Skip to main content
Top
Published in: Clinical Oral Investigations 8/2016

01-11-2016 | Original Article

On the relationship between gingival morphotypes and different crown shape assessments in young Caucasians

Authors: Kai R. Fischer, Timo Richter, Anton Friedmann, Stefan Fickl

Published in: Clinical Oral Investigations | Issue 8/2016

Login to get access

Abstract

Objectives

The objective of this study was to determine the relationship between crown length as well as crown width and gingival morphotypes (primary aim) and their correlation with tooth shape and papilla height (secondary aim).

Material and methods

Thirty-six adult subjects were evaluated in this clinical study according to their gingival morphotype (GM) defined by transparency of a periodontal probe through the buccal gingival margin. Eighteen subjects comprised the thin entity group and 18 the control group thick entity, respectively. Besides crown length (CL) and crown width (CW), two different methods to assess crown shape (CW/CL ratio) were compared and analysis of their relation to papilla height was performed.

Results

Nineteen female and 17 male volunteers were enrolled in this study, with a mean age of 24.9 years (±3.4; minimum 18, maximum 35). A statistical significant difference for the crown length could be detected between both groups (p < 0.05) but not for crown width. No significant difference was found for apical or coronal CW/CL ratio besides on tooth 22.

Conclusion

Within the limitations of this study and within this young Caucasian study population, only crown length seems to have an association with different gingival morphotypes. Furthermore, papilla height and crown shape do not have a clear correlation on tooth level.

