Comparative Evaluation of Selected Methods for Assessing Gingival Phenotype

Background/Objectives: The diagnostic assessment of soft and hard tissues surrounding the teeth, including gingival phenotype analysis, is critical for clinicians. Since multiple methods for evaluating gingival phenotype have been reported, determining the optimal approach for dental practitioners is essential. This study aimed to evaluate gingival phenotype using visual assessment (VA) and the periodontal probe transparency method (PTM) in the maxillary central incisors to confirm the superiority of the latter. Methods: This study included 103 individuals aged 22 to 29 years, all with a healthy periodontium, no history of medications, and no prior treatment affecting the gingiva. Two examiners assessed gingival phenotype using VA and the PTM with color-coded probes. Additionally, direct measurement (DM) with biometric ultrasonography was performed. Results: The correlations among VA, the PTM, and DM (Spearman's rank correlation test) demonstrated robust consistency (r = 0.62-0.76, p < 0.001). There was medium to high agreement between VA and DM (r = 0.62-0.74, p < 0.001), as well as a medium to strong correlation between VA and the PTM (r = 0.63-0.76, p < 0.001), indicating no superiority of the color-coded probe transparency method. Conclusions: Both VA and the PTM with a color-coded probe are reliable for identifying the gingival phenotype in the maxillary anterior region when compared to direct biometric measurement.