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Gingival ThicknessNCT06369493

Examining The Relationship Between Gingival Thickness and Tooth and Gingival Parameters

An observational study of Gingival Thickness, run by Ondokuz Mayıs University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study aims to assess whether there is a valid correlation between the identified multiple clinical and morphometric parameters and the gingival thickness. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Gingival Thickness
How many people
50 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Sep 2022to 18 Dec 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Participants applying to Ondokuz Mayis University Department of Periodontology

Who may be able to join

  • 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

Who cannot join

  • 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

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Ondokuz Mayis University Faculty of Dentistry Department of Periodonthology

    Samsun, 55200

Other trials in Turkey (Türkiye)

About this study

Official title: The Interaction of The Gingival And Tooth Morphometric Parameters On The Gingival Phenotype

This study aims to assess whether there is a valid correlation between the identified multiple clinical and morphometric parameters and the gingival thickness.

Read the detailed description

This study focused on the relationship between the clinical parameters of crown and gingival morphology and gingival phenotypes. This study investigated the relationship between clinical and morphological parameters and gingival phenotype and included all teeth up to the first molar. It also compares gingival phenotypes across arch locations and tooth groups.

Study Design and Participants:

This was a cross-sectional, controlled, randomized, and analytical data study.

This cross-sectional study was conducted with 50 participants (21 females, 29 males) aged 18-31 (mean age 22.42 ± 2.87 years) who applied to the Ondokuz Mayis University Faculty of Dentistry's Periodontology Department for periodontal treatment between September 2022 and May 2023. The statistical power of the study based on crown morphology was determined to be 80%, with a type 1 error rate of 0.05, and a sample size of at least 42 people was determined. The study was conducted in accordance with the principles of the Helsinki Declaration and with the approval of the Ondokuz Mayis University Clinical Research Ethics Committee (OMUKAEK-Protocol No:2022/210. All participants provided written informed consent prior to enrollment.

Fifty participants were divided into two groups based on the GT measurement taken from the point corresponding to the base of the gingival sulcus and categorized as thin (GT:≤ 1 mm) and thick (GT: \> 1 mm).

Clinic Measurements

Clinical periodontal parameters, including Plaque Index (PI), Gingival Index (GI), Bleeding on Probing Index (BPI), and probing pocket depth in six regions (mesial labial, midfacial, distal labial, mesial palatal, midpalatal and distal palatal) of each tooth with University of North Carolina (UNC) probe.

To reduce pain before the direct measurement, xylocaine spray (10% lidocaine) was applied. GT was measured by with a 20-gauge endodontic file in the buccal region of the incisors, canines, premolars, and first molars in both the upper and lower jaws, corresponding to the base of the gingival sulcus. After fixing the plastic stopper, the distance between the stopper and the tip of the endodontic file was measured using a modified digital caliper with 0.01 mm precision.

Papilla Length (PL) was determined by measuring the distance between the zenith points of adjacent teeth and the perpendicular line connecting to the apex of the papilla with a periodontal probe. Each tooth position had its mesial PL recorded.

The functional method proposed by Olssoni et al. was used to measure the keratinized gingival width (KGW). KGW was measured to the nearest 0.5 mm from the marginal gingiva\'s mid-buccal position to the mucogingival junction.

Measurements of Dental Stone Models

An alginate impression of the upper and lower jaw was taken in a stock tray and poured in Type 3 hard plaster according to the manufacturer's specifications to obtain the study model. The following assessments were made on the casts using a digital caliper according to the recommendations of Olssoni et al.

Crown length (CL) was determined by measuring the distance between the gingival margin or, if discernible, the cemento-enamel junction and the incisal edge of the crown. the crown.

Crown width (CW) was determined by dividing the length of the crown into three portions of equal-height; cervical (C), middle (M), and incisal (I). The distance between the approximal tooth surfaces was measured at the border between portions C and M.

