Download PDF
Informationen aus Orthodontie & Kieferorthopädie 2016; 48(01): 23-28
DOI: 10.1055/s-0042-103024
Übersichtsartikel
© Georg Thieme Verlag KG Stuttgart · New York

Was tun bei gingivalen Rezessionen?[*]

What to Do in Case of Recessions?
I. Kapferer-Seebacher
1   Medizinische Universität, Universitätszahnklinik Innsbruck, Innsbruck, Österreich
› Author Affiliations
Further Information

Publication History

Publication Date:
14 April 2016 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Ästhetik und Dentinhypersensitivität sind aus Patientensicht unangenehme Folgen gingivaler Rezessionen. Aus medizinischer Sicht ist die freiliegende Wurzel eine Prädilektionsstelle für Karies und Abrasionen. Nicht jede Rezession muss chirurgisch gedeckt werden. Ein Stoppen der Progression mit Karies- und Abrasionsprophylaxe kann ebenso eine erfolgreiche Therapie darstellen. Entscheidend für den Therapieerfolg, egal ob chirurgisch oder nicht-chirurgisch, ist die Behandlung ätiologischer Faktoren, deshalb werden die prädisponierenden und auslösenden Faktoren in diesem Artikel ausführlich dargestellt.

Abstract

Aesthetics and dentine hypersensitivity are disagreeable consequences for patients with gingival recessions. From a medical point of view exposed roots are a preferred site for caries and abrasions. Not every recession has to be covered surgically. It can be equally successful to stop the progression of gingival recessions by caries and abrasion prophylaxis. Treatment of etiological factors is of utmost importance, regardless of surgical or non-surgical intervention. This is why the predisposing and triggering factors are described in detail in this article.

* Dieser Artikel ist im Original erschienen in der Zeitschrift Plaque n Care 3 (8) 2014, S. 112-118. Der Abdruck erfolgt mit freundlicher Genehmigung..


 

