Show simple item record

Diagnostic reproducibility of the 2018 Classification of Gingival Recession Defects and Gingival Phenotype: A multicenter inter- and intra-examiner agreement study

dc.contributor.authorPini Prato, Giovanpaolo
dc.contributor.authorDi Gianfilippo, Riccardo
dc.contributor.authorPannuti, Claudio M.
dc.contributor.authorAllen, Edward P.
dc.contributor.authorAroca, Sofia
dc.contributor.authorAvila-Ortiz, Gustavo
dc.contributor.authorBouchard, Philippe
dc.contributor.authorCairo, Francesco
dc.contributor.authorChackartchi, Tali
dc.contributor.authorCortellini, Pierpaolo
dc.contributor.authorFranceschi, Debora
dc.contributor.authorMahajan, Ajay
dc.contributor.authorMancini, Evelyn A.
dc.contributor.authorMcGuire, Michael K.
dc.contributor.authorNatsvlishvili, Tea
dc.contributor.authorSantamaria, Mauro P.
dc.contributor.authorScheyer, E. Todd
dc.contributor.authorWang, Hom-Lay
dc.contributor.authorKornman, Kenneth
dc.contributor.authorChambrone, Leandro
dc.date.accessioned2023-06-01T20:51:37Z
dc.date.available2024-06-01 16:51:36en
dc.date.available2023-06-01T20:51:37Z
dc.date.issued2023-05
dc.identifier.citationPini Prato, Giovanpaolo; Di Gianfilippo, Riccardo; Pannuti, Claudio M.; Allen, Edward P.; Aroca, Sofia; Avila-Ortiz, Gustavo ; Bouchard, Philippe; Cairo, Francesco; Chackartchi, Tali; Cortellini, Pierpaolo; Franceschi, Debora; Mahajan, Ajay; Mancini, Evelyn A.; McGuire, Michael K.; Natsvlishvili, Tea; Santamaria, Mauro P.; Scheyer, E. Todd; Wang, Hom-Lay ; Kornman, Kenneth; Chambrone, Leandro (2023). "Diagnostic reproducibility of the 2018 Classification of Gingival Recession Defects and Gingival Phenotype: A multicenter inter- and intra- examiner agreement study." Journal of Periodontology 94(5): 661-672.
dc.identifier.issn0022-3492
dc.identifier.issn1943-3670
dc.identifier.urihttps://hdl.handle.net/2027.42/176885
dc.description.abstractBackgroundThe aim of this study was to investigate the inter- and intra-examiner agreement among international experts on the diagnosis of gingival recession defects using the 2018 Classification of Gingival Recession Defects and Gingival Phenotype as proposed in the 2017 World Workshop.MethodsStandardized intraoral photographs from 28 gingival recession defects were evaluated twice by 16 expert periodontists. Recession type (RT), recession depth (RD), keratinized tissue width (KTW), gingival thickness (GT), detectability of the cemento-enamel junction (CEJ), and presence of root steps (RS) were recorded and used for the analysis. Intra- and inter-examiner agreements were calculated for individual variables and for the overall classification. Intraclass correlation coefficient with 95% CI was used for RD and KTW; Kappa with 95% CI was used for GT, CEJ, and RS; quadratic weighted Kappa with 95% CI was used for RT.ResultsOverall intra- and inter-examiner agreements were highest for KTW (0.95 and 0.90), lowest for GT (0.75 and 0.41), with the other variables in between (RD: 0.93 and 0.68, RS: 0.87 and 0.65, RT: 0.79 and 0.64, CEJ: 0.75 and 0.57). Overall intra- and inter-examiner agreements for the matrix were 62% and 28%, respectively. Significant effects existed between one variable’s measurement and other variables’ agreements.ConclusionsThe 2018 Classification of Gingival Recession Defects and Gingival Phenotype is clinically reproducible within the examiners, and when the variables forming the matrix are analyzed individually. The between-examiner agreement for the complete matrix showed lower reproducibility. The agreement was highest for KTW and RD, and least for GT.
