional observational method with participants divided into four age groups. They were categorized as either periodontally healthy or with gingival recession to assess VD across different dental sites.

What were the findings regarding VD in different age groups?

The study found that VD increases with age. In younger individuals (6-14 years), VD was significantly less than in older groups, highlighting an increase in vestibular depth as growth stabilizes post adolescence.

How did gingival recession affect the vestibular depth measurements?

Gingival recession was associated with decreased vestibular depth. In individuals with recession, VD measurements were lower compared to periodontally healthy cases, indicating a relationship between gingival health and vestibular depth.

What implications do the study findings have for dental practice?

The findings provide reference ranges for VD, aiding clinicians in recognizing and addressing potential issues related to shallow vestibules, thereby improving patient outcomes and treatment planning in periodontal and prosthetic dentistry.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Estimation of vestibular depth: An observational cross-sectional study”. 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:
In scientific research, tables are used to organize and present data in a clear format. They allow for easy comparison between different categories, such as age groups or gender in studies related to vestibular depth. The inclusion of tables in reports enhances understanding by providing visual representations of complex information.

2) Measurement:
Measurement is critical in scientific studies to quantify variables accurately. In this context, measuring the vestibular depth from various anatomical landmarks helps establish baseline data that can inform diagnostic and treatment decisions in dental and periodontal health outcomes, ensuring that clinicians can tailor their approaches effectively.

3) Study (Studying):
The term 'study' refers to a systematic investigation aimed at contributing new knowledge. This specific study on vestibular depth seeks to fill gaps in existing literature, providing valuable data that may assist dental professionals in assessing oral health and determining interventions needed for patients, particularly those with gum recession.

4) Male:
Gender influences biological and physiological differences, impacting health outcomes and responses to treatment. In this study, measurements of vestibular depth were recorded for male participants, highlighting potential differences in dental anatomy and health considerations between genders, thus contributing to a comprehensive understanding of patient variability.

5) Rules:
Rules in research define the parameters and methodologies for conducting a study. They ensure standardized practices that uphold scientific rigor and reliability in findings. Adhering to rules regarding participant selection and data collection is vital for producing valid and applicable results in clinical research.

6) Reason:
Reasoning is essential for interpreting study results and understanding health phenomena. In this study, reasoning applies to identifying why vestibular depth varies among individuals and age groups. Understanding these factors can drive further research and practical applications in dental health practices, enhancing patient care.

7) Pur:
In the context of this study, 'poor' refers to suboptimal health conditions such as inadequate oral hygiene practices associated with shallow vestibule depth. Recognizing how poor vestibular depth relates to dental issues is vital for clinicians to develop targeted preventative measures, improving patient outcomes in oral health care.

8) Inflammation:
Inflammation is a key factor in periodontal disease and oral health. The study emphasizes how vestibular depth may be connected to inflammatory conditions arising from poor hygiene, underscoring the importance of measuring physiological parameters to prevent or manage inflammation in dental practices and improve overall periodontal health.

9) Bleeding:
Bleeding during periodontal evaluations can indicate underlying gum disease and health complications. This study discusses bleeding indexes while assessing vestibular depth, aiming to correlate these findings with periodontal health status to guide clinical actions and interventions necessary for patient care in relation to soft tissue health.

10) Relative:
The term 'relative' in research denotes comparisons made between different groups or conditions. This study compares vestibular depths across various age groups and health statuses (periodontally healthy versus with gingival recession). The relative analysis helps draw significant conclusions about health trends and anatomical variations among participants.

11) Disease:
Disease terms encompass a range of conditions, including gingival recession studied here. Understanding the interaction between vestibular depth and diseases facilitates better patient assessments and treatment planning. Comprehensive knowledge of periodontal diseases aids in clinical decision-making, ultimately improving patient health and preventing disease progression.

12) Hygiene (Hygienic):
Oral hygiene practices significantly impact periodontal health. The study underscores how vestibular depth affects a person's ability to maintain proper hygiene. Recognizing this relationship may help educate patients on important hygiene routines, guiding dental practitioners in delivering tailored advice and interventions aimed at improving overall oral care.

13) India:
India's diverse population presents unique challenges in oral health care. This study, conducted in India, addresses factors affecting vestibular depth among different demographics, promoting localized research that can inform public health strategies. Understanding regional variations empowers dentists to optimize care for patients' unique needs in India.

