Prevalence of gingival recession after orthodontic treatment of infraversion and open bite

Ji, Juanjuan; Li, Xudong; Qing, Fan; Liu, Xiaojun; Yao, Shuang; Zhou, Zhi; Yang, Shuang; Shen, Yonghang

doi:10.1007/s00056-018-0159-8

Cited by 20 publications

(22 citation statements)

References 19 publications

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“…[3][4][5] The presence of a thin GP has been associated with a greater risk for developing gingival recessions (GRs) 1,6 not only throughout a patient's lifetime, but also as a consequence of specific dental therapeutics such as orthodontic treatment. 7 Despite a lacking consensus of what treatment is truly superior for GT augmentation, or if the augmented thickness is sustainable over time, it has been shown that periodontal plastic procedures with the use of autogenous grafts (whether free gingival grafts [FGG] or connective tissue grafts [CTGs]) or substitutes (acellular dermal matrix [ADM] or collagen matrices [CM]) can significantly increase the amount of GT. [8][9][10][11][12][13] While previous reports have documented the relapse of recession treatment over time and the factors associated with it, 11,12,14 studies concerning the associated role of GT, its potential benefits with regard to gingival margin stability, periodontal/gingival health are scarce in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…A variety of different methods have also been used for evaluating the GT that include transgingival probing, use of ultrasound, or a color‐coded probe 3–5 . The presence of a thin GP has been associated with a greater risk for developing gingival recessions (GRs) 1,6 not only throughout a patient's lifetime, but also as a consequence of specific dental therapeutics such as orthodontic treatment 7 …”

Section: Introductionmentioning

confidence: 99%

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Gingival phenotype modification therapies on natural teeth: A network meta‐analysis

Barootchi

Tavelli

Zucchelli

et al. 2020

Journal of Periodontology

100

123

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Background: The periodontal phenotype consists of the bone morphotype, the keratinized tissue (KT), and gingival thickness (GT). The latter two components, overlying the bone, constitute the gingival phenotype. Several techniques have been proposed for enhancing or augmenting KT or GT. However, how phenotype modification therapy (PMT) affects periodontal health and whether the obtained outcomes are maintained over time have not been elucidated. The aim of the present review was to summarize the available evidence in regard to the utilized approaches for gingival PMT and assess their comparative efficacy in augmenting KT, GT and in improving periodontal health using autogenous, allogenic, and xenogeneic grafting approaches. Methods: A detailed systematic search was performed to identify eligible randomized clinical trials (RCTs) reporting on the changes in GT and KT (primary outcomes). The selected articles were segregated into the type of approach based on having performed a root coverage, or non-root coverage procedure. A network meta-analysis (NMA) was conducted for each approach to assess and compare the outcomes among different treatment arms for the primary outcomes. Results: A total of 105 eligible RCTs were included. 95 pertaining to root coverage (3,539 treated gingival recessions [GRs]), and 10 for non-root coverage procedures (699 total treated sites). The analysis on root coverage procedures showed that all investigated techniques (the acellular dermal matrix [ADM], collagen matrix [CM], connective tissue graft [CTG]) are able to significantly increase the GT, compared with treatment with flap alone. However, KT was only significantly increased with the use of CTG or ADM. Early post-treatment GT was found to inversely predict future GR. For non-root coverage procedures, only the changes in KT could be analyzed; all investigated treatment groups (ADM, CM, free gingival graft [FGG], living cellular construct [LCC], in combination with an apically positioned flap [APF]), resulted in significantly more KT than treatment with APF alone. Additionally, the augmented GT was shown to be sustained, and KT displayed an incremental increase over time.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Gingival phenotype modification therapies on natural teeth: A network meta‐analysis

