X-ray tеsting of structures of keratinized gum and external cortical plate in the field of intact frontal teeth on the upper jaw

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Abstract

Objectives. Сomparison of radiological parameters of the keratinized gum and the external cortical plate in the area of the front teeth on the upper jaw.

Material and methods. Сlinical examination of 50 patients aged 18 to 60 years was carried out in order to perform the work. These patients underwent 3D computed tomography which allowed to study the thickness of the keratinized gums in the dental area 1.1, 1.2, 1.3, 2.1, 2.2, 2.3.

Results. The results of the research revealed a similar trend at each level of measurement for the central and lateral incisors. The average values of the gum thickness decreased in the direction of the tooth crown. The thickness of the outer cortical plate had the lowest values in all studied teeth at the level of the alveolar crest apex and gradually increased in the apical direction. The thinnest external cortical plate and gums were revealed in canines.

Conclusion. The performed study showed that thickness of the gum is directly related to the thickness of the cortical plate. In percentage terms the gum thickness is 132 ± 9.5% of the thickness of the cortical plate.

About the authors

Irina A. Kostionova-Ovod

Samara State Medical University; Samara Regional Clinical Dental Clinic

Author for correspondence.
Email: iakostovod@yandex.ru

Postgraduate Student; Dentist

Russian Federation, Samara

References

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Supplementary files

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2. Fig. 1. Type of cross-section of the tooth. The red vertical line 5 indicates the long axis of the tooth. Green horizontal lines: 2 — the top of the outer cortical plate; 3 — 2 mm apically from the top of the cortical plate; 4 — 5 mm from the top of the cortical plate. Yellow line 1 — cement and enamel connection

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3. Fig. 2. Photo of a silicone key with the lead plates (1) in the study of the thickness of the outer cortical plate and keratenized gum

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4. Fig. 3. CT of the cross section of the tooth 2.1. Measuring of the thickness of the outer cortical plate (white lines), the keratinized gum (red lines), and the distance from the enamel and cement joint to the top of the outer cortical plate (yellow line). Results in mm

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5. Fig. 4. CT of cross sections of the teeth 1.3 (left) and 2.2 (right). Measuring of the thickness of the outer cortical plate (white lines), the keratinized gum (red lines), and the distance from the enamel and cement joint to the top of the outer cortical plate (yellow line). Results in mm

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6. Fig. 5. Diagram of the ratio of the average gum thickness to the thickness of the outer cortical plate at the Central incisors

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7. Fig. 6. Diagram of the ratio of the average gum thickness to the thickness of the outer cortical plate at the lateral incisors

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8. Fig. 7. Diagram of the ratio of the average gum thickness to the thickness of the outer cortical plate in canines

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Copyright (c) 2020 Kostionova-Ovod I.A.

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