#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

GINGIVAL RECESSION AND ORTHODONTIC TREATMENT


Authors: A. Janková 1,2;  I. Marek 1,2;  P. Vyhlídalová 1
Authors‘ workplace: Klinika zubního lékařství, Lékařská fakulta Univerzity Palackého v Olomouci, a Fakultní nemocnice Olomouc 1;  Stomatologická klinika STOMMA, Břeclav 2
Published in: Česká stomatologie / Praktické zubní lékařství, ročník 123, 2023, 3, s. 59-67
Category: Review Article
doi: https://doi.org/10.51479/cspzl.2023.003

Overview

Introduction, aim: This article provides an overview of current knowledge on the relationship between orthodontic treatment and the emergence of gingival recession. It summarises the results of available studies published since 1973. The views of various authors are different. Gingival recession is multifactorial in origin, with the following cited as risk factors: dehiscence of the alveolar bone, gingival phenotype, thin biotype of the bone of the alveolar process, the shape of symphysis, dental malposition, the articulation of the dentition, inappropriate oral hygiene technique, tension of the mucosal folds and many others.

Methodology: The scientific databases PubMed, Science Direct, Google Scholar, Embase, and Web of Science were used for the research. Key words (gingival recession, orthodontic treatment, incisor protrusion, symphysis, gingival biotype) were entered into the search and articles were studied. Important facts and results of individual studies were written down.

Conclusion: The issue of recessions is complex and multifactorial. It is important to correctly assemble a treatment plan with regard to the condition of the periodontium, gingival phenotype, bone biotype of the alveolar process, facial skeleton (shape of the symphysis), level of dental hygiene as well as regular check-ups in the retention phase of treatment in order to avoid possible complications of fixed retainers.

Keywords:

orthodontic treatment – gingival recession – incisor protrusion – symphysis – gingival biotype


Sources

1. Marini MG, Greghi SL, Passanezi E, Santana A. Gingival recession: prevalence, extension and severity in adults. J Appl Oral Sci. 2004; 12(3): 250–255.

2. Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000. 2015; 68(1): 333–368.

3. Starosta M. Plastická chirurgie parodontu. Olomouc: Vydavatelství LF UP; 2003.

4. AlWahadni A, Linden GJ. Dentine hypersensitivity in Jordanian dental attenders. A case control study. J Clin Periodontol. 2002; 29: 688–693.

5. Lawrence HP, Hunt RJ, Beck JD. Three year root caries incidence and risk modeling in older adults in North Carolina. J Public Health Dent. 1995; 55: 69–78.

6. Smith RG. Gingival recession: reappraisal of an enigmatic condition and new index for monitoring. J Clin Periodontol. 1997; 24: 201–205.

7. Merijohn GK. Management and prevention of gingival recession. Periodontol 2000. 2016; 71: 228–242.

8. Rateitschak EM, Rateitschak KH, Wolf HF, Hassell TH. Color atlas of dental medicine. Periodontology. Stuttgart: George Thieme; 2015.

9. Jati AS, Furquim LZ, Consolaro A. Gingival recession: its causes and types, and the importance of orthodontic treatment. Dental Press J Orthod. 2016; 21(3): 18–29.

10. Litonjua LA, Andreana S, Bush PJ, Cohen RE. Tooth brushing and gingival recession. Int Dent J. 2003; 53(3): 67–72.

11. Löe H, Anerud A, Boysen H. The natural history of periodontal disease in man: prevalence, severity and extent of gingival recession. J Periodont. 1992; 63(6): 489–495.

12. Albandar JM, Kingman A. Gingival recession, gingival bleeding and dental calculus in adults 30 years of age and older in the United States, 1988–1994. J Periodont. 1999; 70(1): 30–43.

13. Hosanguan C, Ungcgusak C, Leelasithorn S, Prasertsom P. The extent and correlates of gingival recesion in non-instutionalised Thai elderly. J Int Acad Periodont. 2002; 4(4): 143–148.

14. Susin C, Haas AN, Oppermann RV, Haugejorden O, Albandar JM. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodont. 2004; 75(10): 1377–1386.

