POSSIBILITIES FOR GINGIVAL MARGIN APICAL DISPLACEMENT CORRECTION DURING ORTHODONTIC TREATMENT AS PREPARATORY STAGE FOR PROSTHETIC REHABILITATION
DOI:
https://doi.org/10.35220/2078-8916-2023-47-1.20Keywords:
gingival margin, apical displacements, orthodontic treatment, prosthetic treatment.Abstract
Purpose of the study. To analyze the potential impact of orthodontic treatment on the possibility of spontaneous partial or complete repair of the soft tissue covering over the exposed root surface in the projection of existing gingival recessions. Research methods. The design of this study was formulated in the form of the retrospective analysis of the literature. To achieve the goal of the study, a target cohort of publications was formed based on the results of a search within the Google Scholar system (https://scholar.google.com/) using the following keywords and their various combinations to expand the possibilities to identify targeted scientific works: “gingival recession”, “orthodontics”, “tooth position”, “orthodontic tooth movement”, “creeping attachment”. Based on the selected cohort of scientific publications, an analysis of the information presented within their summaries/abstracts was performed in the first place, followed by the in-detail content-analysis and grouping of relevant information according to the formulated analysis’ categories. Scientific novelty. According to available literature data, the effect of partial or complete repair of the soft tissue covering over the exposed root surface in the projection of existing gingival recessions after orthodontic treatment is unpredictable, and is obviously related to the normalization of the masticatory load distribution, the cutoff of traumatic occlusion effect, the development of the “creeping attachment” phenomenon, and improvement of the periodontological status in the area of teeth, the position of the root or the corpus position of which were characterized by critical deviations regarding the existing spatial configuration of the alveolar ridge. Conclusions. The realized retrospective analysis of the literature data and the results of previously conducted studies confirmed the possibility of spontaneous partial or complete repair of the soft tissue covering over the exposed root surface after orthodontic correction of existing malocclusions or the position of individual teeth within dentition. However, considering the low level of available evidences quality, the predictability of the targeted impact of orthodontic treatment on the specifically normalization of the gingival margin position is characterized by a lack of the necessary argumentation.
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