The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 22 , ISSUE 1 ( January, 2021 ) > List of Articles

ORIGINAL RESEARCH

Correlations between Width of Keratinized Gingiva and Supracrestal Gingival Tissues Dimensions: A Retrospective Clinical Study

Fatme Mouchref Hamasni, Fady El Hajj

Keywords : Correlation, keratinized gingiva, supracrestal gingival tissue

Citation Information : Hamasni FM, El Hajj F. Correlations between Width of Keratinized Gingiva and Supracrestal Gingival Tissues Dimensions: A Retrospective Clinical Study. J Contemp Dent Pract 2021; 22 (1):18-22.

DOI: 10.5005/jp-journals-10024-3022

License: CC BY-NC 4.0

Published Online: 19-04-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The aim of this retrospective study is to assess potential correlation between the width of the keratinized gingiva (KG), and the dimensions of the supracrestal gingival tissue (SGT) components. Materials and methods: On the sample of 259 teeth of 79 patients, the following measurements were collected: width of KG, sulcus depth (SD), SGT, and biological width (BW) dimensions; separate correlations between measured elements were computed for males and females, for anterior and posterior, and for maxillary and mandibular teeth separately. Results: Correlations between buccal KG and BW were present only for the upper anterior teeth and were nonsignificant in the female subsample, whereas the correlation between lingual KG and SGT were present only in females. Additionally, correlations between buccal KG and SD were present in upper anterior teeth only and were absent in the male subgroup. Conclusion: The width of the KG cannot routinely be used as an indicator for the dimensions of the SGT components. Clinical significance: While the width of the KG can hardly be a useful indicator in upper anterior teeth, probing depth and bone sounding prior to prosthetic rehabilitation remains an essential tool to ensure tissue preservation.


