scholarly journals THE INFLUENCE OF THE AGE ON THE PREVALENCE OF GINGIVAL RECESSION IN PATIENTS WITH PERIODONTITIS

2020 ◽  
pp. 25-31
Author(s):  
P. Mazur ◽  
I. M. Suprunovych
Keyword(s):  
Oral Cavity ◽  
Soft Tissues ◽  
Age Groups ◽  
Gingival Recession ◽  
Root Surface ◽  
Population Exposure ◽  
Moderate Degree ◽  
Gingival Margin ◽  
Periodontal Tissues ◽  
Study Results

Gingival recession is a common clinical condition in the dental practice, which is characterized by the root surface exposure due to the apical displacement of the marginal gingival tissues. Since the teeth' root surfaces become open to the environment of the oral cavity, the consequences of gingival recession are a disturbance of aesthetics (mainly when they occur in the frontal area), the development of hypersensitivity root caries, and non-carious cervical lesions. Despite the numerous studies carried out, the exact mechanism of the development of gingival recession is not fully understood, and it is generally accepted that it has a multifactorial etiology. Gingival recession can occur directly due to an infectious and inflammatory process in the periodontal tissues, anatomical features, as a result of the effect of mechanical or iatrogenic factors on soft tissues, or their action in combination with each other. The prevalence of gingival recessions worldwide varies from 22 to 100% and mainly depends on age, the size of the studied population, diagnostic criteria, and statistical data processing methods.  The aim was to determine the influence of age on the prevalence of gingival recession in patients with periodontitis.  Materials and methods. One hundred thirty-three patients with periodontitis aged 29 to 59 years were included in the study and divided into four groups according to their age: 20–29 years, 30–39 years, 40–49 years, 50–59 years. Inclusion criteria were the presence of periodontitis, age over 20 years, and the presence of more than 20 teeth in the oral cavity.  Participants were interviewed about demographic data, smoking status, and oral hygiene skills. All patients underwent a clinical examination using the clinical and instrumental program Florida Probe system. Gingival recession was recorded in the presence of root surface exposure of 1 mm or more. According to the size of the exposed surfaces of the tooth roots, three degrees of severity of gingival recession were assessed: mild gingival recession (less than 3 mm), moderate gingival recession (3 to 4 mm), severe gingival recession (5 mm or more). The severity of gingival recession was estimated in mm as the distance between the cemento-enamel junction and the gingival margin. Subsequently, the gingival recession was classified using the Miller recession classification [7]. Results of the studies and their discussion. The study results showed that a high prevalence of gingival recession was found in patients with periodontitis in the Ukrainian population. Exposure of the surface of the teeth' roots by 1 mm or more was present in around 2233 teeth, which corresponds to 65.86 (61.4-70.3)% of all examined teeth. The average number of teeth with the gingival recession increases with age: in those aged 20-29, the gingival recession was present in 42,86% of the teeth, in patients 30-39 years of age, the gingival recession was present in around 59,59% of the teeth, in patients 40-49 years of age the gingival recession was present in around 70,49% of the teeth, in those, older than 50 years, the gingival recession was present in around 82.72% of the teeth. Incisors and first molars were the most affected teeth by the gingival recession. In patients with periodontitis, the gingival recession of mild degree (up to 3 mm) was determined around 44.01 (40.8-47.2) % of teeth, the gingival recession of moderate degree (from 3 to 4 mm) – around 17.41 (14.3-20.5) % of teeth, the gingival recession of severe degree (5 mm or more) – around 4.42 (2.7-6.2)% of teeth. The severity of recession in patients of different age groups was determined: the gingival recession's severity increases with age. The average severity of gingival recession (the length from the cemento-enamel junction to the gingival margin) was determined in patients of different age groups: in the group of 20 years old, it was 0.28 ± 0.28 (M ± SD) mm, in the group of 30 years old – 0.43 ± 0.37 (M±SD) mm, in the group of 40 years old – 0.78 ± 0.70 (M ± SD) mm, in the group of 50 years old – 1.20 ± 0.70 (M±SD) mm. According to the Millers classification, Class III of the gingival recession was more common in age groups I and II, Class IV of gingival recession, which have an unfavourable prognosis of treatment, were more often manifested in older patients age groups.