14) Sign:
Statistical significance is essential in determining whether study findings are meaningful or due to chance. In research, a 'sign' often indicates that observed effects, such as differences in vestibular depth, warrant clinical attention; hence practitioners can modify treatment strategies based on these validated findings from the study.

15) Accumulation (Accumulating, Accumulate):
In dental health, accumulation typically refers to the build-up of plaque or other irritants, which may lead to inflammation and periodontal problems. This study relates accumulation of health risks to vestibular depth, contributing insights into how physical factors influence overall dental health and disease progression.

16) Arrangement:
Arrangement in research often pertains to the organization of data or how participants are grouped for analysis. In this study, items like gender and age are crucial arrangements that provide context for the results, allowing clearer interpretations of how vestibular depth varies across different populations.

17) Calculation:
Calculation is a fundamental aspect of data analysis in research. Precise calculations of vestibular depth measurements enable clinicians to make informed decisions. This promotes effective treatment planning, as clinicians can compare patient data with established norms based on thorough statistical evaluations from the study outcomes.

18) Observation:
Observation in research refers to the careful monitoring and measuring of variables during a study. The researchers documented vestibular depths across various demographics, which not only generated data but also informed interpretations about physiological changes over time and the impact of health conditions on dental structures.

19) Discussion:
The discussion section of a study interprets findings and situates them within the wider body of knowledge. This one analyzes the implications of vestibular depth findings for clinicians, offering recommendations for future research and practical applications in oral health care, thus enhancing the study's impact.

20) Tamilnadu (Tamil-nadu):
Tamil Nadu is a state in India where this study was conducted. The local population's unique anatomical and health characteristics were crucial in examining vestibular depth. Recognizing regional health trends is important for tailoring dental treatments and public health initiatives to meet community-specific needs.

21) Attending:
Attending refers to individuals who participate in the study, often implying their engagement in the research process. In this context, patients 'attending' the dental college for evaluations contributed to the validity of findings regarding vestibular depth, thereby enhancing the quality and relevance of the study.

22) Science (Scientific):
Science underpins research methodologies and the pursuit of knowledge. This study applies scientific approaches to gauge vestibular depth, reflecting fundamental principles of observation, measurement, and analysis. Promoting rigorous scientific inquiry leads to advancements in understanding oral health and developing effective clinical applications.

23) Nature:
Nature often encompasses the inherent physical characteristics and biological differences relevant to biological diversity. In this study, the nature of human physiological structures, such as vestibular depth, plays a significant role in evaluating health outcomes, thereby enhancing our comprehension of human anatomical variability and clinical implications.

24) Tamil:
Tamil is a Dravidian language spoken predominantly in the Indian state of Tamil Nadu. Acknowledging the cultural and linguistic context enriches the understanding of the population under study. It highlights the importance of cultural competency in health assessments and communications among diverse patient demographics.

25) Nadu:
Nadu, meaning 'land' or 'region' in Tamil, refers to Tamil Nadu. This geographical context in health research highlights the specific regional practices, dental health challenges, and population-specific traits that can influence oral health outcomes, thus guiding more effective and targeted dental care strategies.

26) Ship:
SHIP refers to a health survey, the Study of Health in Pomerania, that explored various health determinants. Such studies provide comparable data for dental research, helping to frame local findings within broader public health trends, which is vital in designing effective oral health interventions.

27) Line:
The term 'line' indicates alignment or a sequence, often in data or discussion sections. In this study, lines of data regarding vestibular depth in various teeth offer clarity, connect findings, and facilitate discussions that draw interpretations, helping to create a coherent narrative about study results.

28) Hand:
Hand directs attention to tactile skills in clinical practice, highlighting the importance of dexterity in oral examinations. Accurate measurements of vestibular depth necessitate skilled hand movements and precision by clinicians, underscoring the significance of manual proficiency in achieving reliable health assessment outcomes.

29) Life:
Life encompasses the biological and physiological aspects of human existence. In dental research, understanding how lifestyle factors impact oral health is crucial. This study aims to relate vestibular depth to health behaviors and conditions, emphasizing the interplay between life habits and oral health outcomes.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Estimation of vestibular depth: An observational cross-sectional study’. Further sources in the context of Science might help you critically compare this page with similair documents:

Oral hygiene, Statistical analysis, Age-group, Pilot study, Surgical Procedure, Gingival Recession, Cross Sectional Observational Study, Shallow vestibule, Attached gingiva, Gingival Margin, Maxilla and mandible.

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