Post-Orthodontic Lower Incisors Recessions: Combined Periodontic and Orthodontic Approach
| Autor: | Rachel Sarig, Fatma Rayyan, Vered Barzilay, Ilan Beitlitum, Alon Sebaoun |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Root surface Health Toxicology and Mutagenesis media_common.quotation_subject Gingiva lcsh:Medicine Class iii Recession Article Young Adult 03 medical and health sciences 0302 clinical medicine Humans root coverage Medicine 030212 general & internal medicine Gingival recession Retainer media_common Orthodontics Surgical approach business.industry lcsh:R Public Health Environmental and Occupational Health 030206 dentistry Middle Aged lingual retainer Root coverage gingival recession Incisor Treatment Outcome Tooth movement Periodontics Female connective tissue graft medicine.symptom orthodontics business Follow-Up Studies |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 21 International Journal of Environmental Research and Public Health, Vol 17, Iss 8060, p 8060 (2020) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17218060 |
| Popis: | The bonded lingual retainer (BLR) is considered a favorable choice for retaining lower incisors&rsquo alignment post-orthodontic treatment however, it may cause some unwanted effects such as inadvertent tooth movement and torque changes. These often result in gingival recession (Miller class III-type) with exposure of the root surface, which compromises the esthetics and hinders the comfort of the patient. Fifteen post-orthodontic patients presenting Miller class III-type recessions with BLR were examined. Two protocols were used: the first included the removal of the BLR prior to surgery and the second included only a surgical approach. All patients underwent the same surgery of a modified tunnel double papilla procedure for root coverage. The gingival recession was measured using a dental probe before, and three to six months post-surgery. The average improvement in recession depth was significantly greater (p = 0.008) for the protocol that included removal of the BLR (4.0 ± 0.83 mm) with an improvement of 87.2% as compared to the second protocol that showed an improvement of 43.8% (1.88 ± 1.29 mm). Removing the BLR prior to surgery is beneficial for predictable root coverage in post-orthodontic Miller class III recessions. |
| Databáze: | OpenAIRE |
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