15. Watson PJ. Gingival recession. J Dent. 1984; 12(1): 29–35.

16. Johnson BD, Mulligan K, Kiyak HA, Marder M. Aging or disease? Periodontal changes and treatment consideration in the older dental patient. Gerontology. 1989; 8(4): 109–118.

17. Fuhrmann R. Three-dimensional interpretation of laboolingual bone width of the lower incisors. Part II. J Orofacial Orthop. 1996; 57(57): 168–185.

18. Enhos S. Dehiscence and fenestration in patients with different vertical growth patterns assessed with cone-beam computer tomography. Angle Orthodont. 2012; 8(5): 868–874.

19. Joshipura KJ, Ken RL, DePaola PF. Gingival recession: intra-oral distribution and associated factors. J Periodont. 1994; 65(9): 864–871.

20. Cook DR, et al. Relationship between clinical periodontal biotype and labial plate thickness: an in vivo study. Int J Periodont Restor Dent. 2011; 31(4): 345–354.

21. Fu JH, et al. Tissue biotype and its relation to the underlying bone morphology. J Periodont. 2010; 81(4): 569–574.

22. Stein JM. The gingival biotype: measurement of soft and hard tissue dimensions: a radiographic morphometric study. J Clin Periodont. 2013; 40(12): 1132–1139.

23. Khocht A, Simon G, Person P, Denepitiya JL. Gingival recession in relation to history of hard toothbrush use. J Periodont. 1993; 64(9): 900–905.

24. Serino G, Wennström JL, Lindhe J, Eneroth L. The prevalence and distribution of gingival recession in subject with a high standard of oral hygiene. J Clin Periodont. 1994; 21(1): 57–63.

25. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Amer Det Assoc. 2003; 134(2): 220–225.

26. Slutzkey S, Levin L. Gingival recession in young adults: occurence, severity and relationship to past orthodontic treatment and oral piercing. Am J Orthodont Dentofacial Orthop. 2008; 134(5): 652–656.

27. Hyman JJ, Reid BC. Epidemiologic risk factors for periodontal attachment loss among adults in the United States. J Clin Periodont. 2003; 30 (3): 230–237.

28. Baker DL, Seymour GJ. The possible pathogenesis of gingival recession. A histological study of induces recession in the rat. J Clin Periodont. 1976; 3(4): 208–219.

29. Heasman PA, Ritchie M, Asuni A, Gavillet E, Simonsen JL, Nyvad B. Gingival recession and root caries in the ageing population: a critical evaluation of treatments. J Clin Periodontol. 2017; 44(18): 178–193.

30. Imber JC, Kasaj A. Treatment of gingival recession: When and how? Int Dent J. 2021; 71(3): 178–187.

31. Thilander B, Nyman S, Karring T, Magnusson I. Bone regeneration in alveolar bone dehiscences related to orthodontic tooth movement. Eur J Orthod. 1983; 5: 105–114.

32. Rupprecht RD, Horning GM, Nicoll BK, Cohen ME. Prevalence of dehiscences and fenestrations in modern American skulls. J Periodontol. 2001; 72: 722–729.

33. Slezák R. Praktická parodontologie. Praha: Quintessenz; 1995.

34. Miller PD. Classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985; 5: 8–13.

35. Pini-Prato G. The Miller classification of gingival recession: limits and drawbacks. J Clin Periodontol. 2011; 38: 243–245.

36. Bollen AM, et al. The effect of orthodontic therapy on periodontal health: A systematic review of controlled evidence. JADA. 2008; 139: 413–422.

37. Sarikaya S, Haydar B, Ciğer S, Ariyürek M. Changes in alveolar bone thickness due to retraction of anterior teeth. Am J Orthod Dentofacial Orthop. 2002; 122(1): 15–26.

38. Zachrisson BU, Alnaes L. Periodontal condition in orthodontically treated and untreated individuals. I. part. Loss of attachment, gingival pocket depth and clinical crown height. Angle Orthod. 1973; 43: 402–411.

39. Zachrisson BU, Alnaes L. Periodontal condition in orthodontically treated and untreated individuals. II. part. Alveolar bone loss: radiographic findings. Angle Orthod. 1974; 44: 48–55.

40. Janson G, et al. Comparative radiographic evaluation of the alveolar bone crest after orthodontic treatment. Am J Orthod Dentofacial Orthop. 2003; 124: 157–164.

