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CTRI Number  CTRI/2019/02/017818 [Registered on: 26/02/2019] Trial Registered Prospectively
Last Modified On: 27/11/2019
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   To assess the Gingival display and Gingival Zenith position display in anterior and premolar region of upper jaw and associate them with two different smile lines in both males and females. 
Scientific Title of Study   Association of Gingival and Zenith Position display in maxillary anterior and premolar region with Gingival and Interdental Smile Line: A Gender Based Study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Abhay P Kolte  
Designation  Professor and Head 
Affiliation  Department of Periodontics and Implantology VSPM Dental College and Research Centre, Nagpur 
Address  Department of Periodontics and Implantology VSPM Dental College and Research Centre Digdoh Hills, Hingna road Nagpur 440019 Maharashtra India

Nagpur
MAHARASHTRA
440019
India 
Phone    
Fax    
Email  drabhaypkolte@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Abhay P Kolte  
Designation  Professor and Head 
Affiliation  Department of Periodontics and Implantology VSPM Dental College and Research Centre, Nagpur 
Address  Department of Periodontics and Implantology VSPM Dental College and Research Centre Digdoh Hills, Hingna road Nagpur 440019 Maharashtra India

Nagpur
MAHARASHTRA
440019
India 
Phone    
Fax    
Email  drabhaypkolte@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Abhay P Kolte  
Designation  Professor and Head 
Affiliation  Department of Periodontics and Implantology VSPM Dental College and Research Centre, Nagpur 
Address  Department of Periodontics and Implantology VSPM Dental College and Research Centre Digdoh Hills, Hingna road Nagpur 440019 Maharashtra India

Nagpur
MAHARASHTRA
440019
India 
Phone    
Fax    
Email  drabhaypkolte@gmail.com  
 
Source of Monetary or Material Support  
none 
 
Primary Sponsor  
Name  Dr Abhay P Kolte 
Address  Department of Periodontics and Implantology VSPM Dental College and Research Centre Digdoh Hills, Hingna road Nagpur: 440019 Maharashtra India  
Type of Sponsor  Other [Dr. Abhay P Kolte] 
 
Details of Secondary Sponsor  
Name  Address 
none   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Abhay P Kolte  VSPM Dental College and Research CentreDigdoh Hills, Hingna road Nagpur: 440019  Department of Periodontics and Implantology
Nagpur
MAHARASHTRA 
9011071467

drabhaypkolte@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
VSPM Dental College and Research Centre Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Periodontally and systemically healthy males and females 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Gingival Zenith Display and Interdental and Gingival smile line in maxillary anterior and premolar region  Gingival and GZP display in maxillary anterior & premolar region will be compared and correlated with Gingival and Interdental Smile Line in both periodontally healthy males and females.  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1.Males and females between the age group of 20-40 years.
2.Patients with healthy periodontal conditions, with a Plaque Index (Silness & Loe 1964) and Gingival Index (Loe & Silness 1963) between the score of 0–1.
3.Patients with fully erupted well-aligned maxillary Central Incisors, Lateral Incisors and Canines and Premolars without orthodontic anomaly.
 
 
ExclusionCriteria 
Details  Exclusion Criteria
1. Patients diagnosed with destructive periodontal disease.
2. Patients with a history of surgery in the anterior maxillary area, or open contact or crowding observed visually without aid.
3. Pregnant women or one with a history of taking medications known to increase the risk of gingival hyperplasia.
4. Those with the evidence of caries either on the interproximal surface or at cemento-enamel junction.
5. Patients having artificial crown, proximal/cervical restorations or abrasions on the Central Incisors, Lateral Incisors and Canines and Premolars.
6. If there is any evidence of incomplete passive eruption.
7.Patients having malaligned or Orthodontically treated, translocated/tilted teeth.
8. Those having crowding, spacing, gingival recession with maxillary anterior and premolar teeth.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Gingival and Gingival Zenith Position (GZP) display in maxillary anterior and premolar region will be evaluated and correlated with Gingival and Interdental Smile Line (GSL & ISL) in periodontally healthy male and female patients.  3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Presence or absence of interdental papilla in maxillary anteriors and premolars on both right and left side of arch will be evaluated  3 months 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "120"
Final Enrollment numbers achieved (India)="120" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/03/2019 
Date of Study Completion (India) 11/06/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Accepted (International Journal Of Esthetic Dentistry) 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  

Background: Gingival tissues circumforaneous to the maxillary anterior teeth have been known to play a crucial role in a beautiful smile. With the growing demand for esthetics, preliminary reports suggest the tooth and gingival display in premolar areas during smiling. So, the present study examines the tooth and gingival exhibits in relations to the Gingival smile line (GSL) and Interdental smile line (ISL).

Materials and methods: The study comprised of 120 periodontally healthy patients within an age range of 20 to 40 years, equally divided into two groups based on gender. Gingival zenith position (GZP), Gingival zenith level (GZL), presence or absence of interdental papilla, GSL and ISL were determined for maxillary anterior teeth till the second premolars.

Results: The mean GZL for second premolars were found to be greatest followed by the first premolar and then the lateral incisors. The GZL for female patients were slightly higher than the males. The difference between GZL for the first and second premolars in both males and females was found to be statistically significant (p<0.0001). Majority of the patients i.e. 36 (60%) in males and 33(55%) in females displayed first premolar, whereas both the premolars were visible in 18(30%) and 22(36%) respectively.

Conclusion: Within the smile corridor, majority of patients exhibit tooth and gingival display in the premolar region along with the maxillary anterior teeth. The GZL were greatest for the second premolars and least for the lateral incisor indicating considerable amount of gingival tissue display while smiling in GSL & ISL.


 
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