Gingival recession and periodontal therapy

2019 ◽  
Vol 31 (1) ◽  
pp. 31-36
Author(s):  
Monya N. Hassan ◽  
Maha A. Aziz
Keyword(s):  
Gingival Recession ◽  
Root Surface ◽  
Periodontal Therapy ◽  
Etiological Factors ◽  
Gingival Margin

Background: Gingival recession is defined as the apical migration of the gingival margin below the cementoenamel junction (CEJ), resulting in exposure of the root surface and it is one of the main esthetic complaints of patients. The management of gingival recession and its sequelae is based on a thorough assessment of the etiological factors and the degree of tissue involvement.

scholarly journals GAMBARAN RONGGA MULUT PADA LANSIA PEMAKAI GIGI TIRUAN SEBAGIAN LEPASAN DI PANTI WERDA KABUPATEN

e-GIGI ◽  
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Fransisca F. Watuna ◽  
Mona P. Wowor ◽  
Krista V. Siagian
Keyword(s):  
Nursing Home ◽  
Oral Cavity ◽  
Soft Tissues ◽  
The Elderly ◽  
Gingival Recession ◽  
The State ◽  
Cross Sectional ◽  
Denture Stomatitis ◽  
Artificial Teeth ◽  
Elderly Users

Abstract: Removable partial dentures can be an alternative treatment for tooth loss in the elderly. Users of removable partial dentures without good treatment can cause a variety of changes to the conditions of hard tissue and soft tissues of the oral cavity which is the first driveway for human digestive system. In addition, the use of removable partial dentures in the elderly are particularly susceptible to the occurrence of disorders of the oral cavity. The purpose of this study is to provide a picture of the oral cavity in elderly users of removable partial dentures in elderly nursing home in Minahasa. This is a descriptive cross sectional study. This study used a total sampling method, with respondents is a 30 elderly users of removable partial dentures in elderly nursing home in Minahasa. The results showed that the presence of ulcers as a result of artificial teeth in the upper jaw 66.67%, ulcers due to artificial teeth on the lower jaw 50%, 30% gingival redness, swelling of the gingiva 30%, 36.67% gingival bleeding, gingival recession at 46, 67%, 50% Denture stomatitis, angular celulitis 46.67%, Plaque 43.33%, 56.66% calculus, caries 93.33%. The research shows elderly users of removable partial dentures in elderly nursing home in Minahasa have a conditions change for hard and soft tissues of the oral cavity. Suggested the elderly to pay more attention to health and hygiene denture for more vigorous control the state of the denture and the state of the oral cavity in dentistry.Keywords: oral cavity condition, elderly, dental removable partial denturesAbstrak: Gigi tiruan sebagian lepasan dapat menjadi salah satu alternatif perawatan terhadap kehilangan gigi pada lansia. Pengguna gigi tiruan sebagian lepasan tanpa perawatan yang baik dapat menyebabkan berbagai perubahan terhadap kondisi jaringan keras dan jaringan lunak pada rongga mulut yang merupakan jalan masuk pertama sistem pencernaan manusia. Disamping itu, pemakaian gigi tiruan sebagian lepasan pada lansia sangat rentan terhadap kejadian kelainan – kelainan pada rongga mulut. Tujuan dari penelitian ini yaitu untuk memberikan gambaran keadaan rongga mulut pada lansia pemakai gigi tiruan sebagian lepasan di panti werda Kabupaten Minahasa. Penelitian ini merupakan penelitian deskriptif cross sectional. Penelitian ini menggunakan metode total sampling, dengan responden sebanyak 30 orang lansia pemakai gigi tiruan sebagian lepasan yang ada di panti werdha Kabupaten Minahasa. hasil penelitian menunjukan bahwa adanya Ulser akibat gigi tiruan pada rahang atas 66,67%, Ulser akibat gigi tiruan pada rahang bawah 50%, Kemerahan gingiva 30%, pembengkakan gingiva 30%, pendarahan pada gingiva 36,67%, Resesi pada gingiva 46,67%, Denture stomatitis 50%, angular celulitis 46,67%, Plak 43,33%, Kalkulus 56,66%, karies 93.33%, Kegoyangan 23,33%. Hasil penelitian menunjukan lansia pengguna gigi tiruan sebagian lepasan di panti werda Kabupaten Minahasa mengalami perubahan kondisi jaringan keras dan jaringan lunak pada rongga mulut. Disarankan para lansia untuk lebih memperhatikan kesehatan dan kebersihan gigi tiruan untuk lebih giat mengontrol keadaan gigi tiruan dan keadaan rongga mulut di dokter gigi.Kata Kunci: kondisi rongga mulut, lansia, gigi tiruan sebagian lepasan

scholarly journals Clinical impact of platelet rich plasma in treatment of gingival recessions

