The purpose of this study was to develop a periodontal disease prediction software and a patient-based gingival recession simulator for clinical practice aiming at improving oral hygiene motivation of patients with periodontal problems.
Periodontal Disease Prediction (PDP) software has three components: a) Data Loading Window (DLW) b) Three-Dimensional Mouth Model (3DM) and c) Periodontal Attachment Loss Indicator (PLI). Demographic and clinical examinations of 1057 volunteers were recorded to DLW. An unsupervised machine learning K means clustering analysis was used to categorize the data obtained from the study population and identified the periodontal risk groups. An intraoral scanner was utilized to capture direct optical intraoral data of a patient and transferred to the 3DM. The intraoral model went under two algorithm steps for obtaining a recessed model. First, gingival curves separating gingiva and tooth were extracted using a Dijkstra's algorithm. Limit curves determining boundaries of recessed regions in the intraoral model were then obtained using gingival curves. The gingival recession was then mimicked by losing gingiva and disappearing tooth roots at proper locations in the intraoral model and Additionally, the final four different 3 dimensional recessed model (maxilla, mandibula, anterior teeth and posterior teeth) belonging to the same patient were scored based on the similarity to the real gingival recession by 25 periodontology specialist via online survey.
Study Type
OBSERVATIONAL
Enrollment
1,057
A total of 1057 individuals who applied to Bolu Abant İzzet Baysal University, Faculty of Dentistry, Department of Periodontology and agreed to participate in the study were clinically and radiologically examined. An intraoral scanner was utilized to capture direct optical intraoral data of a patient.
Bezmialem Vakif University
Istanbul, Turkey (Türkiye)
Number of sites Clinical Attachment Loss≥5 mm
Categorized as: None, \<4, 4-8, \>8
Time frame: Baseline
Presence of diabetes
Categorized as: Absence, diabetes with HbA1c\<7, diabetes with HbA1c≥7
Time frame: Baseline
Smoking status
Categorized as: None, \< 10 per day, ≥10 per day
Time frame: Baseline
Patient cooperation and awareness
Categorized as: None, some, high
Time frame: Baseline
History of dental treatment
Categorized as: None, treated in the last 1 year
Time frame: Baseline
Tooth brushing Habits
Categorized as: None/ 1 time in day/ ≥2 times in day
Time frame: Baseline
Interproximal cleaning
Categorized as: None/ 1 time in day/ ≥2 times in day
Time frame: Baseline
Alveolar bone loss/age
Categorized as: None/ \<0.25 /0.25-1/ \>1
Time frame: Baseline
Number of sites Probing Pocket Depth ≥5 mm
Categorized as: None/ \<4 / 4-8/ \>8
Time frame: Baseline
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Number of sites Bleeding on Probing (%)
Categorized as: \<10%/ 10-25%/ \>25%
Time frame: Baseline
Tooth mobility
Categorized as: None/ Miller I/ Miller II/ Miller III
Time frame: Baseline
Gingival phenotype
Categorized as: Thin/thick
Time frame: Baseline
Presence of furcation involvement
Categorized as: None/ horizontal involvement/ vertical involvement/ combined
Time frame: Baseline
Vertical alveolar bone loss
Categorized as: Presence/absence
Time frame: Baseline
Presence of endodontic tooth problem
Categorized as: Presence/absence
Time frame: Baseline
Number of tooth loss
Categorized as: None/ \<4/ 4-8/ \>8
Time frame: Baseline
Traumatic occlusion
Categorized as: Presence/absence
Time frame: Baseline
Restorations including gingival margin
Categorized as: Presence/absence
Time frame: Baseline