2016, Número 1
<< Anterior Siguiente >>
Gac Med Mex 2016; 152 (1)
Parámetros clínicos y periodontales predictores de la severidad de la recesión gingival (RG)
García RA, Bujaldón DAL, Rodríguez AA
Idioma: Español
Referencias bibliográficas: 42
Paginas: 51-58
Archivo PDF: 93.09 Kb.
RESUMEN
Introducción: La RG es una condición antiestética por la exposición de la raíz dental. Puede conducir a hipersensibilidad
dental, caries radicular y pérdida dentaria.
Objetivo: Determinar la influencia de distintos parámetros clínicos y periodontales
sobre la severidad de la RG evaluada en el momento inicial del estudio y a los 6, 12 y 18 meses.
Material y métodos: Se
estudiaron los siguientes parámetros en 40 pacientes con RG: edad, sexo, enfermedades sistémicas, hábitos (nocivos, de
higiene bucodental y parafuncionales) y tratamiento de ortodoncia. También se evaluó el estado periodontal (índice de placa,
índice de sangrado gingival, pérdida de encía insertada, profundidad de sondaje y pérdida de inserción).
Resultados:
Ninguno de los parámetros clínicos estudiados influyó sobre el número de dientes con RG. Los pacientes fumadores tuvieron
un mayor número de dientes con pérdida de encía insertada (p = 0.03). Se observó una relación directa entre la severidad
de la RG y el índice de placa (p = 0.02) o la pérdida de inserción de 4-6 mm (p = 0.04). A los seis meses, el índice de
sangrado gingival fue el único parámetro que influyó sobre la severidad de la recesión (p = 0.01).
REFERENCIAS (EN ESTE ARTÍCULO)
Smith RG. Gingival recession: reappraisal of an enigmatic condition and a new index for monitoring. J Clin Periodontol. 1997;24(3):201-5.
Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5(2):8-13.
Pires IL, Cota LO, Oliveira AC, Costa JE, Costa FO. Association between periodontal condition and use of tongue piercing: a case-control study. J Clin Periodontol. 2010;37(8):712-8.
Rios FS, Costa RS, Moura MS, Jardim JJ, Maltz M, Haas AN. Estimates and multivariable risk assessment of gingival recession in the population of adults from Porto Alegre, Brazil. J Clin Periodontol. 2014;41(11): 1098-107.
Toker H, Ozdemir H. Gingival recession: epidemiology and risk indicators in a university dental hospital in Turkey. Int J DentHyg. 2009; 7(2):115-20.
Minaya-Sánchez M, Medina-Solís CE, Vallejos-Sánchez AA, et al. Gingival recession and associated factors in a homogeneous Mexican adult male population: a cross-sectional study. Med Oral Patol Oral Cir Bucal. 2012;17(5):e807-13.
Löe H, Anerud A, Boysen H. The natural history of periodontal disease in man: prevalence, severity and extent of gingival recession. J Periodontol. 1992;63(6):489-95.
Shearer DM, Thomson WM, Caspi A, Moffitt TE, Broadbent JM, Poulton R. Inter-generational continuity in periodontal health: findings from the Dunedin family history study. J Clin Periodontol. 2011;38(4):301-9.
Daprile G, Gatto MR, Checchi L. The evolution of buccal gingival recessions in a student population: a 5-year follow-up. J Periodontol. 2007;78(4):611-4.
Chrysanthakopoulos NA. Occurrence, extension and severity of the gingival recession in a greek adult population sample. J Periodontol Implant Dent. 2010;2:37-42.
Slutzkey S, Levin L. Gingival recession in young adults: occurrence, severity and relationship to past orthodontic treatment and oral piercing. Am J Orthod Dentofacial Orthop. 2008;134(5):652-6.
Boke F, Gazioglu C, Akkaya S, Akkaya M. Relationship between orthodontic treatment and gingival health: A retrospective study. Eur J Dent. 2014;8(3):373-80.
Aziz T, Flores-Mir C. A systematic review of the association between appliance-induced labial movement of mandibular incisors and gingival recession. Aust Orthod J. 2011;27(1):33-9.
Kalha A. Gingival recession and labial movement of lower incisors. Evid Based Dent. 2013;14(1):21-2.
Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects? J Dent. 2008;36(9):659-71.
Ahathya RS, Deepalakshmi D, Ramakrishnan T, Ambalavanan N, Emmadi P. Subepithelial connective tissue grafts for the coverage of denuded root surfaces: a clinical report. Indian J Dent Res. 2008;19(2):134-40.
Pagliaro U, Nieri M, Franceshi D. Evidence-based mucogingival therapy. Part 1: A critical review of the literature on root coverage procedures. J Periodontol. 2003;74(5):709-40.
O’Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol. 1972;43(1):38.
Matas F, Sentís J, Mendieta C. Ten-year longitudinal study of gingival recession in dentists. J Clin Periodontol. 2011;38(12):1091-8.
Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134(2):220-5.
Lovegrove J, Leichter J. Exposed root surface: a review of etiology, management and evidence-based outcomes of treatment. N Z Dent J. 2004;100(3):72-81.
Müller HP, Eger T. Masticatory mucosa and periodontal phenotype: a review. Int J Periodontics Restorative Dent. 2002;22(2):172-83.
Humagain M, Kafle D. The evaluation of prevalence, extension and severity of gingival recession among rural nepalese adults. Orthod J Nepal. 2013;3:41-6.
Marini MG, Greghi SL, Passanezi E, Santana AC. Gingival recession: prevalence, extension and severity in adults. J Appl Oral Sci. 2004;12(3): 250-5.
Addy M, Mostafa P, Newcombe RG. Dentine hypersensitivity: the distribution of recession, sensitivity and plaque. J Dent. 1987;15(6):242-8.
Gorman WJ. Prevalence and etiology of gingival recession. J Periodontol. 1967;38(4):316-22.
Joshipura KJ, Kent RL, DePaola PF. Gingival recession: intra-oral distribution and associated factors. J Periodontol. 1994;65(9):864-71.
Serino G, Wennström JL, Lindhe J, Eneroth L. The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene. J Clin Periodontol. 1994;21(1):57-63.
Albandar JM, Kingman A. Gingival recession, gingival bleeding and dental calculus in adults 30 years of age and older in the United States, 1988-1994- National Institute of Dental and Craniofacial Research, National Institutes of Health. J Periodontol. 1999;70(1):30-43.
Susin C, Haas AN, Oppermann RV, Haugejorden O, Albandar JM. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol. 2004;75(10):1377-86.
Tugnait A, Clerehugh V. Gingival recession-its significance and management. J Dent. 2001;29(6):381-94.
Martinez-Canut P, Lorca A, Magán R. Smoking and periodontal disease severity. J Clin Periodontol. 1995;22(10):734-49.
Lang N, Löe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol. 1972;43(10):623-7.
Mehta P, Lim LP. The width of the attached gingiva-much ado about nothing? J Dent. 2010;38(7):517-25.
Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. The influence of tobacco smoking on the outcomes achieved by root-coverage procedures: a systematic review. J Am Dent Assoc. 2009;140(3):294-306.
Checchi L, Daprile G, Gatto MRA, Pelliccioni A. Gingival recession and toothbrushing in an Italian School of Dentistry: a pilot study. J Clin Periodontol. 1999;26(5):276-80.
Khocht A, Simon G, Person P, Denepitiya JL. Gingival recession in relation to history of hard toothbrush use. J Periodontol. 1993;64(9):900-5.
Vehkalahti M. Ocurrence of gingival recession in adults. J Periodontol 1989;60(11):599-603.
Litonjua LA, Andreana S, Bush PJ, Cohen RE. Toothbrushing and gingival recession. Int Dent J. 2003;53(2):67-72.
Ericsson I, Lindhe J. Recession in sites with inadequate width of the keratinized gingiva. An experimental study in the dog. J Clin Periodontol. 1984;11(2):95-103.
Steiner GG, Pearson JK, Ainamo J. Changes of the marginal periodontium as a result of labial tooth movement in monkeys. J Periodontol. 1981;52(6):314-20.
Richman C. Is gingival recession a consequence of an orthodontic tooth size and/or tooth position discrepancy? “A paradigm shift”. Compend Contin Educ Dent. 2011;32(4):e73-9.