Assessment of gingival thickness in primary, mixed and permanent dentition: part 3


  • Singh Shivani Post graduate student, College od Dental Sciences, Davangere, Karnataka, India
  • Kharidi Laxman Vandana Senior Professor, Department of Periodontics, College of Dental Sciences, Davangere, Karnataka, India.





Gingival Thickness, Primary Dentition, Mixed Dentition, Permanent Dentition


Aim and objective: The objective of this in-vivo study was to evaluate gingival thickness of mid buccally and interdentally in primary, mixed & permanent dentition.

Method: The study included 40 subjects (22 males and 18 females) with 480 sites of an age range 4-25 Years. Subjects were divided into 3 groups – the primary dentition (4-6 years) mixed dentition (7-13 years) and adult dentition (16-25 years). All the parameters were measured in upper and lower anterior segments.

Results: Gingival thickness (GT) was measured arch wise and tooth wise in different dentition and overall dentition wise without differentiating arch wise and toothwise. Gingival thickness (GT) was significantly higher (p=.001) in mixed dentition midbuccally (1.3 +0.46) and interdentally (2.31+0.71) in both the arches. GT (MB) was significantly higher in primary dentition (1.4+0.5) and GT (ID) was significant in mixed dentition (2.6+0.7).

Conclusion: Gingival thickness increases from primary to mixed dentition and significantly higher in maxilla.


[1] Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975; 25:229-35.

[2] Anderegg CR, Metz ler DG, Nicoll BK. Gingiva thickness in guided tissue regeneration and associated recession at facial furcation defects. J Periodontol 1995; 66:397-402.

[3] Carlo B. Coonally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A-19 case series. J Periodontal 1999 ;( 70):1077-84.

[4] Eger T, Müller HP, Heinecke A. Ultrasonic determination of gingival thickness. Subject variation and influence of tooth type and clinical features. J Clin Periodontol. 1996 Sep; 23(9):839-45.

[5] Frost NA, Mealey BL, Jones AA, Huynh-Ba G. Periodontal Biotype: Gingival Thickness as It Relates to Probe Visibility and Buccal Plate Thickness. J Periodontol. 2015 Oct; 86(10):1141-9. Epub 2015 Jun 25.

[6] 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.

[7] Muller & Eger. Gingival phenotypes in young male adults. JPeriodontol 1997; 24:65-71

[8] Muller & Eger. Maticatory mucosa and periodontal phenotype: A Review Int J Periodontics Restorative Dent 2002; 22: 172-183.

[9] Muller HP, Schaller N, Eger T, Heinecke A. Thickness of masticatory mucosa. 2000 jun; 27(6):431-6.

[10] Müller HP, Heinecke A, Schaller N, Eger T. Masticatory mucosa in subjects with different periodontal phenotypes. J Clin Periodontol. 2000 Sep; 27(9):621-6.

[11] Richard T. Kao, Mark C. Fagan and Gregory J.Conte. Thick vs. Thin Gingival Biotypes: A Key Determinant in Treatment Planning for Dental Implants. CDA Journal 2005; 136 (3):193-198.

[12] Silness P, Loe H. Periodontal Disease in Pregnancy II. Corelation between Oral Hygiene and Periodontal Condition. Acta Odontol Scand 1964; 22: 121-135.

[13] Studer, Allen, Rees, Kouba. The thickness of masticatory mucosa in the human hard palate and tuberosity as potential donor sites for ridge augmentation procedures. J Periodontol 1997; 68:145-51.

[14] Schei, O, Waerhaug, J. Lovdal, A. & Arno. A. (1959) Alveolar bone loss related to oral hygiene and age. Journal of Periodontology 30. 7-16.

[15] U. Van der velden. Effect of age on the periodontium. Journal of Clinical Periodoniology 1984: II: 281-294.

[16] Uchida H, Kobayashi K, Nagao M. Measurement in vivo of masticatory mucosal thickness with 20 MHz B-mode ultrasonic diagnostic equipment. J Dent Res 1989; 68: 95-100.

[17] Vandana KL, Savitha B. Thickness of gingiva in association with age, gender and dental arch location. J clin Periodontol 2005; 32:820-30.

[18] Vandana KL, Gupta. The relation of gingival thickness to dynamics of gingival marginposition pre- and post-surgically. J Indian Soc Periodontol. 2016 Mar-Apr; 20(2):167-73.

[19] Waraaswapati N, Pitiphat W, Chandrapho N, Rattanayatikul C, Karimbux N. Thickness of palatal masticatory mucosa associated with age. J Periodontol. 2001 Oct; 72(10):1407-12.

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