Association between gingivitis and anterior gingival enlargement in subjects undergoing fixed orthodontic treatment

Zanatta, Fabrício Batistin; Ardenghi, Thiago Machado; Antoniazzi, Raquel Pippi; Pinto, Tatiana Militz Perrone; Rösing, Cassiano Kuchenbecker

doi:10.1590/2176-9451.19.3.059-066.oar

Cited by 28 publications

(31 citation statements)

References 23 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The explanation could lie in the qualitative and non-quantitative evolution of the dental plaque during fixed orthodontic treatment. This could lead to the qualitative selection of pathogens and the interindividual differences that might explain the different patterns of response and time needed for evident clinical responses, as well as local and systemic individual resistance or even a specific microbial challenge [21], [17] [45]. This finding seems to be supported by several microbiological studies which demonstrate that when fixed orthodontic appliances are placed, the potential for qualitative [46], [47] changes in the microbial composition of these areas enhances.…”

Section: Discussionmentioning

confidence: 94%

“…This finding seems to be supported by several microbiological studies which demonstrate that when fixed orthodontic appliances are placed, the potential for qualitative [46], [47] changes in the microbial composition of these areas enhances. Thus, periodontal reaction might be elicited by a change in the composition of the microbiological environment [21], even if the amount of plaque is not significantly involved. So, gingival overgrowth was more frequent with metal brackets (53%) than with the ceramic ones (26%) (p = 0, 021), the presence of nickel in the arches did not influence their appearance (p = 0.18), and elastomeric ligatures appear to have clearly favored them (58%) compared with metal ligatures or self-ligating brackets (38.9%) (p = 0.007) ( Tables 2 and 3).…”

Section: Discussionmentioning

confidence: 99%

“…While some studies clearly indicate poor hygiene as responsible for gingival growth [19] [20], others demonstrate that gingival changes during orthodontic treatment are transient and do not imply any permanent alteration of periodontal tissue [4], [5], [21]. Although, these lesions, creating artificially deep periodontal pockets, must not be neglected and require treatment.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prioritization of risk factors of gingival hyperplasia during orthodontic treatment: the role of biofilm.

Vincent-Bugnas

Borsa

GRUSS

et al. 2020

Preprint

View full text Add to dashboard Cite

Background The mechanism of gingival growth that may occur during fixed orthodontic treatment is not yet fully understood and the amount of dental plaque is often incriminated. The objective of this study was to evaluate the prevalence of gingival growth during multi-attachment orthodontic treatment and to prioritize its associated factors. Methods: This comprehensive cross-sectional descriptive study was conducted on orthodontic patients aged 9 to 30 years, in good general health, treated by a fixed appliance. Periodontal clinical parameters such as plaque index, gingival index, probing pocket depth, periodontal phenotype and gingival enhancement index were recorded. Likewise, the brushing habits and the date of the last scaling were noted. The orthodontic parameters studied were the duration of the treatment, the type of attachment, the alloys used for the arches and the type of ligatures. Descriptive statistics were carried out, and variables presenting p value < 0.05 were included in a multivariate analysis to calculate the Odds Ratio (OR) of gingival enlargement". Results: A total of 193 patients were included (16.38 ± 4.89 years). Gingival growth occurred for 49.7% of patients included. The associated factors for this pathology during fixed orthodontic treatment were conventional metal brackets (OR = 3.5), mouth breathing (OR = 3), male gender (OR = 2.2), thick periodontal phenotype (OR = 2) and elastomeric ligations (OR = 2). After achievement of the logistic regression, the amount of plaque would not be directly related to the development of this gingival increase. Conclusions Among the associated factors that underlie gingival growth during multi-attachment therapy, the amount of plaque is not found. The qualitative assessment of the plaque and its evolution during treatment could clarify the role of the biofilm in the occurrence of gingival overgrowth.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prioritization of risk factors of gingival hyperplasia during orthodontic treatment: the role of biofilm.

Vincent-Bugnas

Borsa

GRUSS

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…One of the adverse periodontal changes is a hypertrophic form of gingivitis with pseudo pockets formation. Clinical studies concluded that gingival changes during orthodontic treatment are transient without permanent damage to periodontal support tissues [11].…”

Section: Discussionmentioning

confidence: 99%

Healing without Surgery: A Case of Supernumerary Tooth,

Mosaico¹,

Viganò²,

Orrù³

et al. 2019

TODENTJ

View full text Add to dashboard Cite

Background: Supernumerary teeth are present in 0,2-3% of the population. Multiple supernumeraries are often associated with syndromes such as cleidocranial dysplasia and Gardner's syndrome. They often hinder the permanent eruption’s teeth, causing cavities, periodontal lesions, pulp necrosis, and in some cases follicular cysts. Reactive lesions such as fibroma, local fibrous hyperplasia, pyogenic granuloma, and peripheral ossifying fibroma are frequent gingival lesions. Materials and Methods: We reported a case of a 9 years old patient with the missed eruption of a permanent element caused by a supernumerary tooth, associated with an exophytic palatine lesion. The deciduous incisor was still present and the supernumerary included. It was decided to proceed with the extraction of the deciduous and to wait for scheduling checks every two months. After a few months, the conoid shape supernumerary tooth erupted in the maxillary arch, so a fixed orthodontic therapy was performed to create the space for the central incisor’s eruption. Results: After a few months, the tooth began to erupt in the arch thanks to orthodontic traction. The patient was instructed to correct and specific oral hygiene maneuvers to lower the plaque index and try to reduce gingival hypertrophy. Conclusion: Supernumerary teeth often hinder the eruption and development of the related permanent tooth causing localized periodontal problems. Corrective fixed orthodontics requires more strict oral hygiene to avoid periodontal complications.

show abstract

“…The gingival soft tissue overlying the alveolar ridge thickens. It may occur isolated, associated to orthodontic treatment (Zanatta, Ardenghi, Antoniazzi, Pinto, & Rosing, ), systemic treatment (Miranda et al, ), and generalized (Jaureguiberry et al, ). Gingival overgrowth can also be seen subsequently to external factors (phenytoin; cyclosporin A; nifediprin) or can be genetically determined.…”

Section: Definitionsmentioning

confidence: 99%

Elements of morphology: Standard terminology for the teeth and classifying genetic dental disorders

Dure-Molla

Fournier

Manzanares

et al. 2019

American J of Med Genetics Pt A

View full text Add to dashboard Cite

Dental anomalies occur frequently in a number of genetic disorders and act as major signs in diagnosing these disorders. We present definitions of the most common dental signs and propose a classification usable as a diagnostic tool by dentists, clinical geneticists, and other health care providers. The definitions are part of the series Elements of Morphology and have been established after careful discussions within an international group of experienced dentists and geneticists. The classification system was elaborated in the French collaborative network "TÊTECOU" and the affiliated

show abstract

Association between gingivitis and anterior gingival enlargement in subjects undergoing fixed orthodontic treatment

Cited by 28 publications

References 23 publications

Prioritization of risk factors of gingival hyperplasia during orthodontic treatment: the role of biofilm.

Prioritization of risk factors of gingival hyperplasia during orthodontic treatment: the role of biofilm.

Healing without Surgery: A Case of Supernumerary Tooth,

Elements of morphology: Standard terminology for the teeth and classifying genetic dental disorders

Contact Info

Product

Resources

About