Assessment of the effects of selected risk factors on the presence of gingival recession of incisors and canines in the mandible – a survey

2018 ◽  
Vol 14 (3) ◽  
pp. 192-198
Author(s):  
Edyta Kalina ◽  
Bartłomiej Górski ◽  
Ewa Sobieska ◽  
Małgorzata Zadurska

In dental practice, gingival recession is a common problem among patients. Root surface exposure predisposes to the development of caries, dentin hypersensitivity, and it deteriorates the aesthetics of the smile. The aetiology of gingival recession is multifactorial. Its formation may be affected by anatomical conditions, behavioural factors, as well as iatrogenic errors. <b>Aim.</b> To assess the correlation between selected behavioural risk factors and the presence of gingival recession of incisors and canines in the mandible. <b>Material and methods.</b> A survey and clinical examination were conducted in 35 patients of both sexes. The survey was focused on risk factors of gingival recession depending on the patient, and the clinical examination assessed the presence of gingival recession (GR), dental plaque (DP) and bleeding on probing (BoP) for 210 teeth. The correlation between the occurrence of gingival recession and DP, BoP and behavioural factors was studied. A statistical analysis was performed in Statistica 13, the Spearman’s test was used to assess the correlation with the significance level of 0.05. <b>Results.</b> Gingival recession was observed for 44 teeth (21.05%). A positive correlation was found between gingival recession and the patient's age and the tooth brushing technique (horizontal movements). Circular movements of a toothbrush while tooth brushing correlated negatively with gingival recession. <b>Conclusions.</b> Gingival recession near incisors and canines exacerbates with the patient’s age and depends on the tooth brushing technique – horizontal movements favour recession, while circular movements favour maintaining the proper level of the gingivae.

e-GIGI ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Lilies Rizkika ◽  
Christy N. Mintjelungan ◽  
Kustina Zuliari ◽  
Johanna Khoman

Abstract: Gingival recession is the displacement of marginal gingiva to the apical direction of the cementoenamel junction due to the loss of alveolar bone attachment tissue resulting in exposure of the root surface of the tooth. Wrong technique of tooth brushing is one of the causes of gingival recession. This study was aimed to determine the correlation between tooth brushing techniques and gingival recession among the coastal coast community at the Megamas area of Manado. This was an analytical study with a cross sectional design. Sampleswere obtained by using total sampling method. Tooth brushing techniques were observed by looking at the way the respondents brushed their teeth. We provided check lists in accordance with the techniques they used. Data of gingival recession were obtained by examination of the oral cavity and then we calculated the severity of gingival recession. There were 43 respondents involved in this study. The result of the Kolmogorov-Smirnov obtained a p-value of 0.000. In conclusion, Yjere was a relationship between tooth brushing technique and the severity of gingival recession.Keywords: gingival recession, tooth brushing technique Abstrak: Resesi gingiva adalah perubahan posisi tepi gingiva ke arah apikal dari cemento enamel junction karena hilangnya jaringan perlekatan tulang alveolar sehingga mengakibatkan terbukanya permukaan akar gigi. Kesalahan teknik menyikat gigi merupakan salah satu penyebab resesi gingiva. Penelitian ini bertujuan untuk mengetahui hubungan teknik menyikat gigi dengan keparahan resesi gingiva pada masyarakat pesisir pantai di Kawasan Megamas Kota Manado. Jenis penelitian ialah analitik dengan desain potong lintang. Pengambilan sampel dilakukan dengan metode total sampling. Pengambilan data dilakukan dengan cara melihat gerakan menyikat gigi yang digunakan. Hasil pengamatan dimasukkan ke dalam check list sesuai dengan teknik yang digunakan. Resesi gingiva yang diperoleh melalui pemeriksaan langsung diklasifikasikan menurut tingkat keparahan resesi gingiva. Jumlah responden dalam penelitian ini sebanyak 43 orang. Hasil analisis menggunakan uji Kolmogorov-Smirnov mendapatkan nilai p=0,000. Simpulan penelitian ini menunjukkan adanya hubungan teknik menyikat gigi dengan keparahan resesi gingiva.Kata kunci: resesi gingiva, teknik menyikat gigi


2016 ◽  
Vol 5 (1) ◽  
pp. 28-33
Author(s):  
Nikolaos Andreas Chrysanthakopoulos

