Incidence of Gingival Recessions in Adolescent Orthodontic Patients Treated With Fixed Appliances and Lingual Retainer

IF 5.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2025-01-09 DOI:10.1111/jcpe.14097

Beatriz Celis, Javier Sanz‐Esporrin, Carina Verdasco, Rosa‐Maria Yañez‐Vico, Conchita Martin

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Abstract

AimTo evaluate risk indicators for gingival recessions (GRs) in the lower anterior teeth of orthodontic patients post treatment and during a retention period of at least 5 years, compared to non‐treated controls.Material and MethodsEighty‐nine orthodontically treated patients who were recession‐free before treatment were recruited. Demographic, cephalometric and occlusal records were retrieved before (T1) and after treatment (T2), and periodontal outcomes were clinically evaluated at least 5 years post retention (T3). Eighty‐eight non‐treated patients served as controls. Recession areas were digitally assessed and compared using t‐test and chi‐square tests, and a multiple linear regression model was built.ResultsIn the treated group, recession incidence was 11.24% at T2 and 67.42% at T3, all classified as type 1, class A (−). Among controls, recession prevalence was 15.91%, similar to the incidence at T2, but significantly lower than at T3. GR was most common in canines (1.85 mm2; 95% CI: 2.61–7.70; p < 0.005). Regression analysis identified higher incidence of recessions in female patients and in those with thin phenotype, high angle skeletal pattern, increased final inclination of lower incisors and greater probing depth.ConclusionsGR incidence after orthodontic treatment was comparable to controls but increased significantly post retention. Several risk indicators may predict GR occurrence.

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青少年正畸患者使用固定矫治器和舌固位器治疗牙龈衰退的发生率

目的评价正畸患者在治疗后和保留期至少5年的下前牙牙龈衰退（gr）的风险指标，与未治疗的对照组进行比较。材料与方法入选89例接受正畸治疗且治疗前无衰退的患者。在治疗前（T1）和治疗后（T2）检索人口统计学、头颅测量和咬合记录，并在留置后（T3）至少5年临床评估牙周结果。88名未接受治疗的患者作为对照组。使用t检验和卡方检验对衰退区域进行数字化评估和比较，并建立多元线性回归模型。结果治疗组T2和T3衰退发生率分别为11.24%和67.42%，均为1型，A级（−）。在对照组中，衰退发生率为15.91%，与T2相似，但显著低于T3。GR在犬中最为常见(1.85 mm2；95% ci: 2.61-7.70；p & lt;0.005)。回归分析发现，女性患者和瘦型、高角度骨骼模式、下门牙最终倾斜度增加和探探深度较大的患者的衰退发生率较高。结论正畸治疗后的sgr发生率与对照组相当，但留置后明显增加。一些风险指标可以预测GR的发生。

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.