Barootchi

Tavelli

Zucchelli

et al. 2020

Journal of Periodontology

100

123

View full text Add to dashboard Cite

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“…29 The types of orthodontic treatments were fixed appliances, 8,16,25,29,30 fixed appliances with premolar extraction, 8,27 functional appliances, 8 or not reported. 26,28 The selected articles reported various markers Amid et al of periodontal status as follows: gingival recession, 8,16,25,26,[28][29][30] probing pocket depth, 16,25 clinical attachment level, 16,25 inflammation, 8,16,25,26,28,29 periodontal index, 28 plaque index, 8,25,28,29 and keratinized tissue width. 16,25 One study reported gingival clefts, 27 but none of them reported on tooth loss, tooth mobility, or other adverse effects.…”

Section: Search Resultsmentioning

confidence: 99%

“…The evidence identified by this systematic review suggested that there might be an association between the gingival biotype and orthodontic treatment-induced periodontal complications. 16,25,[27][28][29][30] However, there are some limitations, including a limited number of studies, potential of bias, inconsistent methods for biotype determination, and various orthodontic interventions, making the comparison of the results difficult.…”

Section: Discussionmentioning

confidence: 99%

Effect of gingival biotype on orthodontic treatment-induced periodontal complications: A systematic review

Amid

Kadkhodazadeh

Moscowchi

et al. 2020

J Adv Periodontol Implant Dent

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Background. It is crucial to maintain periodontal health in patients undergoing orthodontic treatment. Biotype is a critical factor to be considered in this regard. This systematic review investigated the scientific evidence on the relationship between gingival biotype and marginal periodontal alterations induced by orthodontic interventions. Methods. An electronic search was conducted for pertinent studies in three databases: PubMed, Scopus, and Cochrane up to August 1, 2019 based on a detailed protocol according to the PRISMA statement. The authors also completed a hand search in six dental journals and the bibliographic lists of the relevant studies. Results. Of 1512 citations retrieved through the electronic search, 602 were duplicate entries. By evaluating titles, abstracts, and full texts, eight articles conformed to the inclusion criteria; however, no relevant studies were found through hand searching. The evidence suggested that recession was inversely related with the thickness of the facial margin. These findings were more evident in proclined teeth and patients using fixed appliances. Conclusion. The existing evidence suggests that orthodontic therapy might result in mild detrimental effects on the periodontium, especially in patients with thin biotype. However, due to the limited investigations and their inconsistent methodology, further well-designed prospective studies are necessary.

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“…However, although there is no consensus in the literature, orthodontic movement may facilitate the development of gingival recession, especially in cases where the movement of the dental elements occurs through an excessive force for vestibular or lingual / palatal. Therefore, it occurs the displacement of the dental root out of the proper positioning within the alveolar bone, which can generate regions of bone dehiscence and, potentially, gingival recession (Richman, 2011;Morris et al, 2017;Sharma et al, 2017;Ji et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The importance of orthodontic treatment for the increase of the radical overlay previsibility: Case report

Mendonça¹,

Costa²,

Pereira³

et al. 2021

RSD

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Introduction: Gingival recession is established through several factors and its treatment can be planned integrating surgical procedures with the aid of orthodontic treatment. Methods: In this context, a 36-year-old woman sought dental treatment to realign the right lower central incisor. A localized gingival recession was verified, being related to poor positioning of the root. The patient had undergone previous orthodontic treatment, as well as periodontal surgical treatment, after which there was no success. Results: After the planning of the case, the dental element was reallocated through orthodontic movement and then the periodontal surgical treatment was performed. With the results obtained, the improvement of gingival recession through orthodontic and periodontal surgical treatment is discussed. Conclusions: This clinical report shows that the gingival graft, performed after tooth movement, can increase the probability of good results in reducing root exposure.

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Prevalence of gingival recession after orthodontic treatment of infraversion and open bite

Cited by 20 publications

References 19 publications

Gingival phenotype modification therapies on natural teeth: A network meta‐analysis

Gingival phenotype modification therapies on natural teeth: A network meta‐analysis

Effect of gingival biotype on orthodontic treatment-induced periodontal complications: A systematic review

The importance of orthodontic treatment for the increase of the radical overlay previsibility: Case report

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