dc.publisherWiley Periodicals, Inc.
dc.publisherThe Johns Hopkins University Press
dc.subject.othergingival recession
dc.subject.othergingiva
dc.subject.otherconnective tissue
dc.subject.otherclassification
dc.subject.othertooth root
dc.subject.otherphenotype
dc.subject.otherperiodontics
dc.titleDiagnostic reproducibility of the 2018 Classification of Gingival Recession Defects and Gingival Phenotype: A multicenter inter- and intra-examiner agreement study
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelDentistry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/176885/1/jper11047.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/176885/2/jper11047_am.pdf
dc.identifier.doi10.1002/JPER.22-0501
dc.identifier.sourceJournal of Periodontology
dc.identifier.citedreferenceFrost NA, Mealey BL, Jones AA, Huynh-Ba G. Periodontal biotype: gingival thickness as it relates to probe visibility and buccal plate thickness. J Periodontol 2015; 86: 1141 - 1149.
dc.identifier.citedreferenceKoo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016; 15: 155 - 163.
dc.identifier.citedreferenceChambrone L, Garcia-Valenzuela FS, Avila-Ortiz G. Errors and complications in clinical periodontal practice due to methodologic bias and bad interpretation of the evidence. Periodontol 2000. 2022;Epub ahead of print.
dc.identifier.citedreferenceDe Rouck T, Eghbali R, Collys K, De Bruyn H, Cosyn J. The gingival biotype revisited: transparency of the periodontal probe through the gingival margin as a method to discriminate thin from thick gingiva. J Clin Periodontol. 2009; 36: 428 - 433.
dc.identifier.citedreferenceHutton CG, Johnson GK, Barwacz CA, Allareddy V, Avila-Ortiz G. Comparison of two different surgical approaches to increase peri-implant mucosal thickness: a randomized controlled clinical trial. J Periodontol. 2018; 89: 807 - 814.
dc.identifier.citedreferenceBarootchi S, Tavelli L, Di Gianfilippo R, et al. Gingival phenotype modification as a result of root coverage procedure with two human dermal matrices: long-term assessment of a randomized clinical trial. Int J Periodontics Restorative Dent. 2021; 41: 719 - 726.
dc.identifier.citedreferenceBarootchi S, Tavelli L, Di Gianfilippo R, et al. Acellular dermal matrix for root coverage procedures. 9-year assessment of treated isolated gingival recessions and their adjacent untreated sites. J Periodontol. 2021; 92: 254 - 262.
dc.identifier.citedreferenceBarootchi S, Tavelli L, Di Gianfilippo R, et al. Long term assessment of root coverage stability using connective tissue graft with or without an epithelial collar for gingival recession treatment. a 12-year follow-up from a randomized clinical trial. J Clin Periodontol. 2019; 46: 1124 - 1133.
dc.identifier.citedreferenceTavelli L, Barootchi S, Di Gianfilippo R, et al. Acellular dermal matrix and coronally advanced flap or tunnel technique in the treatment of multiple adjacent gingival recessions. a 12-year follow-up from a randomized clinical trial. J Clin Periodontol. 2019; 46: 937 - 948.
dc.identifier.citedreferenceNieri M, Giuntini V, Pagliaro U, Giani M, Franchi L, Franceschi D. Efficacy of a u-shaped automatic electric toothbrush in dental plaque removal: a cross-over randomized controlled trial. Int J Environ Res Public Health. 2020; 17: 4649.
dc.identifier.citedreferenceJackson SL, Frederick PD, Pepe MS, et al. Diagnostic reproducibility: what happens when the same pathologist interprets the same breast biopsy specimen at two points in time? Ann Surg Oncol. 2017; 24: 1234 - 1241.
dc.identifier.citedreferenceElmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA. 2015; 313: 1122 - 1132.