41. Bondemark L. Interdental bone changes after orthodontic treatment: A 5 year longitudinal study. Am J Orthod Dentofacial Orthop. 1998; 114: 25–31.

42. Renkema AM, Fudalej PS, Renkema AA, Abbas F, Bronkhorst E, Katsaros C. Gingival labial recessions in orthodontically treated and untreated individuals: A case-control study. J Clin Periodontol. 2013; 40: 631–637.

43. Renkema AM, et al. Development of labial gingival recessions in orthodontically treated patients. Am J Orthod Dentofacial Orthop. 2013; 143: 206–212.

44. Joss-Vassali I, et al. Orthodontic therapy and gingival recession: A systematic review. Orthod Craniofac Res. 2010; 13: 127–141.

45. Lindhe J. Clinical periodontology and implantology. 5th ed. Oxford: Munksgaard; 2008.

46. Baysal A, Uysal T, Veli I, Ozer T, Karadede I, Hekimoglu S. Evaluation of alveolar bone loss following rapid maxillary expansion using cone-beam computed tomography. Korean J Orthod. 2013; 43(2): 83–95.

47. Rungcharassaeng K, Caruso JM, Kan JY, Kim J, Taylor G. Factors affecting buccal bone changes of maxillary posterior teeth after rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2007; 132(4): 428.e1–8.

48. Garib DG, Henriques JF, Janson G, Freitas MR, Coelho RA. Rapid maxillary expansion – tooth tissueborne versus tooth-borne expanders: a computed tomography evaluation of dentoskeletal effects. Angle Orthod. 2005; 75 (4): 548–557.

49. Wennström JL, Lindhe J, Sinclair F, Thilander S. Some periodontal tissue reactions to orthodontic tooth movement in monkeys. J Clin Periodontol. 1987; 14: 121–129.

50. Sadek MM, Sabet NE, Hassan IT. Alveolar bone mapping in subjects with different vertical facial dimensions. Eur J Orthod. 2015; 37: 194–201.

51. Karlsen AT. Craniofacial growth differences between low and high MP-SN angle males: a longitudinal study. Angle Orthod. 1995; 65: 341–350.

52. Taner-Sarisoy L, Darendeliler N. The influence of extraction orthodontic treatment on craniofacial structures: evaluation according to two different factors. Am J Orthod Dentofacial Orthop. 1999; 115: 508–514.

53. Haralabakis NB, Sifakakis IB. The effect of cervical headgear on patients with high or low mandibular plane angles and the „myth“ of posterior mandibular rotation. Am J Orthod Dentofacial Orthop. 2004; 126: 310–317.

54. Mangla R, et al. Evaluation of mandibular morphology in different facial types. Contemp Clin Dent. 2011; 2: 200–206.

55. Årtun J, Krogstad O. Periodontal status of mandibular central incisors following excessive proclination. A study in adults with surgically treated mandibular prognathism. Am J Orthod Dentofacial Orthop. 1987; 91: 225–232.

56. Choi YJ, Chung CJ, Kim KH. Periodontal consequences of mandibular incisor proclination during presurgical orthodontic treatment in Class III malocclusion patients. Angle Orthod. 2015; 85: 427–433.

57. Mazurova K, Renkema AM, Navratilova Z, Katsaros C, Fudalej PS. No association between gingival labial recession and facial type. Eur J Orthod. 2016; 38(3): 286–291.

58. Mazurova K, Kopp JB, Renkema AM, Pandis N, Katsaros N, Fudalej PS. Gingival recession in mandibular incisors and symphysis morphology: A retrospective cohort study. Eur J Orthod. 2018; 40(2): 185–192.

59. Pernet F, Vento C, Pandis N, Kiliaridis S. Long-term evaluation of lower incisors gingival recessions after orthodontic treatment. Eur J Orthod. 2019; 41(6): 559–564.

60. Swasty D, et al. Cross-sectional human mandibular morphology as assessed in vivo by conebeam computed tomography in patients with different vertical facial dimensions. Am J Orthod Dentofacial Orthop. 2011; 139: 377–389.

61. Vinš P, Tycova H, Kučera J, Běláček J. Vliv ortodontické léčby na vznik gingiválních recesů. Ortodoncie. 2012; 21(3): 153–162.

