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Recessão gengival em consequência do tratamento ortodôntico : revisão
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Abstract(s)
A recessão gengival é comumente observada em ambiente clínico, tanto na população jovem como adulta e afeta, entre outros, o aspeto estético do sorriso. São vários os fatores envolvidos na sua etiologia, e sabe-se que o fator idade desempenha um papel importante. O movimento ortodôntico é obtido através do turn-over ósseo provocado por forças aplicadas sobre os dentes, de modo a movê-los dentro do seu osso alveolar. Os brackets e as bandas ortodônticas diminuem a eficácia da higiene oral e favorecem a acumulação de placa, influenciando a saúde periodontal. A inter-relação entre a movimentação dentária ortodôntica e a recessão gengival tem sido uma questão discutida na literatura periodontal e ortodôntica. O movimento dentário está relacionado com as interações dos dentes com os seus tecidos periodontais de suporte, podendo, um movimento dentário ortodôntico originar recessões gengivais. As expectativas estéticas por parte dos pacientes constituem um fator major que o ortodontista tem que ter em consideração quando elabora o plano de tratamento ortodôntico. Deste modo é fundamental o ortodontista saber identificar os pacientes com maior risco para o aparecimento de recessões gengivais. Este trabalho tem como objetivo, pela revisão da literatura, verificar se a movimentação ortodôntica pode desencadear a recessão gengival, e quais os fatores envolvidos neste processo.
In the clinical practice, gingival recession is often observed in the younger as well as in the older generations and affects the esthetic appearance of the smile. There isn´t one specific factor or mechanisms known yet that causes it´s etiology but age might play an important role in it´s severity. The orthodontic tooth movement is accomplished by inducing a bone turn-over in order to move the teeth within the alveolus. Periodontal health is influenced by the orthodontic appliances, like the brackets and bands that hinder oral hygiene effectiveness and increase plaque accumulation. In the orthodontic and periodontic literature the interrelationship between the orthodontic tooth movement and gingival recession has been widely discussed. Orthodontic tooth movement is related to the interactions between the teeth and their periodontal support tissues so that the tooth movement outside of the limits of the alveolus bone might result in gingival recession. Nowadays, patients are more aware of their esthetic appearances and it plays a major role which can overrule the occlusal function. This has to be taken into consideration by the orthodontist when he elaborates the orthodontic treatment plan for the patient as well as identify which patients are more predisposed for developing gingival recession. This review examined the existing literature regarding the correlation between the orthodontic tooth movement and the appearance of gingival recession.
In the clinical practice, gingival recession is often observed in the younger as well as in the older generations and affects the esthetic appearance of the smile. There isn´t one specific factor or mechanisms known yet that causes it´s etiology but age might play an important role in it´s severity. The orthodontic tooth movement is accomplished by inducing a bone turn-over in order to move the teeth within the alveolus. Periodontal health is influenced by the orthodontic appliances, like the brackets and bands that hinder oral hygiene effectiveness and increase plaque accumulation. In the orthodontic and periodontic literature the interrelationship between the orthodontic tooth movement and gingival recession has been widely discussed. Orthodontic tooth movement is related to the interactions between the teeth and their periodontal support tissues so that the tooth movement outside of the limits of the alveolus bone might result in gingival recession. Nowadays, patients are more aware of their esthetic appearances and it plays a major role which can overrule the occlusal function. This has to be taken into consideration by the orthodontist when he elaborates the orthodontic treatment plan for the patient as well as identify which patients are more predisposed for developing gingival recession. This review examined the existing literature regarding the correlation between the orthodontic tooth movement and the appearance of gingival recession.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Recessão gengival Movimento ortodôntico Pro-inclinação incisiva Tratamento ortodôntico