| Abstrakt: |
Background and Aims : The aim of the present retrospective study was to estimate the aetiological factors of gingival recession in an adult population sample. Materials and Methods : Study population consisted of 1,600 patients, aged 18 to 67 years which sought its regular dental follow up in a private dental practice. Gingival recession presented 768 patients, while 832 did not present. All patients were clinically examined regarding aspects such as presence of calculus and dental plaque, axial inclination of teeth, width and thickness of keratinized gingiva, gingivitis, failed restorations and frenul pull. In addition they answered questions regarding their oral hygiene and smoking habits. Statistical analysis of data was accomplished by chi-square test. Results : Presence of calculus and dental plaque were significantly associated with gingival recession (P<0.0001). Oral hygiene habits (tooth brushing method-frequency-type of toothbrush) were significant factors as well (P<0.0001). Low width and thickness of keratinized gingival were not significantly associated with gingival recession (P>0.1). Axial inclination of teeth, existence of prosthetic restoration and high frenum attachment were not significantly associated with gingival recession as well (P>0.1). Presence of gingivitis and smoking also were significantly associated with gingival recession (P<0.05 and P<0.0001, respectively). Conclusions : Presence of calculus, dental plaque, incorrect oral hygiene habits, gingivitis and smoking were the most important aetiological factors of gingival recession. Oral hygiene instructions including correct tooth brushing techniques as well as scaling and root planning with regular dental follow-up could play a significant role in prevention of biofilm accumulation. [ABSTRACT FROM AUTHOR] |
