본문 바로가기
KERD
논문KCI 등재

Correlation analysis of gingival recession after orthodontic treatment in the anterior region: an evaluation of soft and hard tissues

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류치의학

초록

Purpose: The aim of this study was to investigate and identify the main causes of periodontal tissue change associated with labial gingival recession by examining the anterior region of patients who underwent orthodontic treatment. Methods: In total, 45 patients who had undergone orthodontic treatment from January 2010 to December 2015 were included. Before and after the orthodontic treatment, sectioned images from 3-dimensional digital model scanning and cone-beam computed tomography images in the same region were superimposed to measure periodontal parameters. The initial labial gingival thickness (IGT) and the initial labial alveolar bone thickness (IBT) were measured at 4 mm below the cementoenamel junction (CEJ), and the change of the labial gingival margin was defined as the change of the distance from the CEJ to the gingival margin. Additionally, the jaw, tooth position, tooth inclination, tooth rotation, and history of orthognathic surgery were investigated to determine the various factors that could have affected anterior periodontal tissue changes. Results: The mean IGT and IBT were 0.77±0.29 mm and 0.77±0.32 mm, respectively. The mean gingival recession was 0.14±0.57 mm. Tooth inclination had a significant association with gingival recession, and as tooth inclination increased labially, gingival recession increased by approximately 0.2 mm per 1°. Conclusions: In conclusion, the IGT, IBT, tooth position, tooth rotation, and history of orthognathic surgery did not affect labial gingival recession. However, tooth inclination showed a significant association with labial gingival recession of the anterior teeth after orthodontic treatment.

Abstract

Purpose: The aim of this study was to investigate and identify the main causes of periodontal tissue change associated with labial gingival recession by examining the anterior region of patients who underwent orthodontic treatment. Methods: In total, 45 patients who had undergone orthodontic treatment from January 2010 to December 2015 were included. Before and after the orthodontic treatment, sectioned images from 3-dimensional digital model scanning and cone-beam computed tomography images in the same region were superimposed to measure periodontal parameters. The initial labial gingival thickness (IGT) and the initial labial alveolar bone thickness (IBT) were measured at 4 mm below the cementoenamel junction (CEJ), and the change of the labial gingival margin was defined as the change of the distance from the CEJ to the gingival margin. Additionally, the jaw, tooth position, tooth inclination, tooth rotation, and history of orthognathic surgery were investigated to determine the various factors that could have affected anterior periodontal tissue changes. Results: The mean IGT and IBT were 0.77±0.29 mm and 0.77±0.32 mm, respectively. The mean gingival recession was 0.14±0.57 mm. Tooth inclination had a significant association with gingival recession, and as tooth inclination increased labially, gingival recession increased by approximately 0.2 mm per 1°. Conclusions: In conclusion, the IGT, IBT, tooth position, tooth rotation, and history of orthognathic surgery did not affect labial gingival recession. However, tooth inclination showed a significant association with labial gingival recession of the anterior teeth after orthodontic treatment.

참고문헌 (35)

