Examining The Relationship Between Gingival Thickness and Tooth and Gingival Parameters
The Interaction of The Gingival And Tooth Morphometric Parameters On The Gingival Phenotype
1 other identifier
observational
50
1 country
1
Brief Summary
This study aims to assess whether there is a valid correlation between the identified multiple clinical and morphometric parameters and the gingival thickness.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Sep 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 18, 2023
CompletedFirst Submitted
Initial submission to the registry
April 1, 2024
CompletedFirst Posted
Study publicly available on registry
April 17, 2024
CompletedApril 17, 2024
April 1, 2024
1.2 years
April 1, 2024
April 12, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Evaluation of the correlation between KGW, CW, CL PH parameters of GT measured in "mm" with a digital caliper with 0.001 mm precision in 1200 teeth in 50 participants using Spearman correlation analysis.
Spearman Correlation Analysis is a statistical technique in evaluating the correlation between clinical and morphometric parameters and is used to evaluate the relationship between variables. Variables GT, KGW, PH, CW, CL in 1200 teeth of 50 participants were measured in "mm" with a digital caliper with a precision of 0.001 mm. Spearman correlation coefficient takes a value between -1 and +1. +1 indicates a perfect positive monotonic relationship, -1 indicates a perfect negative monotonic relationship, and 0 indicates no relationship.
1 month
Evaluation of the effect of GT on keratinized gingival width, measured in "mm" by digital caliper with a precision of 0.001 mm, both by binary logistic regression analysis of 50 participants.
In this study, GT, KGW are parametric variables and were measured in mm with a digital caliper with a precision of 0.001 mm. Binary logistic regression analysis is a statistical technique used to model the relationship of a dependent variable between two categorical classes. A significant p-value (\<0.05) indicates that the independent variable (GT for this study) has a significant effect in the model. Binary logistic regression analysis expresses the effect of independent variables on the dependent variable in terms of log-odds. The coefficients of the model determine the magnitude and direction of the effect of the independent variables.
From September 2022 to May 2023
Examining the effect of age and gender of 50 participants on the gingival thickness measured in mm using binary logistic regression analysis.
In this study, GT is a parametric variable and is measured in mm. The effect of age and gender on GT of 50 participants over the age of 18 was examined with binary logistic regression analysis. Binary logistic regression analysis is a statistical technique used to model the relationship of a dependent variable between two categorical classes. A significant p value (\<0.05) indicates that the independent variable (GT for this study) has a significant effect in the model. Binary logistic regression analysis expresses the effect of independent variables on the dependent variable in log-odds terms. The coefficients of the model determine the magnitude and direction of the effect of the independent variables.
1 month
Other Outcomes (1)
Evaluation of researcher reliability by ICC (Intra-Class Correlation Coefficient) in 10 participants in 2 weeks
Baseline to 2 weeks
Study Arms (2)
Thin Gingival Phenotype
Thin phenotype group: Gingival thickness ≤1 mm
Thick Phenotype
Thick phenotype group: Gingival thickness \> 1 mm
Eligibility Criteria
Participants applying to Ondokuz Mayis University Department of Periodontology
You may qualify if:
- Non-smokers ≥18 years old
- Periodontal health with ≤10% bleeding on full mouth probing.
- Participants with no history of systemic diseases or consistent medication use.
- Participants with teeth present in the maxillary and mandibular anterior and posterior regions, with a measured clinical attachment level (CAL) ≤ 3 mm; without buccal attachment loss or gingival inflammation
- Participants with no evidence of dental caries, crown shape alterations, or restorations affecting the occlusal edge in the maxillary and mandibular teeth, and no radiographic evidence of bone loss
- At least one tooth in maxillary and mandibular segments, representing molar and premolar regions
- No tooth loss due to periodontal reasons
You may not qualify if:
- Pregnant or lactating women
- Participants who have received or are receiving orthodontic treatment and using removable dentures or orthodontic devices
- Participants with a history of periodontitis or periodontal surgery involving teeth
- Presence of abrasion or erosion in teeth
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ondokuz Mayis University Faculty of Dentistry Department of Periodonthology
Samsun, 55200, Turkey (Türkiye)
Related Publications (26)
Kolte R, Kolte A, Mahajan A. Assessment of gingival thickness with regards to age, gender and arch location. J Indian Soc Periodontol. 2014 Jul;18(4):478-81. doi: 10.4103/0972-124X.138699.
PMID: 25210263BACKGROUNDYin XJ, Wei BY, Ke XP, Zhang T, Jiang MY, Luo XY, Sun HQ. Correlation between clinical parameters of crown and gingival morphology of anterior teeth and periodontal biotypes. BMC Oral Health. 2020 Feb 19;20(1):59. doi: 10.1186/s12903-020-1040-x.
PMID: 32075626BACKGROUNDChou YH, Tsai CC, Wang JC, Ho YP, Ho KY, Tseng CC. New classification of crown forms and gingival characteristics in taiwanese. Open Dent J. 2008 Nov 28;2:114-9. doi: 10.2174/1874210600802010114.
PMID: 19444325BACKGROUNDVlachodimou E, Fragkioudakis I, Vouros I. Is There an Association between the Gingival Phenotype and the Width of Keratinized Gingiva? A Systematic Review. Dent J (Basel). 2021 Mar 23;9(3):34. doi: 10.3390/dj9030034.
PMID: 33806934BACKGROUNDChow YC, Eber RM, Tsao YP, Shotwell JL, Wang HL. Factors associated with the appearance of gingival papillae. J Clin Periodontol. 2010 Aug 1;37(8):719-27. doi: 10.1111/j.1600-051X.2010.01594.x. Epub 2010 Jul 1.
