LAUSR

BACKGROUND This cross-sectional study assessed the role of gingival landmarks (GLs) and cutting points (CPs) for gingival phenotype (GP) determination. METHODS Six maxillary anterior teeth (70 subjects) were evaluated using soft tissue cone-beam computed tomography (ST-CBCT). Gingival thickness was measured at different GLs: (1) tissue zone (gingival margin (GM), 1 and 2 mm apical to GM, cementoenamel junction, above the bone crest); (2) bone zone (buccal bone crest (BBC), 1, 2, and 3 mm apical to BBC). Cutting points of 0.6, 0.8, 1.0, 1.2, and 1.5 mm were used to discriminate between thin and thick GP. The clinical determination of GP was made based on transparency of the periodontal probe (TRAN). RESULTS The prevalence of thin and thick GP depended on the GL and CP. Considering the CP (1 mm), thin GP at the tissue zone ranged from 99% at the GM to 10.2% above the bone crest. In the bone zone, thick GP ranged from 28% at the BBC to 6% at 3 mm apical to the BBC. The predictability of a correct assessment of GP by TRAN compared to ST-CBCT was influenced by the GLs and CPs. A slight agreement (kappa < 0.2) and low accuracy (area under the curve < 0.7) were found between methods. CONCLUSION The determination of thin and thick gingival phenotypes is related to the gingival landmarks and cutting points. Further studies are required for a well-defined treatment protocol considering different gingival landmarks in tissue and bone zones. An ST-CBCT may be useful for this purpose. This article is protected by copyright. All rights reserved.