  1. Rasperini G, "Influence of periodontal biotype on root surface exposure during orthodontic treatment : a preliminary study", Int J Periodontics Restorative Dent, 35, pp.665~675 (2015)
  2. Yared KF, "Periodontal status of mandibular central incisors after orthodontic proclination in adults", Am J Orthod Dentofacial Orthop, 130, pp.6.e1~6.e8 (2006)
  3. Renkema AM, "Gingival recessions and the change of inclination of mandibular incisors during orthodontic treatment", Eur J Orthod, 35, pp.249~255 (2013)
  4. Allais D, "Does labial movement of lower incisors influence the level of the gingival margin? A case-control study of adult orthodontic patients", Eur J Orthod, 25, pp.343~352 (2003)
  5. Årtun J, "Periodontal status of mandibular incisors after pronounced orthodontic advancement during adolescence : a follow-up evaluation", Am J Orthod Dentofacial Orthop, 119, pp.2~10 (2001)
  6. Closs LQ, "Occurrence, extension, and severity of gingival margin alterations after orthodontic treatment", World J Orthod, 9, pp.e1~e6 (2008)
  7. Slutzkey S, "Gingival recession in young adults: occurrence, severity, and relationship to past orthodontic treatment and oral piercing", Am J Orthod Dentofacial Orthop, 134, pp.652~656 (2008)
  8. Vasconcelos G, "Prevalence and severity of vestibular recession in mandibular incisors after orthodontic treatment", Angle Orthod, 82, pp.42~47 (2012)
  9. Melsen B, "Factors of importance for the development of dehiscences during labial movement of mandibular incisors : a retrospective study of adult orthodontic patients", Am J Orthod Dentofacial Orthop, 127, pp.552~561 (2005)
  10. Joss-Vassalli I, "Orthodontic therapy and gingival recession : a systematic review", Orthod Craniofac Res, 13, pp.127~141 (2010)
  11. Seibert J, "Textbook of clinical periodontology", pp.477~514 (1989), Munksgaard
  12. Claffey N, "Relationship of gingival thickness and bleeding to loss of probing attachment in shallow sites following nonsurgical periodontal therapy", J Clin Periodontol, 13, pp.654~657 (1986)
  13. Zawawi KH, "Gingival biotype in relation to incisors' inclination and position", Saudi Med J, 35, pp.1378~1383 (2014)
  14. Scheyer ET, "Periodontal soft tissue non-root coverage procedures: a consensus report from the AAP Regeneration Workshop", J Periodontol, 86, pp.S73~S76 (2015)
  15. Kim DM, "Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP Regeneration Workshop", J Periodontol, 86, pp.S56~S72 (2015)
  16. Olsson M, "Periodontal characteristics in individuals with varying form of the upper central incisors", J Clin Periodontol, 18, pp.78~82 (1991)
  17. Årtun J, "Periodontal status of mandibular incisors following excessive proclination. A study in adults with surgically treated mandibular prognathism", Am J Orthod Dentofacial Orthop, 91, pp.225~232 (1987)
  18. Kassab MM, "The etiology and prevalence of gingival recession", J Am Dent Assoc, 134, pp.220~225 (2003)
  19. Wennström JL, "Some periodontal tissue reactions to orthodontic tooth movement in monkeys", J Clin Periodontol, 14, pp.121~129 (1987)
  20. Fu JH, "Tissue biotype and its relation to the underlying bone morphology", J Periodontol, 81, pp.569~574 (2010)
  21. Kan JY, "Dimensions of peri-implant mucosa : an evaluation of maxillary anterior single implants in humans", J Periodontol, 74, pp.557~562 (2003)
  22. Greenberg J, "Transgingival probing as a potential estimator of alveolar bone level", J Periodontol, 47, pp.514~517 (1976)
  23. Sanz Martin I, "Prospective randomized controlled clinical study comparing two dental implant types : volumetric soft tissue changes at 1 year of loading", Clin Oral Implants Res, 27, pp.406~411 (2016)
  24. Cook DR, "Relationship between clinical periodontal biotype and labial plate thickness : an in vivo study", Int J Periodontics Restorative Dent, 31, pp.345~354 (2011)
  25. Downs WB, "Variations in facial relationships; their significance in treatment and prognosis", Am J Orthod, 34, pp.812~840 (1948)
  26. Ricketts RM, "Cephalometric analysis and synthesis", Angle Orthod, 31, pp.141~156 (1961)
  27. Bollen AM, "Secular trends in preadult orthodontic care in the United States : 1942–2002", Am J Orthod Dentofacial Orthop, 132, pp.579~585 (2007)
  28. Henneman S, "Mechanobiology of tooth movement", Eur J Orthod, 30, pp.299~306 (2008)
  29. Albandar JM, "Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988–1994", J Periodontol, 70, pp.30~43 (1999)
  30. Gorman WJ, "Prevalence and etiology of gingival recession", J Periodontol, 38, pp.316~322 (1967)
  31. Kim Y, "Alveolar bone loss around incisors in surgical skeletal class III patients", Angle Orthod, 79, pp.676~682 (2009)
  32. Boke F, "Relationship between orthodontic treatment and gingival health : a retrospective study", Eur J Dent, 8, pp.373~380 (2014)
  33. Djeu G, "Correlation between mandibular central incisor proclination and gingival recession during fixed appliance therapy", Angle Orthod, 72, pp.238~245 (2002)
  34. Wennström JL, "Mucogingival considerations in orthodontic treatment", Semin Orthod, 2, pp.46~54 (1996)
  35. Ngan PW, "Grafted and ungrafted labial gingival recession in pediatric orthodontic patients : effects of retraction and inflammation", Quintessence Int, 22, pp.103~111 (1991)

관련 논문AI추천

Three-dimensional structural analysis of the morphological condition of the alveolar bone before and after orthodontic treatmentTakashi Ono, Yasuhiro Shimizu대한치과교정학회 · 대한치과교정학회지2017 · 제47권 제6호Effects of soft tissue grafting prior to orthodontic treatment on preventing gingival recession in dogs김명지, 송영우, 정의원, 정희규, 차재국, 최윤정, 팽경원, 한서연대한치주과학회 · Journal of Periodontal & Implant Science2020 · 제50권 제4호Correlation analysis of periodontal tissue dimensions in the esthetic zone using a non-invasive digital method구영, 김윤정, 박지만, 조현재대한치주과학회 · Journal of Periodontal & Implant Science2021 · 제51권 제2호Effect of labiolingual inclination of a maxillary central incisor and surrounding alveolar bone loss on periodontal stress: A finite element analysisChung-Ju Hwang, Kee-Joon Lee, Sung-Hwan Choi, Young-Hoon Kim대한치과교정학회 · 대한치과교정학회지2016 · 제46권 제3호교정 치료와 관련된 하악 전치부 협측 치은 퇴축의위험성을 최소화하기 위한 골이식: 증례보고지숙, 백승진, 유지수, 정재숙대한치과의사협회 · 대한치과의사협회지2018 · 제56권 제4호Evaluation of changes in the maxillary alveolar bone after incisor intrusionBengisu Akarsu-Guven, Ezgi Atik, Hande Gorucu-Coskuner, Tulin Taner대한치과교정학회 · 대한치과교정학회지2018 · 제48권 제6호

이 간행물의 다른 논문 (6건)