The association between spontaneous reversal of gingival recession in mandibular incisors and dentofacial changes in children. A 3-year longitudinal study

Background and Overview. Lingual eruption of the permanent maxillary central incisors in the early mixed dentition can result in a traumatic anterior crossbite, causing mobility and gingival recession to the opposing mandibular incisors.Case Description. This case report presents a common finding of a 7-year-old boy with a dental crossbite and pseudo-Class III malocclusion caused by lingual eruption of the maxillary central incisors. An interceptive phase of orthodontic treatment was provided by bonding a beveled resin turbo on the mandibular incisors. The crossbite was corrected in 3 months without any orthodontic appliances. In the absence of the traumatic occlusion, the mandibular incisors stabilized and the gingival tissue was expected to regenerate.Conclusions and Practical Implications. Dentists and orthodontists can place beveled resin turbos on the mandibular incisors to jump an anterior dental crossbite conservatively, without the use of orthodontic brackets and wires.

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Ten-year longitudinal study of gingival recession in dentists

Journal Of Clinical Periodontology ◽

10.1111/j.1600-051x.2011.01799.x ◽

2011 ◽

Vol 38 (12) ◽

pp. 1091-1098 ◽

Cited By ~ 22

Author(s):

Francesc Matas ◽

Joan Sentís ◽

Carlos Mendieta

Keyword(s):

Longitudinal Study ◽

Gingival Recession

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Application of Kazanjian’s vestibuloplasty in the prevention of gingival recession in children – a report of two cases

Nowa Stomatologia ◽

10.25121/ns.2019.24.1.34 ◽

2019 ◽

Vol 24 (1) ◽

Author(s):

Piotr Sobiech ◽

Marcin Szerszeń ◽

Julia Wiśniewska

Keyword(s):

Surgical Treatment ◽

Surgical Procedures ◽

Young Patients ◽

Normal Structure ◽

Gingival Recession ◽

Mandibular Incisor ◽

Stomatognathic System ◽

Attached Gingiva ◽

Spontaneous Reversal ◽

Extreme Care

The period of teeth replacement and the development of stomatognathic system are characterised by intense changes in the periodontium. The position of frenulum and the width of the attached gingiva begin to stabilise, but early abnormalities may contribute to disorders in normal structure and aesthetics. Mandibular incisor gingival recessions occurring in children during this period are not uncommon. Despite the possibility of spontaneous reversal with the development of the stomatognathic system, some patients require surgical treatment. Rapid intervention is necessary to prevent periodontal abnormalities from becoming permanent and to avoid greater destruction. We describe 2 cases of young patients undergoing vestibuloplasty by the Kazanjian technique. The choice of this approach was based on the surgical protocol, which could be used in a relatively cooperative patient. Surgical procedures in children must be rapid and generate predictable and safe treatment outcomes. It is also important that convalescence after the procedure does not limit patient’s functioning and requires no extreme care from the patient. The effects are fully satisfactory in terms of both aesthetics and health.

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