PMID: 20618545BACKGROUNDAlQahtani NA, Haralur SB, AlMaqbol M, AlMufarrij AJ, Al Dera AA, Al-Qarni M. 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 Apr;6(Suppl 1):S53-8. doi: 10.4103/2231-0762.181168.
PMID: 27195228BACKGROUNDFischer KR, Richter T, Kebschull M, Petersen N, Fickl S. On the relationship between gingival biotypes and gingival thickness in young Caucasians. Clin Oral Implants Res. 2015 Aug;26(8):865-869. doi: 10.1111/clr.12356. Epub 2014 Mar 1.
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PMID: 33515119BACKGROUNDOlsson M, Lindhe J, Marinello CP. On the relationship between crown form and clinical features of the gingiva in adolescents. J Clin Periodontol. 1993 Sep;20(8):570-7. doi: 10.1111/j.1600-051x.1993.tb00773.x.
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PMID: 15966893BACKGROUNDFischer KR, Buchel J, Kauffmann F, Heumann C, Friedmann A, Schmidlin PR. Gingival phenotype distribution in young Caucasian women and men - An investigative study. Clin Exp Dent Res. 2022 Feb;8(1):374-379. doi: 10.1002/cre2.482. Epub 2021 Nov 11.
PMID: 34766469BACKGROUNDKim DM, Bassir SH, Nguyen TT. Effect of gingival phenotype on the maintenance of periodontal health: An American Academy of Periodontology best evidence review. J Periodontol. 2020 Mar;91(3):311-338. doi: 10.1002/JPER.19-0337. Epub 2020 Jan 16.
PMID: 31691970BACKGROUNDShao Y, Yin L, Gu J, Wang D, Lu W, Sun Y. Assessment of Periodontal Biotype in a Young Chinese Population using Different Measurement Methods. Sci Rep. 2018 Jul 25;8(1):11212. doi: 10.1038/s41598-018-29542-z.
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PMID: 23147165BACKGROUNDundefined
BACKGROUNDFischer KR, Kunzlberger A, Donos N, Fickl S, Friedmann A. Gingival biotype revisited-novel classification and assessment tool. Clin Oral Investig. 2018 Jan;22(1):443-448. doi: 10.1007/s00784-017-2131-1. Epub 2017 May 27.
PMID: 28551728BACKGROUNDShah R, Sowmya NK, Mehta DS. Prevalence of gingival biotype and its relationship to clinical parameters. Contemp Clin Dent. 2015 Sep;6(Suppl 1):S167-71. doi: 10.4103/0976-237X.166824.
PMID: 26604569BACKGROUNDOlsson M, Lindhe J. Periodontal characteristics in individuals with varying form of the upper central incisors. J Clin Periodontol. 1991 Jan;18(1):78-82. doi: 10.1111/j.1600-051x.1991.tb01124.x.
PMID: 2045523BACKGROUNDFischer KR, Grill E, Jockel-Schneider Y, Bechtold M, Schlagenhauf U, Fickl S. On the relationship between gingival biotypes and supracrestal gingival height, crown form and papilla height. Clin Oral Implants Res. 2014 Aug;25(8):894-8. doi: 10.1111/clr.12196. Epub 2013 May 30.
PMID: 23718206BACKGROUNDStellini E, Comuzzi L, Mazzocco F, Parente N, Gobbato L. Relationships between different tooth shapes and patient's periodontal phenotype. J Periodontal Res. 2013 Oct;48(5):657-62. doi: 10.1111/jre.12057. Epub 2013 Feb 27.
PMID: 23441885BACKGROUNDJoshi A, Suragimath G, Zope SA, Ashwinirani SR, Varma SA. Comparison of Gingival Biotype between different Genders based on Measurement of Dentopapillary Complex. J Clin Diagn Res. 2017 Sep;11(9):ZC40-ZC45. doi: 10.7860/JCDR/2017/30144.10575. Epub 2017 Sep 1.
PMID: 29207831BACKGROUNDStein JM, Lintel-Hoping N, Hammacher C, Kasaj A, Tamm M, Hanisch O. The gingival biotype: measurement of soft and hard tissue dimensions - a radiographic morphometric study. J Clin Periodontol. 2013 Dec;40(12):1132-9. doi: 10.1111/jcpe.12169. Epub 2013 Oct 16.
PMID: 24102580BACKGROUNDDe Rouck T, Eghbali R, Collys K, De Bruyn H, Cosyn J. The gingival biotype revisited: transparency of the periodontal probe through the gingival margin as a method to discriminate thin from thick gingiva. J Clin Periodontol. 2009 May;36(5):428-33. doi: 10.1111/j.1600-051X.2009.01398.x.
PMID: 19419444BACKGROUNDBelak S, Zizka R, Starosta M, Zapletalova J, Sedy J, Stefanatny M. The influence of gingival phenotype on the morphology of the maxillary central papilla. BMC Oral Health. 2021 Jan 23;21(1):43. doi: 10.1186/s12903-021-01400-x.
PMID: 33485351BACKGROUNDBolat SY, Guliyev R, Lutfioglu M. A comprehensive analysis of gingival phenotype: interaction and relationship between gingival and tooth morphometric parameters. BMC Oral Health. 2025 Sep 26;25(1):1450. doi: 10.1186/s12903-025-06821-6.
PMID: 41013551DERIVED
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Assistant
Study Record Dates
First Submitted
April 1, 2024
First Posted
April 17, 2024
Study Start
September 1, 2022
Primary Completion
December 1, 2023
Study Completion
December 18, 2023
Last Updated
April 17, 2024
Record last verified: 2024-04
Data Sharing
- IPD Sharing
- Will not share