Abstract
Background. Recently, direct intraoral scanning and superimposing methods have been applied to measure the dimensions of periodontal tissues. The aim of this study was to analyze various correlations between labial gingival thickness and underlying alveolar bone thickness as well as clinical parameters among the three tooth types (central incisors, lateral incisors, and canines) using the digital method. Methods. In 20 periodontally healthy subjects, cone-beam computed tomography (CB-CT) images and intraoral scanned files were obtained. Measurements of labial alveolar bone and gingival thickness at the central incisors, lateral incisors, and canines were performed at 0–5 mm points from the alveolar crest on the superimposed images. Clinical parameters including the crown width/crown length ratio (CW/CL), gingival width (GW), gingival scallop (SC), and transparency of the periodontal probe through the gingival sulcus (TRAN) were examined. Results. Gingival thickness at the alveolar crest level was positively correlated with the thickness of the alveolar bone plate (p<0.05). The central incisors revealed a strong correlation between A1 and A2 (labial alveolar bone thickness at 1 and 2 mm, respectively, inferior to the alveolar crest) with the thickness of the gingiva at the G0, whereas G0 and labial bone thickness at every level were positively correlated at the lateral incisors and canines. The correlation analyses revealed no significant correlation between the clinical parameters and the hard and soft tissue thicknesses. Conclusions. The gingival thickness at the alveolar crest level revealed a positive correlation with labial alveolar bone thickness, although this correlation at identical depth levels was not significant. The measurement of gingival thickness at, or under the alveolar crest level, was not associated with the clinical parameters of the gingival features, such as the crown form and the gingival scallop, or the keratinized gingival width. Therefore, it is recommended that, in future studies, accurate measuring methods of the supracrestal gingival area should be developed, and the predictive potential of clinical parameters on tissue thickness should be verified.