A new method for volumetric analysis of soft‐tissue changes using three‐dimensional imaging in patients with periodontitis

Pupovac, Aleksandar, Kuiš, Davor, Mišković, Ivana, Špalj, Stjepan, Zhurov, Alexei ORCID: https://orcid.org/0000-0002-5594-0740 and Prpić, Jelena 2025. A new method for volumetric analysis of soft‐tissue changes using three‐dimensional imaging in patients with periodontitis. Journal of Clinical Periodontology 10.1111/jcpe.14118

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Abstract

AimsTo quantify changes in soft‐tissue volume induced by non‐surgical periodontal therapy (NSPT) in patients with periodontitis and correlate them with clinical parameters and smoking. A new digital approach is investigated because standard periodontal clinical assessment methods are unable to accurately capture volumetric changes.Materials and MethodsThirty‐nine subjects with periodontitis aged 27–70 years (median 48; 51% females; 49% smokers) were included. All subjects underwent clinical examination and intraoral scanning at baseline and 8 weeks after NSPT. Digital models were superimposed, and changes in volume were analysed and correlated with clinical parameters.ResultsNSPT reduced soft‐tissue volume in both smokers and non‐smokers (p < 0.001). Non‐smokers had a higher median change in volume than smokers (267.4 vs. 210.5 mm3), without statistically significant differences. Periodontal clinical parameters linearly correlated with soft‐tissue volume changes. In multiple linear regression, a higher initial proportion of pockets ≥ 5 mm was the only predictor of volume change when the effects of change in plaque score, smoking status, age and sex were controlled for (p = 0.015).ConclusionNSPT resulted in comparable reductions in soft‐tissue volume for both smokers and non‐smokers, which was confirmed by a new digital approach.Trial Registration: ClinicalTrials.gov: NCT05719519, 25.01.2023

Item Type:	Article
Date Type:	Published Online
Status:	In Press
Schools:	Schools > Dentistry
Additional Information:	License information from Publisher: LICENSE 1: URL: http://onlinelibrary.wiley.com/termsAndConditions#vor, Start Date: 2025-04-15
Publisher:	Wiley
ISSN:	1600-051X
Date of Acceptance:	21 December 2024
Last Modified:	06 May 2025 17:30
URI:	https://orca.cardiff.ac.uk/id/eprint/178090

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