Clinical relevance

Crown shape seems to be not a strong parameter in assessing the gingival morphotype.
Literature
1.
2.
go back to reference Weisgold AS (1977) Contours of the full crown restoration. The Alpha Omegan 70:77–89PubMed Weisgold AS (1977) Contours of the full crown restoration. The Alpha Omegan 70:77–89PubMed
3.
go back to reference Seibert J, Lindhe J (1989) Esthetics and periodontal therapy. Munksgaard, Copenhagen Seibert J, Lindhe J (1989) Esthetics and periodontal therapy. Munksgaard, Copenhagen
4.
go back to reference Fu JH, Lee A, Wang HL (2011) Influence of tissue biotype on implant esthetics. Int J Oral Maxillofac Implants 26:499–508PubMed Fu JH, Lee A, Wang HL (2011) Influence of tissue biotype on implant esthetics. Int J Oral Maxillofac Implants 26:499–508PubMed
8.
go back to reference Sailer I, Zembic A, Jung RE, Hammerle CH, Mattiola A (2007) Single-tooth implant reconstructions: esthetic factors influencing the decision between titanium and zirconia abutments in anterior regions. Eur J Esthet Dent 2:296–310PubMed Sailer I, Zembic A, Jung RE, Hammerle CH, Mattiola A (2007) Single-tooth implant reconstructions: esthetic factors influencing the decision between titanium and zirconia abutments in anterior regions. Eur J Esthet Dent 2:296–310PubMed
9.
go back to reference Jung RE, Sailer I, Hammerle CH, Attin T, Schmidlin P (2007) In vitro color changes of soft tissues caused by restorative materials. Int J Periodontics Restorative Dent 27:251–257PubMed Jung RE, Sailer I, Hammerle CH, Attin T, Schmidlin P (2007) In vitro color changes of soft tissues caused by restorative materials. Int J Periodontics Restorative Dent 27:251–257PubMed
10.
go back to reference Ronay V, Sahrmann P, Bindl A, Attin T, Schmidlin PR (2011) Current status and perspectives of mucogingival soft tissue measurement methods. Journal of Esthetic and Restorative Dentistry: Official Publication of the American Academy of Esthetic Dentistry [et al] 23:146–156. doi:10.1111/j.1708-8240.2011.00424.x CrossRef Ronay V, Sahrmann P, Bindl A, Attin T, Schmidlin PR (2011) Current status and perspectives of mucogingival soft tissue measurement methods. Journal of Esthetic and Restorative Dentistry: Official Publication of the American Academy of Esthetic Dentistry [et al] 23:146–156. doi:10.​1111/​j.​1708-8240.​2011.​00424.​x CrossRef
11.
go back to reference Olsson M, Lindhe J, Marinello CP (1993) On the relationship between crown form and clinical features of the gingiva in adolescents. J Clin Periodontol 20:570–577CrossRefPubMed Olsson M, Lindhe J, Marinello CP (1993) On the relationship between crown form and clinical features of the gingiva in adolescents. J Clin Periodontol 20:570–577CrossRefPubMed
13.
go back to reference Fischer KR, Grill E, Jockel-Schneider Y, Bechtold M, Schlagenhauf U, Fickl S (2013) On the relationship between gingival biotypes and supra-crestal gingival height, crown form and papilla height. Clin Oral Implants Res 00:1–5. doi:10.1111/clr.12196 Fischer KR, Grill E, Jockel-Schneider Y, Bechtold M, Schlagenhauf U, Fickl S (2013) On the relationship between gingival biotypes and supra-crestal gingival height, crown form and papilla height. Clin Oral Implants Res 00:1–5. doi:10.​1111/​clr.​12196
14.
go back to reference Olsson M, Lindhe J (1991) Periodontal characteristics in individuals with varying form of the upper central incisors. J Clin Periodontol 18:78–82CrossRefPubMed Olsson M, Lindhe J (1991) Periodontal characteristics in individuals with varying form of the upper central incisors. J Clin Periodontol 18:78–82CrossRefPubMed
16.
go back to reference Becker CM, Kaldahl WB (1981) Current theories of crown contour, margin placement, and pontic design. J Prosthet Dent 45:268–277CrossRefPubMed Becker CM, Kaldahl WB (1981) Current theories of crown contour, margin placement, and pontic design. J Prosthet Dent 45:268–277CrossRefPubMed
17.
go back to reference Marinello CP, Meyenberg KH, Zitzmann N, Lüthy H, Soom U, Imoberdorf M (1997) Single-tooth replacement: some clinical aspects. J Esthet Dent 9:169–178CrossRefPubMed Marinello CP, Meyenberg KH, Zitzmann N, Lüthy H, Soom U, Imoberdorf M (1997) Single-tooth replacement: some clinical aspects. J Esthet Dent 9:169–178CrossRefPubMed
18.
go back to reference Fischer KR, Richter T, Kebschull M, Petersen N, Fickl S (2014) On the relationship between gingival biotypes and gingival thickness in young Caucasians. Clin Oral Implants Res. doi:10.1111/clr.12356 Fischer KR, Richter T, Kebschull M, Petersen N, Fickl S (2014) On the relationship between gingival biotypes and gingival thickness in young Caucasians. Clin Oral Implants Res. doi:10.​1111/​clr.​12356
19.
go back to reference Chu SJ, Tan JH, Stappert CF, Tarnow DP (2009) Gingival zenith positions and levels of the maxillary anterior dentition. Journal of Esthetic and Restorative Dentistry: Official Publication of the American Academy of Esthetic Dentistry [et al] 21:113–120. doi:10.1111/j.1708-8240.2009.00242.x CrossRef Chu SJ, Tan JH, Stappert CF, Tarnow DP (2009) Gingival zenith positions and levels of the maxillary anterior dentition. Journal of Esthetic and Restorative Dentistry: Official Publication of the American Academy of Esthetic Dentistry [et al] 21:113–120. doi:10.​1111/​j.​1708-8240.​2009.​00242.​x CrossRef
20.
go back to reference Eger T, Muller HP, Heinecke A (1996) Ultrasonic determination of gingival thickness: subject variation and influence of tooth type and clinical features. J Clin Periodontol 23:839–845CrossRefPubMed Eger T, Muller HP, Heinecke A (1996) Ultrasonic determination of gingival thickness: subject variation and influence of tooth type and clinical features. J Clin Periodontol 23:839–845CrossRefPubMed
21.
go back to reference Stellini E, Comuzzi L, Mazzocco F, Parente N, Gobbato L (2013) Relationships between different tooth shapes and patient's periodontal phenotype. Journal of Periodontal Research. doi:10.1111/jre.12057 PubMed Stellini E, Comuzzi L, Mazzocco F, Parente N, Gobbato L (2013) Relationships between different tooth shapes and patient's periodontal phenotype. Journal of Periodontal Research. doi:10.​1111/​jre.​12057 PubMed
Metadata
Title
On the relationship between gingival morphotypes and different crown shape assessments in young Caucasians
Authors
Kai R. Fischer
Timo Richter
Anton Friedmann
Stefan Fickl
Publication date
01-11-2016
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 8/2016
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1720-8

Other articles of this Issue 8/2016

Clinical Oral Investigations 8/2016 Go to the issue