바로가기메뉴

본문 바로가기 주메뉴 바로가기

ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

logo

메뉴

교정 치료 중인 환자의 치주수술

Mucogingival surgery for patients under orthodontic treatment

Abstract

Gingival recession is one of the common mucogingival problems during the orthodontic treatment. The causes of the gingival recession are similar to gingival recession in patients with periodontal diseases. Accumulation of bacterial deposits around the natural teeth induces the gingival inflammation and gingival recession occurs in the teeth with the lack of the supporting bone. However, malpositioned teeth which are labially positioned teeth or rotated teeth are more risky for gingival recession. Once root is exposed to oral cavity due to gingival recession, the orthodontic tooth movement is compromised and esthetic problems appeared. In addition, excessive gingival recession over the mucogingival junction jeopardizes the oral hygiene control, which has a risk of further gingival recession and bone loss around the tooth. To cover exposed root or to prevent further gingival recession, mucogingival surgery with gingival graft is recommended for the patients under orthodontic treatment. This case report aimed to present the mucogingival treatments of gingival recession observed during orthodontic treatment. Case I had had initial slight gingival recession before the orthodontic treatment. However, during the retraction phases, the gingival recession progressed and the periodontal treatment was referred. In case II, miller Class III gingival recession was occurred after correction of rotation. Both cases were treated by coronally advanced flap with free gingival grafts and recovered to the level of adjacent teeth despite of complete root coverage was not achieved in Case II. After periodontal treatment, orthodontic treatment was successfully completed. In conclusion, mucogingival surgery during the orthodontic treatment is recommended for the successful orthodontic treatment as well as periodontal health.

keywords
free gingival graft, gingival recession, mucogingival surgery, orthodontic treatment

참고문헌

1.

1. ADA. For the dental patient. Gingival recession:causes and treatment. J Am Dent Assoc 2007; 138(10): 1404.

2.

2. Kassab MM and Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc 2003; 134(2): 220-5.

3.

3. Joss-Vassalli I, Grebenstein C, Topouzelis N, Sculean A, Katsaros C. Orthodontic therapy and gingival recession: a systematic review. Orthod Craniofac Res 2010; 13(3): 127-41.

4.

4. Jati AS, Furquim LZ and Consolaro A. Gingival recession: its causes and types, and the importance of orthodontic treatment. Dental Press J Orthod 2016; 21(3): 18-29.

5.

5. Rana TK, Phogat M, Sharma T, Prasad N and Singh S. Management of gingival recession associated with orthodontic treatment: a case report. J Clin Diagn Res 2014; 8(7): ZD05-7.

6.

6. Delsol L and Bousquet P. Orthodontic treatment of gingival recession: indications. Orthod Fr 2011; 82(3): 269-78.

7.

7. Ericsson I, Thilander B, Lindhe J, Okamoto H. The effect of orthodontic tilting movements on the periodontal tissues of infected and non-infected dentitions in dogs. J Clin Periodontol 1977; 4(4):278-93.

8.

8. Smith RJ and Burstone CJ, Mechanics of tooth movement. Am J Orthod, 1984; 85(4): 294-307.

9.

9. Zucchelli G and De Sanctis M. Modified two-stage procedures for the treatment of gingival recession. Eur J Esthet Dent 2013; 8(1): 24-42.

logo