TODENTJ-25-03-2019_TODENTJ-7-1 1553505436 Bentham Open doi@benthamopen.net Bentham Open The Open Dentistry Journal TODENTJ 1874-2106 1 24 2013 7 1 Madline Cuny-Houchmand Stéphane Renaudin Mustapha Leroul Lucie Planche Laurent Le Guehennec Assem Soueidan Objective: This clinical study was aimed at evaluating the accuracy of gingival visual inspection procedures during clinical examination and determining whether differences existed between the maxillary and mandibular gingival biotypes. Materials and Methods: The study included 53 patients and 124 clinicians. The clinicians were asked to assign to each subject, using photographic documents, one of three biotypes: thin-scalloped, thick-scalloped, or thick-flat gingival biotype. A total of 19716 responses were collected for statistical analysis. Results: Identification accuracy of the gingival biotype and the intra-examiner repeatability presented poor highlighting of the limited relevance of visual inspection. In addition, the percent of agreement between classifications based on the global view of both the maxilla and mandible and the classification based on the individual mandibular or maxillary anterior teeth was not statistically significant. Conclusion: Based on the above results, it can be concluded that a simple visual inspection is not effective for the identification of gingival biotype. Furthermore, evidence suggests that a difference of biotype between the maxilla and the mandible in the same patient is conceivable. Therefore, orthodontic clinical examination should incorporate a reproducible method of determining the individualized gingival biotype for each group of teeth that will be moved. 1 24 2013 1 6 TODENTJ-7-1 1 10.2174/crossmark_policy opendentistryjournal.com benthamopen.com true Peer Reviewed Single blind Checked with iThenticate 2012-9-18 2012-11-28 2012-12-4 2013-1-24 http://creativecommons.org/licenses/by-nc/3.0/ 10.2174/1874210601307010001 1553505436 https://opendentistryjournal.com/VOLUME/7/PAGE/1/ https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-1/TODENTJ-7-1.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-1/TODENTJ-7-1.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-1/TODENTJ-7-1.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-1/TODENTJ-7-1.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-1/TODENTJ-7-1.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-1/TODENTJ-7-1.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-1/TODENTJ-7-1.pdf https://opendentistryjournal.com/contents/volumes/V7/TODENTJ-7-1/TODENTJ-7-1.xml J Esthet Restor Dent Januario AL 20 366 2008 Januario AL, Barriviera M, Duarte WR. 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