2008 ◽  
Vol 136 (3-4) ◽  
pp. 95-103 ◽  
Author(s):  
Zoran Aleksic ◽  
Sasa Jankovic ◽  
Bozidar Dimitrijevic ◽  
Ana Pucar ◽  
Vojkan Lazic ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Platelet Rich Plasma ◽  
Gingival Recession ◽  
Root Surface ◽  
Coronally Advanced Flap ◽  
Periodontal Tissues ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Keratinized Tissue ◽  
Prp Gel

Introduction Root coverage supported with complete regeneration of lost periodontal tissues represents the ultimate goal of gingival recession treatment. Objective This study was designed to evaluate clinical effectiveness of platelet rich plasma gel (PRP) with connective tissue graft (CTG) in the treatment of gingival recession. METHOD 15 gingival recessions Miller class I or II were treated with CTG and PRP (group PRP). Connective tissue graft was harvested from the premolar region using trap door technique. After elevation of the flap, the regional bone and root surface were smeared with activated PRP gel. CTG was also irrigated with PRP gel before placement over the exposed root surface and local bone. Fixed CTG was covered with a coronally advanced flap. The same number of gingival recessions were treated with CTG in combination with the coronally advanced flap with no PRP gel (group TVT). Clinical recordings included recession depth (RD), probing depth (PD), clinical attachment level (CAL) and keratinized tissue width (KT) before and 1 year after mucogingival surgical treatment. Results Mean value of RD was significantly decreased from 4.93?0.86 mm to 0.60?0.37 (p<0.01) with CTG and PRP and from 4.76?0.74 mm to 0.63?0.29 mm (p<0.01) in CTG group. This difference was not statistically significant. Results of the keratinized tissue width showed significant increase from 0.88? 0.30 mm presurgery to 3.78?0.49 mm (p<0.01) six months after treatment in PRP group and from 0.90?0.34 mm to 3.15?0.41 in TVT group (p<0.01). This difference was statistically significant (p>0.05). No statistically significant differences were observed between treatment groups in CAL and PD. Conclusion Clinical results validate both procedures as effective and highly predictable surgical techniques in solving gingival recession problem. Histological evaluation may confirm advantage of PRP use related to regeneration of periodontal tissues. .

scholarly journals Use of autogenous platelet rich plasma and 3D collagen matrix Fibromatrix for soft tissue regeneration in the treatment of Miller Class I gingival recessions

2020 ◽  
Vol 22 ◽  
pp. 02022
Author(s):  
Rushana Farkhshatova ◽  
Larisa Gerasimova ◽  
Milyausha Kabirova
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Soft Tissues ◽  
Platelet Rich Plasma ◽  
Statistical Processing ◽  
Collagen Matrix ◽  
Gingival Recession ◽  
Class I ◽  
Anterior Maxilla ◽  
3D Collagen

Background: Evaluation of the effectiveness of the integrated use of autogenous platelet plasma and 3D collagen matrix Fibromatrix for the regeneration of soft tissues of the oral cavity in the surgical treatment of Miller Class I gingival recession. Materials and Method: 25 patients were examined and treated. All patients underwent surgical treatment of gingival recession using two-layer techniques of eliminating gingival recession with «3D collagen matrix FibroMATRIX» for the regeneration of soft tissues of the oral cavity and autologous platelet plasma. In all cases, the rehydration of the collagen matrix was carried out in autogenous platelet plasma for 2 minutes. The result was evaluated after 7th day, 14th day, 1 and 3 months. Statistical processing of the studies was carried out in GraphPadPrism v.6.0, using the t-test, Mann-Whitney. Differences were considered significant at p <0.05. Results: Assessment of gingival recession closure and its significant (p <0.05) increase, corresponding to 85% efficiency after treatment in both groups of patients, no significant differences were found in both groups. The best clinical results were achieved in eliminating gingival recessions in the anterior maxilla, showing its 100% efficiency. Conclusions: The combined use of autogenous platelet plasma and 3D collagen matrix Fibromatrix for the regeneration of soft tissues of the oral cavity is an effective method for treating Miller Class I gingival recession.

scholarly journals Root caries prevalence in a group of Brazilian adult dental patients

