Perceptions of NZ Orthodontists and Periodontists on the Management of Gingival Recession in Orthodontic Patients

Overview

Journal Aust Dent J

Specialty Dentistry

Date 2022 May 9

PMID 35527478

Authors

T Wang

R Zhao

R Yang

Y Li

H L Lien

L Mei

G Nogueira

Affiliations

Soon will be listed here.

Abstract

Background: This study aimed to investigate the perceptions and opinions of orthodontists and periodontists on the management of gingival recession in orthodontic patients.

Methods: An online survey was sent to 29 periodontists and 80 orthodontists registered and currently practising in New Zealand. All participants answered questions about the timing and clinical indications of mucogingival surgeries in orthodontic patients diagnosed with mucogingival deformities.

Results: Most periodontists and orthodontists believed that gingival grafts should ideally be performed after orthodontic treatment. In clinical practice, 40% of periodontists indicated that they would receive referrals after completion of orthodontic treatment. However, 29.6% of orthodontists indicated that they would refer to a periodontist before orthodontic treatment in clinical practice. The most crucial factor that affected periodontists' decision-making was 'evidence-based guidelines' (35.0%), followed by 'clinical experience' (30.0%) and 'patient concerns' (15.0%). All four factors of 'gingival phenotype', 'presence of gingival recession', 'amount of keratinised tissue' and 'planning specific tooth movements' were equally considered by orthodontists regarding their decision-making.

Conclusions: The majority of the surveyed New Zealand periodontists and orthodontists expressed a belief that the ideal timing for the management of gingival recessions would be after the completion of orthodontic treatment.

Citing Articles

Retrospective Study on Orthodontic Gingival Recession Correction Using Clear Aligners.

Bucur S, Bud E, Decusara M, Olteanu C Medicina (Kaunas). 2025; 60(12.

PMID: 39768904 PMC: 11728395. DOI: 10.3390/medicina60122024.

Lichen planus is associated with depression and anxiety: a cross-sectional study in the All of Us research program.

Hong S, Fan R, Cohen J Arch Dermatol Res. 2022; 315(5):1417-1419.

PMID: 36401617 DOI: 10.1007/s00403-022-02459-4.

References

Bonetti G, Alberti A, Sartini C, Incerti Parenti S . Patients' self-perception of dentofacial attractiveness before and after exposure to facial photographs. Angle Orthod. 2011; 81(3):517-24. PMC: 8923550. DOI: 10.2319/101510-606.1. View

Kalha A . Gingival recession and labial movement of lower incisors. Evid Based Dent. 2013; 14(1):21-2. DOI: 10.1038/sj.ebd.6400917. View

Maynard Jr J, OCHSENBEIN C . Mucogingival problems, prevalence and therapy in children. J Periodontol. 1975; 46(9):543-52. DOI: 10.1902/jop.1975.46.9.543. View

Cortellini P, Bissada N . Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Periodontol. 2018; 89 Suppl 1:S204-S213. DOI: 10.1002/JPER.16-0671. View

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. DOI: 10.1016/j.ajodo.2007.02.054. View

Boke F, Gazioglu C, Akkaya S, Akkaya M . Relationship between orthodontic treatment and gingival health: A retrospective study. Eur J Dent. 2014; 8(3):373-380. PMC: 4144137. DOI: 10.4103/1305-7456.137651. View

Greene P . The flexible gingival mask: an aesthetic solution in periodontal practice. Br Dent J. 1998; 184(11):536-40. DOI: 10.1038/sj.bdj.4809691. View

McComb J . Orthodontic treatment and isolated gingival recession: a review. Br J Orthod. 1994; 21(2):151-9. DOI: 10.1179/bjo.21.2.151. View

Gebistorf M, Mijuskovic M, Pandis N, Fudalej P, Katsaros C . Gingival recession in orthodontic patients 10 to 15 years posttreatment: A retrospective cohort study. Am J Orthod Dentofacial Orthop. 2018; 153(5):645-655. DOI: 10.1016/j.ajodo.2017.08.020. View

10.

Deo S, Shetty S, Kulloli A, Chavan R, Dholakia P, Ligade S . Efficacy of free gingival graft in the treatment of Miller Class I and Class II localized gingival recessions: A systematic review. J Indian Soc Periodontol. 2019; 23(2):93-99. PMC: 6434727. DOI: 10.4103/jisp.jisp_102_18. View

11.

Pini Prato G . Mucogingival deformities. Ann Periodontol. 2000; 4(1):98-101. DOI: 10.1902/annals.1999.4.1.98. View

12.

Ngan P, Burch J, Wei S . Grafted and ungrafted labial gingival recession in pediatric orthodontic patients: effects of retraction and inflammation. Quintessence Int. 1991; 22(2):103-11. View

13.

Allais D, Melsen B . Does labial movement of lower incisors influence the level of the gingival margin? A case-control study of adult orthodontic patients. Eur J Orthod. 2003; 25(4):343-52. DOI: 10.1093/ejo/25.4.343. View

14.

Lang N, Loe H . The relationship between the width of keratinized gingiva and gingival health. J Periodontol. 1972; 43(10):623-7. DOI: 10.1902/jop.1972.43.10.623. View

15.

Kalina E, Zadurska M, Gorski B . Postorthodontic lower incisor and canine inclination and labial gingival recession in adult patients : A prospective study. J Orofac Orthop. 2020; 82(4):246-256. PMC: 8233250. DOI: 10.1007/s00056-020-00263-1. View

16.

Jati A, Furquim L, Consolaro A . Gingival recession: its causes and types, and the importance of orthodontic treatment. Dental Press J Orthod. 2016; 21(3):18-29. PMC: 4944726. DOI: 10.1590/2177-6709.21.3.018-029.oin. View

17.

Pernet F, Vento C, Pandis N, Kiliaridis S . Long-term evaluation of lower incisors gingival recessions after orthodontic treatment. Eur J Orthod. 2019; 41(6):559-564. DOI: 10.1093/ejo/cjy086. View

18.

Caton J, Armitage G, Berglundh T, Chapple I, Jepsen S, Kornman K . A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018; 45 Suppl 20:S1-S8. DOI: 10.1111/jcpe.12935. View

19.

Kloukos D, Eliades T, Sculean A, Katsaros C . Indication and timing of soft tissue augmentation at maxillary and mandibular incisors in orthodontic patients. A systematic review. Eur J Orthod. 2013; 36(4):442-9. DOI: 10.1093/ejo/cjt073. View

20.

Soh J, Chew M, Chan Y . Perceptions of dental esthetics of Asian orthodontists and laypersons. Am J Orthod Dentofacial Orthop. 2006; 130(2):170-6. DOI: 10.1016/j.ajodo.2005.05.048. View