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Mucogingival considerations for the orthodontic patient
1University of North Carolina, Chapel Hill, USA.
Current Opinion in Periodontology
|January 1, 1996
Summary
Gingival recession after orthodontic treatment can be predicted by assessing anatomical factors and inflammation. Early identification of risk factors is crucial for preventing or managing gingival recession.
Area of Science:
- Periodontology
- Orthodontics
- Gingival Health
Background:
- Gingival recession, characterized by the apical displacement of the gingival margin, can occur during or after orthodontic therapy.
- This recession can manifest as pseudorecession or true recession, necessitating careful evaluation of contributing factors.
- Understanding these factors is vital for clinicians to determine the need for surgical intervention and manage patient outcomes.
Purpose of the Study:
- To elucidate the predisposing and precipitating factors associated with gingival recession following orthodontic treatment.
- To guide clinicians in evaluating objective and subjective criteria for assessing recession risk.
- To inform treatment decisions and the potential need for surgical intervention or grafting procedures.
Main Methods:
- Evaluation of anatomical parameters including keratinized and attached gingival width.
- Assessment of the facial-to-lingual dimension of soft tissue and alveolus.
- Analysis of tooth position, angulation, marginal inflammation control, and mucogingival junction definition.
Main Results:
- Predisposing factors involve gingival anatomy, soft tissue dimensions, and tooth positioning.
- Precipitating factors include trauma, ranging from direct injury to plaque-induced inflammation.
- Controlling marginal inflammation is essential for accurate anatomical assessment and defining the mucogingival junction.
Conclusions:
- Gingival recession risk is multifactorial, influenced by both anatomical predispositions and iatrogenic trauma.
- Dynamic, multiple evaluations are necessary due to the evolving nature of the condition.
- Assessing potential donor and recipient sites for grafting is important for managing future recession cases.
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