62. Vardimon AD, Oren E, Ben-Bassat Y. Cortical bone remodeling/tooth movement ratio during maxillary incisor retraction with tip versus torque movement. Am J Orthod Dentofacial Orthop. 1998; 114: 520–529.

63. Handelman CS. The anterior alveolus: Its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae. Angle Orthod. 1996; 66: 95–110.

64. Yared KFG, Zenobio EG, Pacheco W. Periodontal status of mandibular central incisor after orthodontic proclination in adults. Am J Orthod Dentofacial Orthop. 2006; 130: 6e1–8.

65. Årtun J, Krogstad O. Periodontal status of mandibular central incisors following excessive proclination. A study in adults with surgically treated mandibular prognathism. Am J Orthod Dentofacial Orthop. 1987; 91: 225–232.

66. Årtun J, Grobéty D. Periodontal status of mandibular incisors after pronounced orthodontic advancement during adolescence: A follow-up evaluation. Am J Orthod Dentofacial Orthop. 2001; 119: 2–10.

67. Ruf S, Hansen K, Pancherz H. Does orthodontic proclination of lower incisors in children and adolescents cause gingival recession? Am J Orthod Dentofacial Orthop. 1998; 114: 100–106.

68. Djeu G, Hayes C, Zawaideh S. Correlation between mandibular central incisor proclination and gingival recession during fixed appliance therapy. Angle Orthod. 2002; 72: 238–245.

69. Renkema AM, Navratilova Z, Mazurova K, Katsaros C, Fudalej PS. Gingival labial recessions and the posttreatment proclination of mandibular incisors. Eur J Orthod. 2015; 37: 508–513.

70. Renkema AM, Fudalej PS, Renkema A, Bronkhorst E, Katsaros C. Gingival recessions and the change of inclination of mandibular incisors during orthodontic treatment. Eur J Orthod. 2013; 35: 249–255.

71. Melsen B, Allais D. Factors of importance fot the development of dehiscences during labial movement of mandibular incisors: A retrospective study of adult orthodontic patient. Am J Orthod Dentafacial Orthop. 2005; 127: 552–561.

72. Allais D, Melsen B. Does labial movement of lower incisors influence the level of the gingival margin? A case-control study of adult orthodontic patients.    Eur J Orthod. 2003; 25: 343–352.

73. Aziz T, Mir CF. A systematic review of the association between appliance-induced labial movement of mandibular incisors and gingival recession. Austr Orthodont J. 2011; 27(1): 33–39.

74. Ngan PW, et al. Grafted and ungrafted labial gingival recession in pediatric orthodontic patients. Quintessenz Int. 1991; 22(2): 103–111.

75. Renkema AM, Sips ET, Bronkhorst E, Kuijpers-Jagtman AM. A survey on orthodontic retention procedures in the Nederlands. Eur J Orthod. 2009; 31: 432–437.

76. Lai CS, Grossen JM, Renkema AM, Bronkhorst E, Fudalej PS, Katsaros C. Orthodontic retention procedures in Switzerland. Swiss Dent J. 2014; 124: 655–661.

77. Valiathan M, Hughes E. Results of survex-based study to identify common retention practices in the United States. Am J Orthod Dentofacial Orthop. 2010; 137: 170–177.

78. Fudalej PS, Renkema AM. A brief history of orthodontic retention. Br Dent J. 2021; 230(11): 777–780.

79. Dahl EH, Zachrisson BU. Long-term experience with direct-bonded lingual retainers. J Clin Orthod. 1991; 25: 619–630.

80. Pandis N, Vlahopoulos L, Madianos P, Eliades T. Long-term periodontal status of patients with mandibular lingual fixed retention. Eur J Orthod. 2007; 29: 471–476.

81. Kučera J, Littlewood SJ, Marek I. Fixed retention: pitfalls and complications. Br Dent J. 2021; 230(11): 703–708.

82. Kučera J, Marek I. Unexpected complications associated with mandibular fixed retainers: A retrospective study. Am J Orthod Dentofacial Orthop. 2016; 149(2): 202–211.

Labels
Maxillofacial surgery Orthodontics Dental medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#