RESEARCH TO DETERMINE THE THICKNESS OF PALATAL MASTICATORY MUCOSA AND SOME RELATED FACTORS IN THE VIETNAMESE ADULTS AT JW HOSPITAL KOREA IN 2021-2022

Thanh Ninh To1,, Nguyen Lam Le1, Phan Tu Dung Nguyen2
1 Can Tho University of Medicine and Pharmacy
2 JW Korean plastic Hospital

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Abstract

Background: Connective tissue graft in combination with a coronally advanced flap is considered the gold standard for treatment of gingival recession and soft tissue augmentation around tooth and implant. Palatal masticatory mucosa is the main donor area of connective tissue graft. Objectives: The aim of this study was to measure the thickness of the palatal masticatory mucosa of Vietnamese adults on Cone Beam Computerized tomography (CBCT) image and influencing factors. Materials and methods: 48 periodontally, healthy dentate Vietnamese adults are CBCT taken with an acrylic X-ray guide stent. Thicknesses of palatal masticatory mucosa of the canine, first and second premolar, first and second molar are measured on CBCT image at various points distanced from gingival contour 2mm, 5mm, 8mm. Some parameters such as age, gender, BMI index, gingival genotype are also obtained. Results: The mean thickness of palatal masticatory mucosa in Vietnamese adults is 2.99±0.84mm. No significant difference was found between age group, gender, group below and abow average BMI, gingival genotype. The mean thickness of palatal masticatory mucosa of canines (3.23±0.74), first premolars (3.07±0.75), second premolars (3.18±0.87) are significantly higher than those of first molars (2.75±0.76) and second molars (2.72±0.91) (p=0,00). Conclusion: CBCT can be considered a non-invasive method for accurate and consistent measurement of the palatal masticatory thicknes with the assistance of X-ray guide stent. The most suitable region for harvesting connective tissue graft is canines, first premolars, second premolars region.

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References

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