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ZWR - Das Deutsche Zahnärzteblatt 2016; 125(09): 416-422
DOI: 10.1055/s-0042-112214
Fortbildung – Kieferorthopädie
Georg Thieme Verlag KG Stuttgart · New York

Kieferorthopädie und gingivale Rezessionen

K. Bertl
1   Malmö, SWE
› Author Affiliations
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Publication Date:
28 September 2016 (online)

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Eine kieferorthopädische Behandlung als Risikofaktor für gingivale Rezessionen wird nach wie vor kontrovers diskutiert. Jedoch wiesen rezente Studien einen signifikanten Anstieg sowie eine gegenüber der Kontrollgruppe erhöhte Prävalenz an gingivalen Rezessionen in der Retentionsphase nach kieferorthopädischer Behandlung auf. Aber weder die Frage nach der Notwendigkeit einer „prophylaktischen“ Weichgewebsaugmentation vor einer kieferorthopädischen Behandlung noch die Frage nach dem optimalen Zeitpunkt zur Deckung einer bereits bestehenden gingivalen Rezession ist anhand der Literatur eindeutig zu beantworten. Die Entscheidung, ob und wann eine kombinierte parodontologisch-kieferorthopädische Behandlung erfolgen sollte, ist nach wie vor subjektiv und nicht evidenz-basiert zu treffen.

 

  • Literatur

  • 1 Susin C, Haas AN, Oppermann RV et al. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol 2004; 75: 1377-1386
    CrossrefPubMedGoogle Scholar
  • 2 Bertl K, Durstberger G, Ulm C. Von der Planung bis zur Deckung gingivaler Rezessionen. Stomatologie 2013; 110: 21-26
    PubMedGoogle Scholar
  • 3 Wedrychowska-Szulc B, Syrynska M. Patient and parent motivation for orthodontic treatment – a questionnaire study. Eur J Orthod 2010; 32: 447-452
    CrossrefPubMedGoogle Scholar
  • 4 Wennstrom JL. Mucogingival considerations in orthodontic treatment. Semin Orthod 1996; 2: 46-54
    CrossrefPubMedGoogle Scholar
  • 5 Boke F, Gazioglu C, Akkaya S et al. Relationship between orthodontic treatment and gingival health: A retrospective study. Eur J Dent 2014; 8: 373-380
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Yared KF, Zenobio EG, Pacheco W. Periodontal status of mandibular central incisors after orthodontic proclination in adults. Am J Orthod Dentofacial Orthop 2006; 130: 6.e1-6.e8
    PubMedGoogle Scholar
  • 7 Renkema AM, Navratilova Z, Mazurova K et al. Gingival labial recessions and the post-treatment proclination of mandibular incisors. Eur J Orthod 2014;
    PubMedGoogle Scholar
  • 8 Renkema AM, Fudalej PS, Renkema A et al. Gingival recessions and the change of inclination of mandibular incisors during orthodontic treatment. Eur J Orthod 2013; 35: 249-255
    CrossrefPubMedGoogle Scholar
  • 9 Joss-Vassalli I, Grebenstein C, Topouzelis N et al. Orthodontic therapy and gingival recession: a systematic review. Orthod Craniofac Res 2010; 13: 127-141
    CrossrefPubMedGoogle Scholar
  • 10 Aziz T, Flores-Mir C. A systematic review of the association between appliance-induced labial movement of mandibular incisors and gingival recession. Aust Orthod J 2011; 27: 33-39
    PubMedGoogle Scholar
  • 11 Renkema AM, Fudalej PS, Renkema A et al. Development of labial gingival recessions in orthodontically treated patients. Am J Orthod Dentofacial Orthop 2013; 143: 206-212
    CrossrefPubMedGoogle Scholar
  • 12 Renkema AM, Fudalej PS, Renkema AA et al. Gingival labial recessions in orthodontically treated and untreated individuals: a case – control study. J Clin Periodontol 2013; 40: 631-637
    CrossrefPubMedGoogle Scholar
  • 13 Vasconcelos G, Kjellsen K, Preus H et al. Prevalence and severity of vestibular recession in mandibular incisors after orthodontic treatment. Angle Orthod 2012; 82: 42-47
    CrossrefPubMedGoogle Scholar
  • 14 Baldi C, Pini-Prato G, Pagliaro U et al. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. J Periodontol 1999; 70: 1077-1084
    CrossrefPubMedGoogle Scholar
  • 15 Huang LH, Neiva RE, Wang HL. Factors affecting the outcomes of coronally advanced flap root coverage procedure. J Periodontol 2005; 76: 1729-1734
    CrossrefPubMedGoogle Scholar
  • 16 Kloukos D, Eliades T, Sculean A et al. Indication and timing of soft tissue augmentation at maxillary and mandibular incisors in orthodontic patients. A systematic review. Eur J Orthod 2014; 36: 442-449
    CrossrefPubMedGoogle Scholar
  • 17 Maynard JGJ, Ochsenbein C. Mucogingival problems, prevalence and therapy in children. J Periodontol 1975; 46: 543-552
    CrossrefPubMedGoogle Scholar
  • 18 Ngan PW, Burch JG, Wei SH. Grafted and ungrafted labial gingival recession in pediatric orthodontic patients: effects of retraction and inflammation. Quintessence Int 1991; 22: 103-111
    PubMedGoogle Scholar
  • 19 Chambrone L, Chambrone D, Pustiglioni FE et al. Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects?. J Dent 2008; 36: 659-671
    CrossrefPubMedGoogle Scholar
  • 20 Roccuzzo M, Bunino M, Needleman I et al. Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol 2002; 29 (Suppl. 03) 178-194 discussion 195
    CrossrefPubMedGoogle Scholar
  • 21 Johal A, Katsaros C, Kiliaridis S et al. State of the science on controversial topics: orthodontic therapy and gingival recession (a report of the Angle Society of Europe 2013 meeting). Prog Orthod. 2013 14. 16
    PubMedGoogle Scholar
  • 22 Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP regeneration workshop. J Periodontol 2015; 86: S56-S72
    CrossrefPubMedGoogle Scholar
  • 23 Pini-Prato GP, Cozzani G, Magnani C et al. Healing of gingival recession following orthodontic treatment: a 30-year case report. Int J Periodontics Restorative Dent 2012; 32: 23-27
    PubMedGoogle Scholar
  • 24 Zucchelli G, Parenti SI, Ghigi G et al. Combined orthodontic – mucogingival treatment of a deep post-orthodontic gingival recession. Eur J Esthet Dent 2012; 7: 266-280
    PubMedGoogle Scholar
  • 25 Artun J, Krogstad O. Periodontal status of mandibular incisors following excessive proclination. A study in adults with surgically treated mandibular prognathism. Am J Orthod Dentofacial Orthop 1987; 91: 225-232
    CrossrefPubMedGoogle Scholar