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Photographic scoring of gingival overgrowth

Lookup NU author(s): Professor Janice EllisORCiD, Emeritus Professor Robin Seymour, Pauline Robertson, Dr Tim Butler, Professor Mark Thomason


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Background: A wide range of methods have been employed to determine the severity of gingival overgrowth resulting in uncertainty regarding the prevalence of the side-effect. There is no simple, non-invasive, objective, blind method for assessing gingival overgrowth. Aim: This article aims to describe a method which is suitable for use in large-scale population studies. Materials and Methods: Photographs were taken of the anterior, buccal gingivae and teeth of 925 patients medicated with calcium channel blockers. In addition, each patient was ascribed a clinical gingival overgrowth score. 100 patients had repeat photographs, and a further 10 patients had alginate impressions taken. The models were scored for severity of gingival overgrowth using a described technique. The slides were scored using a modification of this technique. Results: When photographic and study model scores were compared, photographic scores were consistently higher, and as a result, a photographic score of 38.6% was considered to represent a significant overgrowth. There was good agreement between clinically determined scores and photographic scores (kappa =0.71). Conclusions: The results indicate that this method is suitable for large-scale population studies where it also has the advantage of providing a continuous scale of gingival changes for subsequent statistical analysis.

Publication metadata

Author(s): Butler TJ; Seymour RA; Thomason JM; Ellis JS; Robertson P

Publication type: Article

Publication status: Published

Journal: Journal of Clinical Periodontology

Year: 2001

Volume: 28

Issue: 1

Pages: 81-85

ISSN (print): 0303-6979

ISSN (electronic): 1600-051X

Publisher: Wiley-Blackwell Publishing, Inc.


DOI: 10.1034/j.1600-051x.2001.280112.x


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