Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2023; 123(3): 59-67 | DOI: 10.51479/cspzl.2023.003

GINGIVAL RECESSION AND ORTHODONTIC TREATMENT

Janková A.^{1, 2}, Marek I.^{1, 2}, Vyhlídalová P.¹

¹ Klinika zubního lékařství, Lékařská fakulta Univerzity Palackého v Olomouci, a Fakultní nemocnice Olomouc

² Stomatologická klinika STOMMA, Břeclav

Introduction, aim: This article provides an overview of current knowledge on the relationship between orthodontic treatment and the emergence of gingival recession. It summarises the results of available studies published since 1973. The views of various authors are different. Gingival recession is multifactorial in origin, with the following cited as risk factors: dehiscence of the alveolar bone, gingival phenotype, thin biotype of the bone of the alveolar process, the shape of symphysis, dental malposition, the articulation of the dentition, inappropriate oral hygiene technique, tension of the mucosal folds and many others.

Methodology: The scientific databases PubMed, Science Direct, Google Scholar, Embase, and Web of Science were used for the research. Key words (gingival recession, orthodontic treatment, incisor protrusion, symphysis, gingival biotype) were entered into the search and articles were studied. Important facts and results of individual studies were written down.

Conclusion: The issue of recessions is complex and multifactorial. It is important to correctly assemble a treatment plan with regard to the condition of the periodontium, gingival phenotype, bone biotype of the alveolar process, facial skeleton (shape of the symphysis), level of dental hygiene as well as regular check-ups in the retention phase of treatment in order to avoid possible complications of fixed retainers.

Keywords: gingival recession, orthodontic treatment, incisor protrusion, symphysis, gingival biotype

Received: December 17, 2022; Revised: February 13, 2023; Accepted: February 13, 2023; Prepublished online: August 29, 2023; Published: September 11, 2023  Show citation