dc.identifier.citedreferenceBrunyé TT, Mercan E, Weaver DL, Elmore JG. Accuracy is in the eyes of the pathologist: the visual interpretive process and diagnostic accuracy with digital whole slide images. J Biomed Inform. 2017; 66: 171 - 179.
dc.identifier.citedreferenceDi Gianfilippo R, Wang IC, Steigmann L, Velasquez D, Wang HL, Chan HL. Efficacy of microsurgery and comparison to macrosurgery for gingival recession treatment: A systematic review with meta-analysis. Clin Oral Investig. 2021; 25: 4269 - 4280. Epub 2021 Apr 29.
dc.identifier.citedreferenceFranceschi D, Pini Prato GP, Di Gianfilippo R Double connective tissue graft to treat deep coronal-radicular abrasion: a 19-year follow-up case report. Clin Adv Periodontics. 2021; 11: 171 - 175. https://doi.org/10.1002/cap.10176. Epub 2021 Jul 20.
dc.identifier.citedreferenceBarootchi S, Tavelli L, Di Gianfilippo R, et al. Soft tissue phenotype modification predicts gingival margin long-term (10-year) stability: longitudinal analysis of six randomized clinical trials. J Clin Periodontol. 2022; 49: 672 - 683. https://doi.org/10.1111/jcpe.13641. Epub 2022 May 13.
dc.identifier.citedreferenceAgudio G, Chambrone L, Selvaggi F, Pini-Prato GP. Effect of gingival augmentation procedure (free gingival graft) on reducing the risk of non-carious cervical lesions: a 25- to 30-year follow-up study. J Periodontol. 2019; 90: 1235 - 1243.
dc.identifier.citedreferencePini Prato GP, Franceschi D, Cortellini P, Chambrone L. Long-term evaluation (20 years) of the outcomes of subepithelial connective tissue graft plus coronally advanced flap in the treatment of maxillary single recession-type defects. J Periodontol. 2018; 89: 1290 - 1299.
dc.identifier.citedreferencePini Prato GP, Magnani C, Chambrone L. Long-term evaluation (20 years) of the outcomes of coronally advanced flap in the treatment of single recession-type defects. J Periodontol. 2018; 89: 265 - 274.
dc.identifier.citedreferenceChambrone L, Tatakis DN. Long-term outcomes of untreated buccal gingival recessions: a systematic review and meta-analysis. J Periodontol. 2016; 87: 796 - 808.
dc.identifier.citedreferenceCairo F, Cortellini P, Pilloni A, et al. Clinical efficacy of coronally advanced flap with or without connective tissue graft for the treatment of multiple adjacent gingival recessions in the aesthetic area: a randomized controlled clinical trial. J Clin Periodontol. 2016; 43: 849 - 856.
dc.identifier.citedreferenceTavelli L, Barootchi S, Di Gianfilippo R, et al. Patient experience of autogenous soft tissue grafting has an implication for future treatment: a 10-15-year cross-sectional study. J Periodontol. 2021; 92: 637 - 647.
dc.identifier.citedreferencePini Prato GP, Mancini EA, Di Gianfilippo R, Franceschi D. Periodontal plastic approaches for reshaping the mucogingival junction following grafting procedures in patients requesting esthetic improvement. Int J Periodontics Restorative Dent. 2021; 41: 207 - 214.
dc.identifier.citedreferenceBaldi C, Pini-Prato G, Pagliaro U, et al. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. J Periodontol. 1999; 70: 1077 - 1084.
dc.identifier.citedreferenceChambrone L, Barootchi S, Avila-Ortiz G. Efficacy of biologics in periodontal plastic surgery: an American academy of periodontology best evidence systematic review and network meta-analysis. J Periodontol. 2022; 93: 1771 - 1802.