2003 ◽  
Vol 14 (3) ◽  
pp. 153-156 ◽  
Author(s):  
Marlívia G.C. Watanabe
Keyword(s):  
Adult Population ◽  
Age Groups ◽  
Gingival Recession ◽  
Root Surface ◽  
Root Caries ◽  
Oral Diseases ◽  
Caries Prevalence ◽  
Average Value ◽  
Dental Patients ◽  
Caries Lesions

The aim of this study was to measure the caries prevalence in the root surface in a group of Brazilian adults. The prevalence and their intraoral distribution of caries lesions of root surface were assessed in dental patients ranging in age from 35 to 44 and from 50 to 59 years of age of both sexes (n=360). A total of 98.9% had root surfaces with gingival recession and 78.1% had at least one root caries lesion. The prevalence of the disease was analyzed using the Root Caries Index (RCI). The average value was greater for women (18.6%) than for men (13.4%) (p<0.01) and similar in both age groups (p>0.01). The maxillary canines and first premolars and the mandibular molars presented the greatest RCI values. The RCI was greater in the proximal surface of the maxilla and buccal surface of the mandible. We conclude that caries of the root surface are present in the Brazilian population and deserve attention concerning their actual role in the epidemiology of principal oral diseases of the adult population.

scholarly journals Complete root coverage in severe gingival recession with unfavorable prognosis using the tunneling technique

2020 ◽  
Vol 12 (2) ◽  
pp. 91-95
Author(s):  
Mohammad Ahmad Javaid ◽  
Aamna Sohail ◽  
Raafay Ahmed
Keyword(s):  
Connective Tissue ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Root Surface ◽  
Root Coverage ◽  
Dentine Hypersensitivity ◽  
Gingival Margin ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Mandibular Canine

Gingival recession defined as the apical migration of the gingival margin leads to the exposure of root surface. This in turn may lead to compromised esthetics, dentine hypersensitivity and attachment loss. Severe gingival recession is typically managed surgically. However, achieving complete root coverage in cases of severe gingival recession, especially in the mandibular canine region is quite challenging. Different surgical techniques have been described in the literature to manage this condition. Tunnelling technique is one such technique which has shown promising results. Use of connective tissue graft with tunnelling technique has demonstrated favorable results in cases with mild to moderate gingival recession. Here we report a case where connective tissue graft was used in conjunction with tunnelling technique to achieve complete root coverage despite severe gingival recession and unfavorable prognosis.

scholarly journals Characteristics of dental status of patients with inflammatory periodontal diseases

2017 ◽  
Vol 98 (2) ◽  
pp. 204-210
Author(s):  
N A Vasil’eva ◽  
A I Bulgakova ◽  
E S Soldatova
Keyword(s):  
Oral Cavity ◽  
Soft Tissues ◽  
Periodontal Diseases ◽  
Dental Status ◽  
Control Group ◽  
Periodontal Tissues ◽  
Healthy Donors ◽  
Severe Periodontitis ◽  
Local Trauma ◽  
History Of

Aim. Evaluation of dental status in patients with inflammatory periodontal diseases. Methods. The study of dental status was performed with the use of clinical and historical data from 269 patients with inflammatory periodontal diseases at the age of 18-65 years. Among examined patients there were 75 (27.9%) people with gingivitis, 54 (20.1%) with mild periodontitis, 66 (24.5%) with moderate and 74 (27.5%) with severe periodontitis. Control group consisted of practically healthy donors at the age of 18-52 years (40 people) with sanitized oral cavity. Results. From history and interviewing it was found that 72% of the surveyed patients brush their teeth twice a day, 24% - once a day and 4% of patients do not brush their teeth. Family history of periodontal diseases among parents was recorded by 86% of participants. Dental status was characterized by the increase of the values of all dental indices with increasing disease severity regardless of gender. Need for correction of the depth of the vestibule, lips, cords, and bridles was identified in 51.7% of cases in patients with gingivitis and in 96.6% of cases of periodontal diseases. With increasing severity of periodontitis index (sum) of teeth with decay and fillings and removed teeth was increased by 1.5 times in gingivitis, by 2.2 times in mild periodontitis, by 2.6 times in moderate and by 2.9 times in severe periodontitis compared to control group. Partial adentia in gingivitis is 3 times more prevalent in males than in females and in severe periodontitis is 1.6 times more prevalent in females than in males. Conclusion. Dental status of the patients with inflammatory periodontal diseases was characterized by increased values of all dental indices compared to control group that demonstrates typical course of inflammatory periodontal diseases and decrease of local immunologic resistance of oral cavity and the organism in total; timely correction of local factors (local trauma), anatomical and topographical features of dentofacial system and status of oral soft tissues allows prevention of pathologic processes in periodontal tissues.

