Relationship between supracrestal soft tissue dimensions and other periodontal phenotypic features: A cross-sectional study.

Couso-Queiruga, Emilio; Barboza, Eliane Porto; Avila-Ortiz, Gustavo; Gonzalez-Martin, Oscar; Chambrone, Leandro; Rodrigues, Diogo Moreira (2023). Relationship between supracrestal soft tissue dimensions and other periodontal phenotypic features: A cross-sectional study. Journal of periodontology, 94(8), pp. 944-955. American Academy of Periodontology 10.1002/JPER.22-0434

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BACKGROUND

The purpose of this study was to determine the association between periodontal supracrestal soft tissue dimensions (PSSTDs) and other phenotypic features in non-molar maxillary teeth.

MATERIALS AND METHODS

Adult subjects in need of comprehensive dental treatment were recruited. Periodontal phenotypic variables (i.e., facial and palatal gingival thickness [GT], alveolar bone thickness [BT], and PSSTDs, namely distance from the gingival margin to the bone crest defined as periodontal supracrestal tissue height [PSTH] and distance from the cementoenamel junction to the bone crest [CEJ-BC]) were recorded using cone-beam computed tomography scans. Standardized intraoral photographs were obtained to assess facial keratinized tissue width (KTW) and other anatomical parameters (i.e., tooth type, gingival architecture, and interproximal papilla height).

RESULTS

The study sample was constituted by 87 participants that contributed with a total of 522 maxillary anterior teeth. Differences in mean values of PSSTDs, KTW, GT, and BT were observed between tooth types and gender. Males exhibited a thicker GT and BT, and taller PSTH and KTW compared to females. Shorter CEJ-BC was associated with shorter PSTH, wider KTW, and thicker GT and BT. Shorter PSTH was associated with thicker facial BT. Notably, BT and GT were positively correlated at both facial and palatal sites, meaning that the thicker the gingival phenotype, the thicker the bone morphotype. Facial BT and facial GT were positively correlated with KTW. A flat gingival architecture was associated with thick periodontal phenotype. Square teeth had shorter CEJ-BC, wider KTW, and thicker GT.

CONCLUSIONS

Periodontal phenotypic features vary across and within subjects, between facial and palatal sites at different apico-coronal levels, and as a function of gender and tooth type. The shorter the PSSTDs, the wider the KTW and the thicker the GT and BT. PSSTDs, particularly PSTH, should be considered an integral component of the periodontal phenotype. This article is protected by copyright. All rights reserved.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine

UniBE Contributor:

Couso-Queiruga, Emilio

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0022-3492

Publisher:

American Academy of Periodontology

Language:

English

Submitter:

Pubmed Import

Date Deposited:

20 Feb 2023 15:19

Last Modified:

18 Aug 2023 00:12

Publisher DOI:

10.1002/JPER.22-0434

PubMed ID:

36797817

Uncontrolled Keywords:

3-D imaging cone beam computed tomography dental digital radiography gingiva phenotype

URI:

https://boris.unibe.ch/id/eprint/178930

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