dc.identifier.citedreferenceChambrone L, Boltelho J, Machado V, Mascarenhas P, Mendes JJ, Avila-Ortiz G. Does the subepithelial connective tissue graft in conjunction with a coronally advanced flap remain as the gold standard therapy for the treatment of single gingival recession defects? A systematic review and network meta-analysis. J Periodontol. 2022; 93: 1336 - 1352.
dc.identifier.citedreferenceChambrone L, Ortega MAS, Sukekava F, et al. Root coverage procedures for treating single and multiple recession-type defects: An updated Cochrane systematic review. J Periodontol 2019; 90: 1399 - 1422.
dc.identifier.citedreferenceChambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015; 86 ( 2 Suppl): S8 - S51.
dc.identifier.citedreferenceChambrone L, Avila-Ortiz G. The tissues. In: Chambrone L, Avila-Ortiz G, eds. Tissues: Critical Issues in Periodontal and Implant-Related Plastic and Reconstructive Surgery. Quintessence Publishing; 2022: 54 - 55.
dc.identifier.citedreferenceSala L, Alonso-Perez R, Agustin-Panadero R, Ferreiroa A, Carrillo-de-Albornoz A. Comparative in vitro study of two methods for gingival biotype assessment. J Clin Exp Dent. 2018; 10: e858 - e863.
dc.identifier.citedreferencePini Prato G. The Miller classification of gingival recession: limits and drawbacks. J Clin Periodontol. 2011; 38: 243 - 245.
dc.identifier.citedreferenceSullivan HC, Atkins JH. Free autogenous gingival grafts. 3. Utilization of grafts in the treatment of gingival recession. Periodontics. 1968; 6: 152 - 160.
dc.identifier.citedreferenceSullivan HC, Atkins JH. Free autogenous gingival grafts. I. Principles of successful grafting. Periodontics. 1968; 6: 121 - 129.
dc.identifier.citedreferenceMiller PD, Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985; 5 ( 2 ): 8 - 13.
dc.identifier.citedreferencePini Prato G, Franceschi D, Cairo F, Nieri M, Rotundo R. Classification of dental surface defects in areas of gingival recession. J Periodontol. 2010; 81: 885 - 890.
dc.identifier.citedreferenceCairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol. 2011; 38: 661 - 666.
dc.identifier.citedreferenceCortellini P, Bissada NF. Mucogingival conditions in the natural dentition: narrative review, case definitions, and diagnostic considerations. J Periodontol. 2018; 89 Suppl 1: S204 - S213.
dc.identifier.citedreferenceChambrone L, Avila-Ortiz G. An evidence-based system for the classification and clinical management of non-proximal gingival recession defects. J Periodontol. 2021; 92: 327 - 335.
dc.identifier.citedreferenceMurphy EA. The Logic of Medicine. 2nd ed. The Johns Hopkins University Press; 1997: 119 - 136.
dc.identifier.citedreferencePini Prato G, Di Gianfilippo R. On the value of the 2017 classification of phenotype and gingival recessions. J Periodontol. 2021; 92: 613 - 618.
dc.identifier.citedreferenceRomandini M, Soldini MC, Montero E, Sanz M. Epidemiology of mid-buccal gingival recessions in nhanes according to the 2018 world workshop classification system. J Clin Periodontol. 2020; 47: 1180 - 1190.
dc.identifier.citedreferenceRotundo R, Nieri M, Mori M, Clauser C, Pini Prato G. Aesthetic perception after root coverage procedure. J Clin Periodontol. 2008; 35: 705 - 712.
dc.identifier.citedreferenceRotundo R, Nieri M, Bonaccini D, et al. The smile esthetic index (SEI): a method to measure the esthetics of the smile. An intra-rater and inter-rater agreement study. Eur J Oral Implantol. 2015; 8: 397 - 403.
dc.identifier.citedreferenceWalter SD, Eliasziw M, Donner A. Sample size and optimal designs for reliability studies. Stat Med. 1998; 17: 101 - 110.
dc.identifier.citedreferenceLandis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977; 33: 159 - 174
dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.