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Gingivale retraksjonar - er kjeveortopedisk behandling ein risikofaktor?
Engelsk titel: Gingival recessions - is orthodontic treatment a risk factor? Läs online Författare: Hage, Kristin ; Daehlin, Marte S ; Midtbö, Marit ; Bunaes, Dagmar F ; Arnesen, Randi ; Ibrahim, Salah O ; Leknes, Bodil O ; Leknes, Knut N Språk: Nor Antal referenser: 63 Dokumenttyp: Artikel UI-nummer: 15033577

Tidskrift

Norske Tannlegeforenings Tidende 2015;125(3)244-52 ISSN 0029-2303 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

An increasing number of young patients with advanced gingival recessions in the lower front area have recently been referred for clinical examination and treatment. The majority of these patients have a history of past orthodontic treatment with fixed appliance. These buccal recessions in the lower front may cause cosmetic concern. The challenge is, however, that the loss of attachment is approaching the apex of the tooth. The literature has discussed whether fixed orthodontic therapy itself, or together with other factors, may cause gingival recession. Studies have shown conflicting results and currently no clear conclusions can be drawn. Definitely, the orthodontic treatment has to be carefully planned in patients with anatomical risk factors as narrow alveolar ridge, thin gingival biotype and buccal alveolar bone defects. In addition, light forces have to be applied allowing the alveolar bone to be remodeled. During treatment, the patients have to be instructed in daily oral hygiene to maintain gingival health. To prevent the occurrence of gingival recessions after treatment, the teeth have to be positioned in the alveolar bone and with a properly constructed and bonded lingual retainer. If gingival recession has to be treated, stable long term results can be obtained with orthodontic treatment, mucogingival surgery, or a combination of these. The objective of this article is to discuss important etiological factors and treatment alternatives, exemplified with two clinical cases.