scholarly journals Analysis of the Effect of Nd:YAG Laser Irradiation on Soft Tissues of the Oral Cavity in Different Modes in an In Vivo Experiment

2021 ◽  
Vol 12 (3) ◽  
pp. 2881-2888
Keyword(s):  
Oral Cavity ◽  
Nd:Yag Laser ◽  
Soft Tissues ◽  
Surgical Techniques ◽  
Healing Time ◽  
Pulse Action ◽  
Laboratory Animals ◽  
Laser Medicine ◽  
Study Results

The development of laser medicine has led to its use in dentistry further to improve existing treatment methods, including surgical techniques. The variety of lasers allows them to be used for procedures on the soft and bone tissues of the oral cavity as well as on the tissues of the teeth. The short duration of laser pulse action on tissues, selective action on pathological tissues in a sterile surgical field, and activation of local and humoral immunity of the oral cavity provides an increase in the regeneration potential of tissues of the postoperative area, which contributes to the shortening of wound process phases, favorable course of the postoperative period, and shortening of the healing time. Our article presents the experience of using the Nd:YAG laser in different modes in replicating the effect of curettage of periodontal pockets in an experiment on laboratory animals. According to the study results, there was a difference in the healing time of soft tissues after their exposure to several modes of the Nd:YAG laser, which makes it possible to recommend each of them for individual clinical cases.

The effect of smoking on periodontal tissues

2020 ◽  
pp. 30-34
Author(s):  
E.D. Kostrigina ◽  
K.I. Тarasenko ◽  
Ya.S. Shinkina ◽  
E.A. Mitryahina ◽  
O.S. Banketova ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Computer System ◽  
Mechanism Of Action ◽  
Diagnostic Method ◽  
Soft Tissues ◽  
Periodontal Diseases ◽  
Treatment Plan ◽  
Etiological Factor ◽  
Periodontal Tissues

This article is a review of the work of domestic and foreign authors on the effect of smoking on periodontal tissues, the mechanism of action of nicotine on the microvasculature, hygiene and soft tissues of the oral cavity. A modern diagnostic method using the Florida Probe computer system is considered. A treatment plan is proposed for patients with inflammatory periodontal diseases, the etiological factor of which is exposure to nicotine.This article is a review of the work of domestic and foreign authors on the effect of smoking on periodontal tissues, the mechanism of action of nicotine on the microvasculature, hygiene and soft tissues of the oral cavity. A modern diagnostic method using the Florida Probe computer system is considered. A treatment plan is proposed for patients with inflammatory periodontal diseases, the etiological factor of which is exposure to nicotine.

scholarly journals Use of the 3D collagen matrix FibroMATRIX for the regeneration of soft tissues of the oral cavity in the treatment of Miller class I gingival recessions

2020 ◽  
Vol 18 (3) ◽  
pp. 32-38
Author(s):  
R. R. Farkhshatova ◽  
L. P. Gerasimova ◽  
M. F. Kabirova
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Soft Tissues ◽  
Statistical Processing ◽  
Collagen Matrix ◽  
Gingival Recession ◽  
Clinical Results ◽  
Class I ◽  
Frontal Part ◽  
3D Collagen

Aim. Evaluation of the effectiveness of the use of 3D collagen matrix FibroMATRIX for the regeneration of soft tissues of the oral cavity in the surgical treatment of Miller Class I gingival recessions.Materials and methods. 25 patients were examined and treated. All patients underwent surgical treatment of gingival recession using two-layer methods for eliminating gingival recession using the “FibroMATRIX 3D collagen matrix” to regenerate soft tissues of the oral cavity. The result was evaluated after 7.14 days, 1 and 3 months. Statistical processing of the studies was carried out in the GraphPadPrism v.6.0 program, using the t-test. Differences were considered significant at p < 0.05.Results. Assessment of the closure of the gingival recession and showed its significant (p < 0.05) increase, both groups. The best clinical results were achieved in eliminating gingival recessions in the frontal part of maxilla and corresponded to 100% efficiency.Conclusions. The use of FibroMATRIX 3D collagen matrix for the regeneration of soft tissues of the oral cavity is an effective method for treating Miller Class I gingival recession.

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