ABSTRACT Aim To assess the prevalence of gingival recession and to investigate possible associations among gingival recession and periodontal and epidemiological variables in a sample of Greek adults in a general dental practice. Materials and methods A sample of 640 Greek adults was examined clinically and interviewed regarding several periodontal and epidemiological variables. Collected data included demographic background (age, gender, level of education), oral hygiene habits, and smoking status. Clinical examination included the recording of dental plaque and supragingival calculus presence, gingival status, and gingival recession. In addition, the association between gingival recession and the following variables was assessed: gender, smoking status, calculus presence, plaque control methods, plaque index, gingival index, and level of education. Multiple linear regression analysis was carried out to model the association of gingival recession with the mentioned potential risk factors. Results The overall prevalence of gingival recession was 62.7%. The performance of multiple linear regression analysis indicated that smoking (p = 0.001), plaque index (p = 0.021), gingival index (p < 0.0001), plaque control methods (p < 0.001), and level of education (p < 0.001) were the most important associated factors of gingival recession. Conclusion The present study indicates that an association exists between gingival recession and presence of gingival inflammation, inadequate oral hygiene habits, and smoking. How to cite this article Chrysanthakopoulos NA, Saini R. Prevalence of Gingival Recession and associated Risk Factors among 18–45-Year-Old Who Attended a Dental Practice in Greece. Int J Experiment Dent Sci 2016;5(1):28-33.


Author(s):  
Patricia Santos Ferreira ◽  
Renata De Araújo Barbosa ◽  
Erica Del Peloso Ribeiro ◽  
Sandro Bittencourt

Gingival recession is defined as the migration of the gingival margin apical to the cemento-enamel junction and can be caused by bacterial biofilms, primary etiological factor of periodontal inflammation, as well as the trauma of brushing. The treatment is usually a recontouring of the gingival architecture with or without associated techniques to achieve the covering of the exposed root surface and increase the amount of keratinized tissue. These procedures aim to an aesthetic improvement and treatment of dentin hypersensitivity as well as reducing the risk of caries. The coronally positioned flap is a technique widely used for achieving root coverage. The literature have reported several factors that can interfere with the success of this technique, among which are those related to periodontal tissue, the surgical technique and patient’s habits. The aim of this article was to getter the factors that could influence the outcome of coronally positioned flap technique, through a literature review.


2018 ◽  
Vol 76 ◽  
pp. 93-97 ◽  
Author(s):  
Daniela Navarro Ribeiro Teixeira ◽  
Livia Fávaro Zeola ◽  
Alexandre Coelho Machado ◽  
Rafaella Rodrigues Gomes ◽  
Paola Gomes Souza ◽  
...  

2021 ◽  
Vol 10 (9) ◽  
pp. e57210917859
Author(s):  
Andrea Barros Tolentino ◽  
Livia Fávaro Zeola ◽  
Alexandre Coelho Machado ◽  
Paulo Vinicius Soares ◽  
Ana Cecilia Correa Aranha ◽  
...  

Objective: This study aimed to evaluate the prevalence of Noncarious Cervical Lesions (NCCL), Cervical Dentin Hypersensitivity (CDH) and Gingival Recession (GR) and their associated risk factors in athletes. Methodology: A questionnaire was used to obtain basic information. An evaluator clinically examined all subjects. Statistical analysis was performed using Poisson multiple regression with robust variance, and the prevalence ratio and confidence intervals (95%) were calculated. Results: The final sample consisted of 264 athletes of different sports (7285 teeth). The present study found that the type of sport and weekly training time are important factors.  Athlete’s ages ranged from 17 to 46 years (mean: 20.33 years). Majority of the athletes were males (90.46%). The teeth most affected by NCCL were the first upper premolars (29.35%), and the prevalence of NCCL increased with age. The prevalence of NCCL, CDH, and GR was 17.42%, 35.35%, and 59.09%, respectively. The linear regression shows that the most important risk factor(s) for NCCL was age, training hours, stress, excessive brushing force and orthodontic appliance; for CDH were age, education, type of sport, training hours and acid diet; and for GR were age, income, education, type of sport and excessive teeth brushing. Conclusion: It must be understood that the presence of all elements are factors capable of destabilizing the athlete's daily life. Athletes have risk factors that are closely related to the onset and progression of the disease. It is necessary that the dentist knows prevention and minimization measures.


