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Gingival recession in orthodontic patients 10 to 15 years posttreatment: A retrospective cohort study.

Abstract The aims of this study were to retrospectively investigate the long-term development of gingival recession in a cohort of orthodontic patients and to compare the prevalence of gingival recession in orthodontically treated patients 10 to 15 years posttreatment to that of untreated subjects with malocclusion.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title american journal of orthodontics and dentofacial orthopedics : official publication of the american association of orthodontists, its constituent societies, and the american board of orthodontics
Publication Year Start




PMID- 29706212
OWN - NLM
STAT- MEDLINE
DCOM- 20180510
LR  - 20180510
IS  - 1097-6752 (Electronic)
IS  - 0889-5406 (Linking)
VI  - 153
IP  - 5
DP  - 2018 May
TI  - Gingival recession in orthodontic patients 10 to 15 years posttreatment: A
      retrospective cohort study.
PG  - 645-655
LID - S0889-5406(18)30053-2 [pii]
LID - 10.1016/j.ajodo.2017.08.020 [doi]
AB  - INTRODUCTION: The aims of this study were to retrospectively investigate the
      long-term development of gingival recession in a cohort of orthodontic patients
      and to compare the prevalence of gingival recession in orthodontically treated
      patients 10 to 15 years posttreatment to that of untreated subjects with
      malocclusion. METHODS: The sample included 88 patients with mean ages of 12.1
      years (SD, 2.4 years) at pretreatment, 15.1 years (SD, 2.4 years) at
      posttreatment, and 27.9 years (SD, 2.5 years) 10 to 15 years posttreatment. The
      control group comprised 102 untreated patients seeking orthodontic treatment with
      a mean age of 28.7 years (SD, 3.1 years). Gingival recession was evaluated on
      study models. RESULTS: The prevalence of both labial/buccal and lingual/palatal
      gingival recession increased during orthodontic treatment with further increases 
      during the long-term posttreatment period; 98.9% of the orthodontically treated
      participants had at least 1 labial/buccal recession, and 85.2% of the patients
      had at least 1 lingual/palatal recession 10 to 15 years posttreatment. In
      addition, the proportion of patients with multiple labial/buccal or
      lingual/palatal recession sites increased considerably in the same time period.
      The prevalences of labial/buccal gingival recession were similar in the
      orthodontically treated patients 10 to 15 years posttreatment and the untreated
      controls. Study group patients with a crossbite before treatment showed 2.73 more
      recessions (95% CI, 0.28-5.17; P = 0.029) than did those without a transverse
      discrepancy. Untreated subjects with crowding greater than 3 mm per arch had 3.29
      more recessions (95% CI, 0.73-5.68; P = 0.012) to 4.92 more recession sites (95% 
      CI, 1.70-8.15; P = 0.003) than did those with mild or no crowding. CONCLUSIONS:
      Within the limitations of this study, it seems that, in regard to the prevalence 
      of gingival recession, orthodontically treated patients are not compromised in
      the long term compared with those with malocclusion that was untreated for many
      years.
CI  - Copyright (c) 2018 American Association of Orthodontists. Published by Elsevier
      Inc. All rights reserved.
FAU - Gebistorf, Meret
AU  - Gebistorf M
AD  - Department of Orthodontics and Dentofacial Orthopedics, School of Dental
      Medicine/Medical Faculty, University of Bern, Bern, Switzerland.
FAU - Mijuskovic, Marco
AU  - Mijuskovic M
AD  - Department of Orthodontics and Dentofacial Orthopedics, School of Dental
      Medicine/Medical Faculty, University of Bern, Bern, Switzerland.
FAU - Pandis, Nikolaos
AU  - Pandis N
AD  - Department of Orthodontics and Dentofacial Orthopedics, School of Dental
      Medicine/Medical Faculty, University of Bern, Bern, Switzerland; private
      practice, Corfu, Greece.
FAU - Fudalej, Piotr S
AU  - Fudalej PS
AD  - Department of Orthodontics, Palacky University, Olomouc, Czech Republic;
      Department of Orthodontics and Dentofacial Orthopedics, School of Dental
      Medicine/Medical Faculty, University of Bern, Bern, Switzerland. Electronic
      address: [email protected]
FAU - Katsaros, Christos
AU  - Katsaros C
AD  - Department of Orthodontics and Dentofacial Orthopedics, School of Dental
      Medicine/Medical Faculty, University of Bern, Bern, Switzerland.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Orthod Dentofacial Orthop
JT  - American journal of orthodontics and dentofacial orthopedics : official
      publication of the American Association of Orthodontists, its constituent
      societies, and the American Board of Orthodontics
JID - 8610224
SB  - D
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Cohort Studies
MH  - Female
MH  - Gingival Recession/*etiology
MH  - Humans
MH  - Male
MH  - Orthodontics, Corrective/*adverse effects
MH  - Retrospective Studies
MH  - Time Factors
MH  - Young Adult
EDAT- 2018/05/01 06:00
MHDA- 2018/05/11 06:00
CRDT- 2018/05/01 06:00
PHST- 2017/04/01 00:00 [received]
PHST- 2017/08/01 00:00 [revised]
PHST- 2017/08/01 00:00 [accepted]
PHST- 2018/05/01 06:00 [entrez]
PHST- 2018/05/01 06:00 [pubmed]
PHST- 2018/05/11 06:00 [medline]
AID - S0889-5406(18)30053-2 [pii]
AID - 10.1016/j.ajodo.2017.08.020 [doi]
PST - ppublish
SO  - Am J Orthod Dentofacial Orthop. 2018 May;153(5):645-655. doi:
      10.1016/j.ajodo.2017.08.020.