Retrospective Study on Orthodontic Gingival Recession Correction Using Clear Aligners
Abstract
:1. Introduction
- Recession type 1 (RT1) refers to gingival recession without interproximal attachment loss. The interproximal cementoenamel junction (CEJ) is not clinically detectable in the mesial and distal tooth parts. Complete coverage of the exposed tooth is possible.
- Recession type 2 (RT2) refers to the involvement of the interproximal attachment. The extent of interproximal attachment loss, measured by the distance from the interproximal CEJ to the interproximal depth, is typically less than or equal to the loss of vestibular attachment. This type of recession commonly occurs in malpositioned, rotated, or extruded vestibular teeth. While complete coverage of the exposed tooth may be achieved, the success rates are generally lower than RT1.
- Recession type 3 (RT3) is characterized by gingival recession with a loss of interproximal attachment, making the CEJ visible. The extent of interproximal attachment loss exceeds that of vestibular attachment loss. Achieving complete coverage of the roots is not feasible, but intervening to achieve a partial result is not contraindicated.
2. Materials and Methods
- Recession depth (RD) from the free gingival margin to the cementoenamel junction (CEJ);
- If present, loss of vestibular and interdental attachment or probing pocket depth (PPD), where gingival recession measurements were taken by two doctors, who then compared their results for validation, and if their measurements did not match, they repeated the process together.
3. Results
- -
- 9 in the upper central incisors;
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- 12 in the upper lateral incisors;
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- 29 in the lower central incisors;
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- 25 in the lower lateral incisors;
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- 12 in the upper canines;
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- 18 in the lower canines;
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- 22 in premolars;
- -
- 19 in molars.
4. Discussions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Initial Classification | Stayed the Same | Improved One Level | Improved Two Levels | Completely Resolved | Further Decreased |
---|---|---|---|---|---|
RT3 (n = 25) | 52% (13) | 32% (8) | 16% (4) | N/A | N/A |
RT2 (n = 62) | 21% (13) | 62.9% (39) | N/A | 16.1% (10) | N/A |
RT1 (n = 59) | 42.4% (25) | N/A | N/A | N/A | 57.6% (34) |
Category | Improved | Not Improved | Total |
---|---|---|---|
RT3 | 12 | 13 | 25 |
RT2 | 49 | 13 | 62 |
RT1 | 34 | 25 | 59 |
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Bucur, S.M.; Bud, E.; Decusară, M.; Olteanu, C.-D. Retrospective Study on Orthodontic Gingival Recession Correction Using Clear Aligners. Medicina 2024, 60, 2024. https://doi.org/10.3390/medicina60122024
Bucur SM, Bud E, Decusară M, Olteanu C-D. Retrospective Study on Orthodontic Gingival Recession Correction Using Clear Aligners. Medicina. 2024; 60(12):2024. https://doi.org/10.3390/medicina60122024
Chicago/Turabian StyleBucur, Sorana Maria, Eugen Bud, Mioara Decusară, and Cristian-Doru Olteanu. 2024. "Retrospective Study on Orthodontic Gingival Recession Correction Using Clear Aligners" Medicina 60, no. 12: 2024. https://doi.org/10.3390/medicina60122024
APA StyleBucur, S. M., Bud, E., Decusară, M., & Olteanu, C.-D. (2024). Retrospective Study on Orthodontic Gingival Recession Correction Using Clear Aligners. Medicina, 60(12), 2024. https://doi.org/10.3390/medicina60122024