  • Literatur

  • 1 Periodontology AAo . Glossary of Periodontic Terms. Chicago, Illinois: American Academy of Periodontology; 2001
    Google Scholar
  • 2 Armitage GC. Development of a classification system for periodontal diseases and conditions. Annals of periodontology/the American Academy of Periodontology 1999; 4: 1-6
    CrossrefPubMedGoogle Scholar
  • 3 Miller Jr PD. A classification of marginal tissue recession. The International journal of periodontics & restorative dentistry 1985; 5: 8-13
    PubMedGoogle Scholar
  • 4 Sculean A, Hofmaenner P. Therapie multipler gingivaler Rezessionen. ZWP online 2010
    PubMedGoogle Scholar
  • 5 Renkema AM, Fudalej PS, Renkema AA et al. Gingival labial recessions in orthodontically treated and untreated individuals: a case – control study. Journal of clinical periodontology 2013; 40: 631-637
    CrossrefPubMedGoogle Scholar
  • 6 Renkema AM, Fudalej PS, Renkema A et al. Development of labial gingival recessions in orthodontically treated patients. American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 2013; 143: 206-212
    CrossrefPubMedGoogle Scholar
  • 7 Tugnait A, Clerehugh V. Gingival recession – its significance and management. Journal of dentistry 2001; 29: 381-394
    CrossrefPubMedGoogle Scholar
  • 8 Andlin-Sobocki A, Marcusson A, Persson M. 3-year observations on gingival recession in mandibular incisors in children. Journal of clinical periodontology 1991; 18: 155-159
    CrossrefPubMedGoogle Scholar
  • 9 Martinez-Canut P, Lorca A, Magan R. Smoking and periodontal disease severity. Journal of clinical periodontology 1995; 22: 743-749
    CrossrefPubMedGoogle Scholar
  • 10 Sarfati A, Bourgeois D, Katsahian S et al. Risk assessment for buccal gingival recession defects in an adult population. Journal of periodontology 2010; 81: 1419-1425
    CrossrefPubMedGoogle Scholar
  • 11 Susin C, Haas AN, Oppermann RV et al. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. Journal of periodontology 2004; 75: 1377-1386
    CrossrefPubMedGoogle Scholar
  • 12 Kozlowska M, Wawrzyn-Sobczak K, Karczewski JK et al. The oral cavity hygiene as the basic element of the gingival recession prophylaxis. Rocz Akad Med Bialymst 2005; 50 (Suppl. 01) 234-237
    PubMedGoogle Scholar
  • 13 Khocht A, Simon G, Person P et al. Gingival recession in relation to history of hard toothbrush use. Journal of periodontology 1993; 64: 900-905
    CrossrefPubMedGoogle Scholar
  • 14 Checchi L, Daprile G, Gatto MR et al. Gingival recession and toothbrushing in an Italian School of Dentistry: a pilot study. Journal of clinical periodontology 1999; 26: 276-280
    CrossrefPubMedGoogle Scholar
  • 15 Rajapakse PS, McCracken GI, Gwynnett E et al. Does tooth brushing influence the development and progression of non-inflammatory gingival recession? A systematic review. Journal of clinical periodontology 2007; 34: 1046-1061
    CrossrefPubMedGoogle Scholar
  • 16 Sgan-Cohen HD. Oral hygiene: past history and future recommendations. International journal of dental hygiene 2005; 3: 54-58
    CrossrefPubMedGoogle Scholar
  • 17 Kapferer I, Benesch T, Gregoric N et al. Lip piercing: prevalence of associated gingival recession and contributing factors. A cross-sectional study. Journal of periodontal research 2007; 42: 177-183
    CrossrefPubMedGoogle Scholar
  • 18 Kapferer I, Beier US, Persson RG. Tongue piercing: the effect of material on microbiological findings. The Journal of adolescent health: official publication of the Society for Adolescent Medicine 2011; 49: 76-83
    CrossrefPubMedGoogle Scholar
  • 19 Kapferer I, Beier US. Lateral lower lip piercing – prevalence of associated oral complications: a split-mouth cross-sectional study. Quintessence Int 2012; 43: 747-752
    PubMedGoogle Scholar
  • 20 Ziebolz D, Hildebrand A, Proff P et al. Long-term effects of tongue piercing–a case control study. Clinical oral investigations 2012; 16: 231-237
    CrossrefPubMedGoogle Scholar
  • 21 Pama-Benfenati S, Fugazzotto PA, Ferreira PM et al. The effect of restorative margins on the postsurgical development and nature of the periodontium. Part II. Anatomical considerations. The International journal of periodontics & restorative dentistry 1986; 6: 64-75
    PubMedGoogle Scholar
  • 22 van Palenstein Helderman WH, Lembariti BS, van der Weijden GA et al Gingival recession and its association with calculus in subjects deprived of prophylactic dental care. Journal of clinical periodontology 1998; 25: 106-111
    CrossrefPubMedGoogle Scholar
  • 23 Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review. Journal of clinical periodontology 2014; 41 (Suppl. 15) S44-S62
    CrossrefPubMedGoogle Scholar
  • 24 Graziani F, Gennai S, Roldan S et al. Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions. Journal of clinical periodontology 2014; 41 (Suppl. 15) S63-S76
    CrossrefPubMedGoogle Scholar
  • 25 Chambrone L, Chambrone D, Pustiglioni FE et al. The influence of tobacco smoking on the outcomes achieved by root-coverage procedures: a systematic review. J Am Dent Assoc 2009; 140: 294-306
    CrossrefPubMedGoogle Scholar
  • 26 Cortellini P, Pini Prato G. Coronally advanced flap and combination therapy for root coverage. Clinical strategies based on scientific evidence and clinical experience. Periodontology 2000 2012; 59: 158-184
    CrossrefPubMedGoogle Scholar
  • 27 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. Journal of periodontology 1999; 70: 1077-1084
    CrossrefPubMedGoogle Scholar
  • 28 Chambrone L, Pannuti CM, Tu YK et al. Evidence-based periodontal plastic surgery. II. An individual data meta-analysis for evaluating factors in achieving complete root coverage. Journal of periodontology 2012; 83: 477-490
    CrossrefPubMedGoogle Scholar