Cone-beam computed tomography as a diagnostic method for determination of gingival thickness and distance between gingival margin and bone crest.
The objective of the present study was to assess cone-beam computed tomography (CBCT) as a diagnostic method for determination of gingival thickness (GT) and distance between gingival margin and vestibular (GMBC-V) and interproximal bone crests (GMBC-I). GT and GMBC-V were measured in 348 teeth and GMBC-I was measured in 377 tooth regions of 29 patients with gummy smile. GT was assessed using transgingival probing (TP), ultrasound (US), and CBCT, whereas GMBC-V and GMBC-I were assessed by transsurgical clinical evaluation (TCE) and CBCT. Statistical analyses used independent t-test, Pearson's correlation coefficient, and simple linear regression. Difference was observed for GT: between TP, CBCT, and US considering all teeth; between TP and CBCT and between TP and US in incisors and canines; between TP and US in premolars and first molars. TP presented the highest means for GT. Positive correlation and linear regression were observed between TP and CBCT, TP and US, and CBCT and US. Difference was observed for GMBC-V and GMBC-I using TCE and CBCT, considering all teeth. Correlation and linear regression results were significant for GMBC-V and GMBC-I in incisors, canines, and premolars. CBCT is an effective diagnostic method to visualize and measure GT, GMBC-V, and GMBC-I.
Faculty of Dentistry, UniEvangélica University Center, 75083-515 Anápolis, GO, Brazil.
Germana Jayme
GJ
Borges
Faculty of Dentistry, Goiás Federal University, 74690-900 Goiânia, GO, Brazil.
Luis Fernando Naldi
LF
Ruiz
Faculty of Dentistry, Goiás Federal University, 74690-900 Goiânia, GO, Brazil.
Ana Helena Gonçalves
AH
de Alencar
Faculty of Dentistry, Goiás Federal University, 74690-900 Goiânia, GO, Brazil.
Olavo César Lyra
OC
Porto
Faculty of Dentistry, Goiás Federal University, 74690-900 Goiânia, GO, Brazil.
Carlos
C
Estrela
D000293:Adolescent; D000328:Adult; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D054893:Cone-Beam Computed Tomography / Q000379:methods*; D005260:Female; D005881:Gingiva / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography; D055815:Young Adult