PDF Share
  1. Gargiulo A, Wentz F, Orban B. Dimensions and relations of the dentogingival junction in humans. J Periodontol 1961;32(3):261–267. DOI: 10.1902/jop.1961.32.3.261.
  2. Vacek JS, Gher ME, Assad DA, et al. The dimensions of the human dentogingival junction. Int J Periodontics Restorative Dent 1994;14(2):154–165. DOI: 10.11607/prd.
  3. Tristão G, Barboza CA, Rodrigues DM, et al. Supracrestal gingival tissue measurement in normal periodontium: a human histometric study. Int J Periodontics Restorative Dent 2014;34(1):97–102. DOI: 10.11607/prd.1353.
  4. Smukler H, Chaibi M. Periodontal and dental considerations in clinical crown extension: a rational basis for treatment. Int J Periodontics Restorative Dent 1997;17:464–477. PMID: 9497735.
  5. Lanning SK, Waldrop TC, Gunsolley JC, et al. Surgical crown lengthening: evaluation of the biologic width. J Periodontol 2003;74(4):468–474. DOI: 10.1902/jop.2003.74.4.468.
  6. Perez JR, Smukler H, Nunn ME. Clinical evaluation of the supraosseous gingivae before and after crown lengthening. J Periodontol 2007;78(6):1023–1030. DOI: 10.1902/jop.2007.060485.
  7. Barboza EP, MonteAlto RF, Ferreira VF, et al. Supracrestal gingival tissue measurements in healthy human periodontium. Int J Periodontics Restorative Dent 2008;28(1):55–61. PMID: 18351203.
  8. Arora R, Narula SC, Sharma RK, et al. Supracrestal gingival tissue: assessing relation with periodontal biotypes in a healthy periodontium. Int J Periodontics Restorative Dent 2013;33(6):763–771. DOI: 10.11607/prd.1501.
  9. Zweers J, Thomas RZ, Slot DE, et al. Characteristics of periodontal biotype, its dimensions, associations and prevalence—a systematic review. J Clin Periodontol 2014;41(10):958–971. DOI: 10.1111/jcpe.12275.
  10. Lang NP, Löe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972;43(10):623–627. DOI: 10.1902/jop.1972.43.10.623.
  11. Stetler K, Bissada N. Significance of the width of keratinized gingiva on the periodontal status of teeth with submarginal restorations. J Periodontol 1987;58(10):696–700. DOI: 10.1902/jop.1987.58. 10.696.
  12. Bouri A, Bissada N, Al-Zahrani MS, et al. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants 2008;23(2):323–326. PMID:18548930.
  13. Famili P, Desai A. The importance of keratinized gingiva surrounding dental implants. J Dent Health Oral Disord Ther 2015;2(5):153–155. DOI: 10.15406/jdhodt.2015.02.00061.
  14. Dhir S. The peri-implant esthetics: an unforgettable entity. J Indian Soc Periodontol 2011;15(2):98–102. DOI: 10.4103/0972-124x.84375.
  15. Carvalho B, Duarte C, Silva JF, et al. Clinical and radiographic evaluation of the Periodontium with biologic width invasion. BMC Oral Health 2020;20(1):116. DOI: 10.1186/s12903-020-01101-x.
  16. Singh J, Rathod VJ, Rao PR, et al. Correlation of gingival thickness with gingival width, probing depth, and papillary fill in maxillary anterior teeth in students of a dental college in Navi Mumbai. Contemp Clin Dent 2016;7(4):535–538. DOI: 10.4103/0976-237X.194117.
  17. O'Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol 1972;43(1):38. DOI: 10.1902/jop.1972.43.1.38.
  18. Hsu YT, Huang NC, Wang HL. Relationship between periodontics and prosthodontics: the two-way street. J Prosthodont Implantol 2015;4(1):4–11. DOI: 10.6926/JPI.201505_4(1).0001.
  19. Pulcini MG, Vitelli C, Dian A, et al. Single tooth prosthetic restoration through surgical crown lengthening, conservative therapies and CAD-CAM milled restoration in lithium-disilicate: a case report. Acta Stomatol Croat 2019;53(3):371–378. DOI: 10.15644/asc53/4/8.
  20. Del Amo FSL, Yu S, Sammartino G, et al. Peri-implant soft tissue management: cairo opinion. consensus conference. Int J Environ Res Public Health 2020;17(7):2281. DOI: 10.3390/ijerph17072281.
  21. Marzadori M, Stefanini M, Sangiorgi M, et al. Crown lengthening and restorative procedures in the esthetic zone. Periodontol 2000 2018;77(1):84–92. DOI: 10.1111/prd.12208.
  22. Hamasni FM, El Hajj F. Comparison of the clinical biological width with the published standard histologic mean values. J Int Soc Prev Community Dent 2017;7(5):264–271. DOI: 10.4103/jispcd.JISPCD_261_17.
  23. Kosyfaki P, Martín MP, Strub JR. Relationship between crowns and the periodontium: a literature update. Quintessence Int 2010;41(2):109–122. PMID: 20165743.
  24. Schmidt JC, Sahrmann P, Weiger R, et al. Biologic width dimensions—a systematic review. J Clin Periodontol 2013;40(5):493–504. DOI: 10.1111/jcpe.12078.
  25. Al-Rasheed A, Ghabban W, Zakour A. Clinical biological width dimension around dentition of a selected Saudi population. Pak Oral Dent J 2005;25(1):81–86. P-ISSN: 1012-8700, E-ISSN: 1996-4439.
  26. Goaslind GD, Robertson PB, Mahan CJ, et al. Thickness of facial gingiva. J Periodontol 1977;48(12):768–771. DOI: 10.1902/jop.1977.48.12.768.
  27. Olsson M, Lindhe J, Marinello CP. On the relationship between crown form and clinical features of the gingiva in adolescents. J Clin Periodontol 1993;20(8):570–577. DOI: 10.1111/j.1600-051x.1993.tb00773.x.
  28. Müller HP, Schaller N, Eger T, et al. Thickness of masticatory mucosa. J Clin Periodontol 2001;27(6):431–436. DOI: 10.1034/j.1600-051x.2000.027006431.x.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.