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Gingival color in dentistry: A systematic review
Manuel Antonio Sanchez de Martín1, Beatriz Párdal Peláez1, Adrian Curto1
1Department of Dentistry. School of Medicine. University of Salamanca, Spain.
Journal of Dentistry
|October 3, 2025
Summary
Gingival color is complex and poorly understood due to limited research. Standardized methods are needed for accurate recording and reproduction of gingival aesthetics in clinical practice.
Area of Science:
- Dental Aesthetics
- Periodontology
- Biomaterials Science
Background:
- Gingival color is a crucial factor in dental aesthetics.
- Current understanding of gingival color is limited by insufficient and heterogeneous research.
Purpose of the Study:
- To synthesize existing knowledge on gingival color and its aesthetic relevance.
- To identify gaps in the literature regarding gingival color assessment and application.
Main Methods:
- Systematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Electronic search of the Web of Science database (2014-2024) using keywords: gingivae, color, aesthetic.
- Inclusion of 21 English-language studies after applying exclusion criteria.
Main Results:
- Gingival color recording, communication, and reproduction present significant challenges.
- A lack of longitudinal studies prevents understanding of gingival color changes over time.
- Chromatic discrepancies exist between natural gingiva and restorative materials.
Conclusions:
- Gingival color remains an underexplored area requiring further investigation.
- Heterogeneity in methodologies hinders comparisons between studies.
- Multicenter longitudinal studies with standardized spectrophotometric protocols are necessary for advancing knowledge in gingival color and aesthetics.
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