2015 ◽  
Vol 2 (1) ◽  
pp. 36
Author(s):  
Muthia Choirunnisa ◽  
Prima Agusmawanti ◽  
Moh Yusuf

Introduction: Children with special needs have physical limitations and the ability to maintain their oral hygiene, so it needs to be chosen the proper tooth brushing methods for maintaining oral hygiene and prevent periodontal disease.Purpose: This study aimed to know differences of the effectiveness of horizontal tooth brushing methods and foneson the dental plaque index in children with visual impairment.Methods: This research was a quasy experimental laboratory with pre-test and post-test design. The study was conducted on 26 blind children aged 6-13 years in MILB YKTM Budi Asih, SLB-A DriaAdi, and SLB Negeri Semarang that were divided into two groups of horizontal and fonestooth brushing method. Dental plaque was measured using PHP plaque index, examined the dental crown facial or lingual parts by dividing each tooth crown into 5 subdivisions, plaque index inspected before and after 1 week of brushing method application, then analyzed by paired t-test and independent t test at a significance level ofp <0.05. Results: The mean of plaque index before and after brushing the teeth with horizontal method was 2.56 and 0.956 down to 1.61, whereas in the fonesmethod was 3.03 and 1.68down to 1.35. Plaque index before and after brushing teeth both on horizontal and fones method was statistically significant(p <0.05). But the effectiveness of both methods were not different or similar (p = 0.179).Conclusion: There was no difference of effectiveness between horizontal and fones tooth brushing methods on the dental plaque index in children with visual impairment.


2019 ◽  
Vol 31 (1) ◽  
pp. 31-36
Author(s):  
Monya N. Hassan ◽  
Maha A. Aziz

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.


Author(s):  
Anita Mehta

The Gingival recession is considered a multi-factorial. The etiology may be an anatomically vulnerable area, faulty tooth brushing, high frenum attachment. In cases where there is progressive recession, aesthetics concern or increasing dentinal hypersensitivity, we can do recession coverage. Depending upon the presence or absence of adequate keratinized tissue we can choose the technique. In case of adequate width of keratinized tissue, usually we can do displaced flap and in case where there is inadequate width, we can do gingival grafting.


Author(s):  
T. G. Svetlichnaya ◽  
A. S. Mityagina ◽  
T. M. Burkova ◽  
N. M. Ogorelkova

Relevance. The high prevalence of tooth decay requires investigation of its risk factors. The aim was to study tooth decay risk factors among six-year-old children according to the level of dental health (based on parents’ assessment).Materials and methods. The research evaluated the dental health of six-year-olds and factors defining their oral health; The study surveyed 515 parents of six-year-old children from 7 kindergartens in Arkhangelsk. Pearson chi-square test assessed the differences in the frequency of tooth decay factors among six-year-old children according to the level of dental health. The accepted significance level was 0.05.Results. The Arkhangelsk parents evaluated the dental health of their six-year-olds as relatively favourable: good (41.2%) and satisfactory (46.6%). Only 9.5% of children had poor health. Children generally had good oral hygiene skills: 86.8% liked brushing their teeth; 60.2% squeezed the optimal amount of toothpaste on the toothbrush; 56.7% brushed their teeth twice a day. The dental literacy of parents was satisfactory: 67.0% purchased toothpaste for children; 90.8% considered necessary to treat primary teeth; 69.2% replaced toothbrush every three months; 59.7% visited a pediatric dentist twice a year. The children with poor dental health had insufficient oral hygiene skills: 46.9% did not like teeth cleaning; 51.1% brushed their teeth once a day. Their diet was not healthy: 100.0% did not eat hard food; 65.3% frequently consumed sweets. The parents  of children with poor dental health had low medical literacy and poor oral hygiene: 46.9% did not know that treatment of primary teeth was necessary; 42.9% considered the treatment of primary teeth as unnecessary; 32.6% purchased whatever toothpaste. The general negative trend is to use toothpaste without fluoride (68.1%).Conclusions. The results of the study demonstrated a significantly higher frequency of cariogenic factors in children with poor dental health.


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