Following these measurements, the ratio of crown width (CW)/ crown length (CL) was calculated for each tooth.

Using a digital angle gauge with a measurement range of 0-999.9º and a precision of 0.3º, the gingival angle (GA) was calculated by connecting the angle between two lines at the most apical part of the gingival margin of each measured tooth and the most coronal parts of the two adjacent papillae.

Intra-Examiner Repeatability:

All measurements were performed by a single examiner (SY), and intra-examiner reliability was assessed by repeating the GT measurements on 10 randomly selected participants 2 weeks later.

Statistical Analysis

Statistical analyses were performed using a statistical software package. Spearman's Correlation analysis was used to examine the relationship between parameters that did not follow a normal distribution. Binary Logistic Regression Analysis was used to examine the parameters related to gingival thickness. receiver operating characteristic (ROC) analysis was used to determine the cut-off values for parameters in predicting gingival thickness. To assess the consistency of repeated measurements by the researcher, the intraclass correlation coefficient (ICC) was used. Statistical significance level was considered p\< 0.05 Data are expressed as means ± standard deviations and median (minimum-maximum).

The relationship and interaction of clinical and morphometric parameters were recorded on the basis of individuals, tooth groups, and dental arch location.

Keywords
Gingival Phenotype, gingival thickness, periodontium, crown morphology

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT06369493
Study groupRoleWhat they receive
Thin Gingival PhenotypeThin phenotype group: Gingival thickness ≤1 mm
Thick PhenotypeThick phenotype group: Gingival thickness > 1 mm

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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.

    Measured: 1 month

  2. 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.

    Measured: From September 2022 to May 2023

  3. 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.

    Measured: 1 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Apr 2024
  2. Study start1 Sep 2022
  3. Primary completion1 Dec 2023
  4. Study completion18 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Cross-sectional
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06369493
Sponsor's protocol ID
OMUKAEK: 2022/210
Status last verified
Apr 2024
First submitted
1 Apr 2024
Last updated
17 Apr 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 25210263
  • Yin 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.

    PubMed 32075626
  • Chou 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.

    PubMed 19444325
  • Vlachodimou 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.

    PubMed 33806934
  • Chow 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.

    PubMed 20618545
  • AlQahtani 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.

    PubMed 27195228
  • Fischer 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.

    PubMed 24580810
  • Collins JR, Pannuti CM, Veras K, Ogando G, Brache M. Gingival phenotype and its relationship with different clinical parameters: a study in a Dominican adult sample. Clin Oral Investig. 2021 Aug;25(8):4967-4973. doi: 10.1007/s00784-021-03806-x. Epub 2021 Jan 29.

    PubMed 33515119
  • Olsson 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.

    PubMed 7691897
  • Muller HP, Kononen E. Variance components of gingival thickness. J Periodontal Res. 2005 Jun;40(3):239-44. doi: 10.1111/j.1600-0765.2005.00798.x.

    PubMed 15853970
  • Vandana KL, Savitha B. Thickness of gingiva in association with age, gender and dental arch location. J Clin Periodontol. 2005 Jul;32(7):828-30. doi: 10.1111/j.1600-051X.2005.00757.x.

    PubMed 15966893
  • Fischer 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.

    PubMed 34766469
  • Kim 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.

    PubMed 31691970
  • Shao 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.

    PubMed 30046153
  • La Rocca AP, Alemany AS, Levi P Jr, Juan MV, Molina JN, Weisgold AS. Anterior maxillary and mandibular biotype: relationship between gingival thickness and width with respect to underlying bone thickness. Implant Dent. 2012 Dec;21(6):507-15. doi: 10.1097/ID.0b013e318271d487.

    PubMed 23147165

Questions about this trial

What is this clinical trial studying?

An observational study of Gingival Thickness, run by Ondokuz Mayıs University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

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. (time frame: 1 month). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06369493, which also lists 26 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Apr 2024.

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