Objective:The aim of this retrospective study was to evaluate the relationship between orthodontic treatment and gingival health.Materials and Methods:A total of 251 patients among whom 177 were girls and 74 were boys, recruited from the records pool of the Department of Orthodontics, Faculty of Dentistry, University of Gazi, were included in the study. Patients’ treatments have been completed by postgraduate students during the period between 2006 and 2012. Patients’ folders were analyzed according to their age, treatment time, and the type of orthodontic treatment. Intra-oral photographs were analyzed, and the presence or absence of visible plaque, visible inflammation, and gingival recession were recorded, and incisor inclinations analyzed on lateral cephalometric films, before and after orthodontic treatment.Results:No statistically significant difference was found in patients treated with functional appliances before and after treatment. In patients treated with fixed orthodontic appliances, visible plaque, visible inflammation, and gingival recession showed significant increases after treatment, gingival biotype did not show any significant difference. Positive correlation was found between lower incisor position and gingival recession in patients treated with fixed appliance and extraction. And also cuspids were the teeth with the highest prevalence of gingival recession.Conclusion:Considering the relationship between orthodontic treatment and gingival health, cooperation among patients, orthodontists, and periodontists is important.
Objectives:Various coronally repositioned flap (CRF) techniques have been proposed for coverage of gingival recession defects. Although CRF has several modifications all of them needs vertical or oblique external releasing incisions for treatment of localized gingival recession defects. The aim of present article was to evaluate the effectiveness of a modification of the new CRF procedure without any releasing incision for treatment of shallow localized gingival recession defects.Conclusion:Shallow localized gingival recession defects can be treated with modified coronally repositioned flap technique successfully.
A B S T R A C T
Objectives:The aim of the present study was to compare clinical outcomes of split thickness coronally repositioned flap (CRF) without vertical releasing incisions and full thickness CRF with vertical releasing incisions in the treatment of localized gingival recessions. Materials and Methods: Nineteen systemically and periodontally healthy patients with bilateral Miller class I recession defects were enrolled in the study. Control recession defects were treated full thickness CRF with vertical releasing incisions and test recession defects were treated split thickness CRF without vertical releasing incissions. Porbing depth (PD), Recession depth (RD), Recession width (RW), Keratinized tissue width (KTW) and Clinical athacment level (CAL) were measured at baseline and 3 and 6 months after the treatment. Results: Both groups showed statistically significant gain in Clinical Athacment Level and statistically significant reduction in Recession Depth, Recession Width, Probing Depth. The differences between groups were not statistically significant for Recession Depth; Recession Width; Probing Depth; Keratinized Tissue Width and Clinical Athacment Level after 6 months. Conclusion: This clinical study showed that, modified CRF technique is as effective as clasical CRF technique for the treatment of localized gingival recession.
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