Gingival labial recessions in orthodontically treated and untreated individuals: a case – control study. (16th April 2013)

• Record Type: Journal Article
• Authors: Renkema, Anne Marie; Fudalej, Piotr S.; Renkema, Alianne A. P.; Abbas, Frank; Bronkhorst, Ewald; Katsaros, Christos
• Is Part Of: Journal of clinical periodontology. Volume 40:Number 6(2013:Jun.)
• Page Start: 631
• Page End: 637
• Publication Date: 2013-04-16
• Subjects: Periodontics -- Periodicals; 617.6
• DOI: 10.1111/jcpe.12105
• Languages: English
• ISSNs: 0303-6979

Abstract

<abstract abstract-type="main" xml:lang="en" id="jcpe12105-abs-0001"> <title>Abstract</title> <sec id="jcpe12105-sec-0001" sec-type="section"> <title>Objectives</title> <p>To evaluate the long‐term development of labial gingival recessions during orthodontic treatment and retention phase.</p> </sec> <sec id="jcpe12105-sec-0002" sec-type="section"> <title>Material and Methods</title> <p>In this retrospective case–control study, the presence of gingival recession was scored (Yes or No) on plaster models of 100 orthodontic patients (cases) and 120 controls at the age of 12 (T<sub>12</sub>), 15 (T<sub>15</sub>), 18 (T<sub>18</sub>), and 21 (T<sub>21</sub>) years. In the treated group, T<sub>12</sub> reflected the start of orthodontic treatment and T<sub>15</sub> – the end of active treatment and the start of retention phase with bonded retainers. Independent <italic>t</italic>‐tests, Fisher's exact tests and a fitted two‐part "hurdle" model were used to identify the effect of orthodontic treatment/retention on recessions.</p> </sec> <sec id="jcpe12105-sec-0003" sec-type="section"> <title>Results</title> <p>The proportion of subjects with recessions was consistently higher in cases than controls. Overall, the odds ratio for orthodontic patients as compared with controls to have recessions is 4.48 (<italic>p</italic> < 0.001; 95% CI: 2.61–7.70).</p> </sec> <sec id="jcpe12105-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Within the limits of the present research design, orthodontic treatment and/or the retention phase may be risk factors for the development of labial gingival recessions. In orthodontically treated subjects, mandibular incisors seem to be the most vulnerable to the development of gingival recessions.</p> </sec> </abstract>