The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 2 ( February, 2020 ) > List of Articles

ORIGINAL RESEARCH

Pink Esthetics: A Study on Significant Gingival Parameters

Abhilasha S Patil, Venugopal Ranganath, Sujata A Yerawadekar, Chitragar Naresh Kumar

Keywords : Dental esthetics, Gingival zenith, Interdental papilla, Maxillary anterior, Surgery, Tooth anatomy

Citation Information : Patil AS, Ranganath V, Yerawadekar SA, Kumar CN. Pink Esthetics: A Study on Significant Gingival Parameters. J Contemp Dent Pract 2020; 21 (2):207-210.

DOI: 10.5005/jp-journals-10024-2739

License: CC BY-NC 4.0

Published Online: 01-04-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aim: The aim of the study was to quantify the specific spatial displacement of gingival zenith (GZ) and determine a representative value for the interdental papilla height as a percentage ratio of clinical crown length (CL), as measured from GZ in the maxillary anterior dentition. Materials and methods: A total of 100 subjects and 1,200 interdental papillae were included. Eighty percent of the population presented with the gingival margin of lateral incisor (LI) teeth positioned coronally to the GZ of the ipsilateral canine (C) and central incisor (CI). Results: No significant difference was found between mesial and distal papilla proportion (DPP) of maxillary incisor groups. In the C group, numerical values showed higher DPP. Conclusion: The data achieved provide the ideal numerical values for prosthetic, restorative, periodontal, implant, postorthodontic, and esthetic treatment outcomes. Clinical significance: The study describes the importance of quantifying the ideal numerical values for prosthetic, restorative, periodontal, implant, postorthodontic, and esthetic treatment outcomes. The readers should understand to quantify the specific spatial displacement of GZ and determine a representative value for the interdental papilla height as a percentage ratio of clinical CL, as measured from GZ in the maxillary anterior dentition.


HTML PDF Share
  1. Malkinson S, Waldrop CT, Gunsolley CJ, et al. The effect of esthetic crown lengthening on perceptions of a patient's attractiveness, friendliness, trustworthiness, intelligence, and self-confidence. J Periodontol 2013;84(8):1126–1133. DOI: 10.1902/jop.2012.120403.
  2. Naini FB, Moss JP, Gill DS. The enigma of facial beauty: esthetics, proportions, deformity, and controversy. Am J Orthod Dentofacial Orthop 2006;130(3):277–282. DOI: 10.1016/j.ajodo.2005.09.027.
  3. Ahmad I. Anterior dental esthetics: historical perspective. Br Dent J 2005;198(12):737–742. DOI: 10.1038/sj.bdj.4812411.
  4. Hochman NM, Chu JS, Tarnow PD. Maxillary anterior papilla display during smiling: a clinical study of the interdental smile line. Int J Periodontics Restorative Dent 2012;32(4):375–383.
  5. Garber DA, Salama MA. The esthetic smile: diagnosis and treatment. Periodontol 2000 1996;11:18–28. DOI: 10.1111/j.1600-0757.1996.tb00179.x.
  6. Takei H, Yamada H, Hau T. Maxillary anterior esthetics. Preservation of the interdental papilla. Dent Clin North Am 1989;33(2):263–273.
  7. Takel HH. The interdental space. Dent Clin North Am 1980;24(2): 169–176.
  8. Goodlin R. Gingival esthetics: a critical factor in smile design. Oral Health and Dental Practice Management [serial online]. April 2003. Available at: http://www.oralhealthjournal.com/issues/ISarticle.asp?id=97035&story_id=155216115410&issue=04012003&PC=. Accessed November 24, 2007.
  9. AlQahtani NA, Haralur BS, AlMaqbol M, et al. Distribution of smile line, gingival angle and tooth shape among the Saudi Arabian subpopulation and their association with gingival biotype. J Int Soc Prev Community Dent 2016;6(Suppl 1):S53–S58. DOI: 10.4103/2231-0762.181168.
  10. Barakat H, Dayoub S. Prevalence of gingival biotype in a Syrian population and its relation to tooth shapes: a cross-sectional study. J Biomed Sci Eng 2016;9(3):141–146. DOI: 10.4236/jbise.2016.93010.
  11. Lee WZ, Ong MM, Yeo AB. Gingival profiles in a select Asian cohort: a pilot study. J Investig Clin Dent 2018;9(1).
  12. Rathee M, Rao LP, Bhoria M. Prevalence of gingival biotypes among young dentate North Indian population: a biometric approach. Int J Clin Pediatr Dent 2016;9(2):104–108. DOI: 10.5005/jp-journals-10005-1343.
  13. Shah R, Sowmya NK, Thomas R, et al. Periodontal biotype: basics and clinical considerations. J Interdiscip Dent 2016;6:44–49.
  14. Chu SJ, Tarnow DP, Tan JH, et al. Papilla proportions in the maxillary anterior dentition. Int J Periodontics Restorative Dent 2009;29(4): 385–393.
  15. Crigger BJ. Declaration of Helsinki revised. IRB 2000;22(5):10–11.
  16. Mattos C, Santana R. A quantitative evaluation of the spatial displacement of the gingival zenith in the maxillary anterior dentition. J Periodontol 2008;79(10):1880–1885. DOI: 10.1902/jop.2008.080053.
  17. Chu S, Tan J, Steppart C, et al. Gingival zenith positions and levels of the maxillary anterior dentition. J Esthet Restor Dent 2009;21(2): 113–120. DOI: 10.1111/j.1708-8240.2009.00242.x.
  18. Stein RS, Kuwata M. A dentist and a dental technologist analyze current ceramo-metal procedures. Dent Clin North Am 1977;21(4):729–749.
  19. Kay HB. Esthetic considerations in the definitive periodontal prosthetic management of the maxillary anterior segment. Int J Periodontics Restorative Dent 1982;2(3):44–59.
  20. Magne P, Belser U. Bonded Porcelain Restorations in the Anterior Dentition: A Biomimetic Approach. Chicago: Quintessence Publishing; 2002. pp. 57–98.
  21. Morr T. Understanding the esthetic evaluation for success. J Calif Dent Assoc 2004;32(2):153–160.
  22. Cho HS, Jang HS, Kim DK, et al. The effects of interproximal distance between roots on the existence of interdental papillae according to the distance from the contact point to the alveolar crest. J Periodontol 2006;77(10):1651–1657. DOI: 10.1902/jop.2006.060023.
  23. Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992;63(12):995–996. DOI: 10.1902/jop.1992.63.12.995.
  24. Kois JC. Altering gingival levels: the restorative connection. Part I: biologic variables. J Esthet Dent 1994;6(1):3–7. DOI: 10.1111/j.1708-8240.1994.tb00825.x.
  25. Patil VA, Desai MH. Assessment of gingival contours for esthetic diagnosis and treatment: a clinical study. Indian J Dent Res 2013;24(3):394–395. DOI: 10.4103/0970-9290.118005.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.