Clinical Study on Effect of Soft Tissue Graft on Gingival Recession after Orthodontic Treatment

doi:10.13701/j.cnki.kqyxyj.2021.08.008

Abstract

Abstract: Objective: To evaluate the clinical outcomes of treatment of gingival recession after orthodontic treatment with soft tissue graft. Methods: Twelve patients with gingival recession after orthodontic treatment were treated with coronal advanced flap combined with connective tissue graft (CAF+CTG) or free gingival graft (FGG). Recession depth (RD), keratinized tissue width (KTW), pocket depth (PD), and root coverage rate (RC) at baseline and follow-up-one-year after treatment were recorded and analyzed. The satisfaction degree of patients was evaluated by visual analogue scale (VAS). Results: The mean RDs and KTWs at baseline and follow-up were (3.7±0.9) mm, (0.8±0.3) mm, (0.3±0.9) mm, and (3.8±0.6) mm, respectively. The mean RC at follow-up was (97.1±6.3)%. PD was decreased from (1.5±0.5) mm to (1.2±0.5) mm. The VAS value was 9.6±0.6 at one-year-follow-up. Root sensitivity was significantly improved. Conclusion: The coronal advanced flap combined with connective tissue graft (CAF+CTG) or free gingival graft (FGG) has ideal clinical outcomes and satisfaction for the treatment of gingival recession after orthodontic treatment.

Key words: orthodontic treatment, gingival recession, connective tissue graft, free gingival graft

LIU Dongxiao, XIA Liansong, HUANG Chuan. Clinical Study on Effect of Soft Tissue Graft on Gingival Recession after Orthodontic Treatment[J]. Journal of Oral Science Research, 2021, 37(8): 708-711.

References

[1] 孟焕新.牙周病学[M].第5版.北京:人民卫生出版社.
[2] Kassab MM, Cohen RE. The etiology and prevalence of gingival recession [J]. J Am Dent Assoc, 2003, 134(2):220-225.
[3] Slutzkey S, Levin L. Gingival recession in young adults: occurrence, severity, and relationship to past orthodontic treatment and oral piercing [J]. Am J Orthod Dentofacial Orthop, 2008, 134(5):652-656.
[4] Jati AS, Furquim LZ, Consolaro A. Gingival recession: its causes and types, and the importance of orthodontic treatment [J]. Dental Press J Orthod, 2016, 21(3):18-29.
[5] Richman C. Is gingival recession a consequence of an orthodontic tooth size and/or tooth position discrepancy? “A paradigm shift” [J]. Compend Contin Educ Dent, 2011, 32(1):62-69.
[6] Ko-Kimura N, Kimura-Hayashi M, Yamaguchi M, et al. Some factors associated with open gingival embrasures following orthodontic treatment [J]. Aust Orthod J, 2003, 19(1):19-24.
[7] 施优灵,韩光丽.正畸治疗中的牙龈退缩[J].国际口腔医学杂志,2014,41( 1) : 57-62.
[8] Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced flap procedures: systematic review [J]. J Clin Periodontol, 2008, 35(8 Suppl) : 136-162.
[9] Zucchelli G,De Sanctis M. Treatment of multiple recession-type defects in patients with esthetic demands [J]. J Periodontol,2000,71( 9) : 1506-1514.
[10] Menceva Z, Dimitrovski O, Popovska M, et al. Free gingival graft versus mucograft: histological evaluation [J]. Open Access Maced J Med Sci, 2018, 6(4): 675-679.
[11] O'Leary TJ, Drake RB, Naylor JE. The plaque control record [J]. J Periodontol, 1972,43(1): 38.
[12] Ainamo J, Bay I. Problems and proposalsfor recording gingivitis and plaque [J]. Int Dent J, 1975, 25(4): 229-235.
[13] Zucchelli G, Marzadori M, Mounssif I, et al. Coronally advanced flap⁺ connective tissue graft techniques for the treatment of deep gingival recession in the lower incisors. A controlled randomized clinical trial [J]. J Clin Periodontol, 2014, 41(8): 806-813.
[14] Rosetti EP, Marcantonio E Jr, Zuza EP, et al. Root coverage stability of the subepithelial connective tissue graft and guided tissue regeneration: A 30-month follow-up clinical trial [J]. J Dent, 2013, 41(2):114-120.
[15] Sedon CL, Breault LG, Covington LL, et al. The subepithelial connective tissue graft: part Ⅱ. Histologic healing and clinical root coverage [J]. J Contemp Dent Pract, 2005, 6(2):139-150.
[16] Polson AM, Proye MP. Effect of root surface alterations on periodontal healing. Ⅱ. Citric acid treatment of the denuded root [J]. J Clin Periodontol, 1982, 9(6):441-454.
[17] Pini-Prato G, Baldi C, Pagliaro U, et al. Coronally advanced flap procedure for root coverage. Treatment of root surface: root planning versus polishing [J]. J Periodontol, 1999, 70(9):1064-1076.
[18] 柴红波,廖海清,曹正国.上皮下结缔组织移植术对牙龈退缩治疗效果的Meta分析[J].口腔医学研究,2014,30(9),897-901.
[19] 张慧慧,李明丽,李成章.侧向转位瓣结合上皮下结缔组织移植治疗重度Miller Ⅲ°牙龈退缩1例[J].口腔医学研究,2018,34(5):572-574.
[20] Geiger AM. Mucogingival problems and the movement of mandibular incisors: A clinic review [J]. Am J Orthod, 1980, 78(5):511-527.
[21] Trossello VK, Gianelly AA. Orthodontic treatment and periodontal status [J]. J Periodon, 1979, 50(12):665-671.
[22] Pikdoken L, Erkan M, Usumez S. Gingival response to mandibular incisor extrusion [J]. Am J Orthod Dentofacial Orthop, 2009, 135(4):432-433.
[23] Erkan M, Pikdoken L, Usumez S. Gingival response to mandibular incisor intrusion [J]. Am J Orthod Dentofacial Orthop, 2007, 132(2): 143.e9-13.