Evaluation of Gingival Recession in Left-and Right-Handed Adults

Abstract

Recession is the exposure of the root surface by an apical shift in the position of the gingiva. Several factors have been implicated in the etiology of gingival recession. The aim of this study was to assess the relationship between gingival recession and the hand, right or left, duration, frequency, and technique of tooth brushing in left- and right-handed adults in Erzurum, Turkey. Fifty five left-handed (35 female and 20 male) and 55 right-handed (35 female and 25 male) subjects were included in the study. The left and right hand positions of the subjects were determined by using Oldfield's Edinburg Inventory Index, and they were divided into two groups as left-handed and right-handed. The amount of gingival recession and localization, oral hygiene situations, gingival bleeding, toothbrushing duration, frequency, and techniques of subjects were evaluated. The relationship between the amount of gingival recession and localization and the subjects' hand, duration, frequency and technique of tooth brushing were examined. The data were evaluated with variance analysis and student's t test. The oral hygiene situations in right- and left-handed subjects were determined. On comparing the left-handed subjects with the right-handed ones, it was observed that the left-handed subjects had better oral hygiene than the right-handed. But, this case was not statistically significant (p > .05). In both right-handed and left-handed subjects, women had better oral hygiene than men (p < .01). The rate of gingival recession was found more in the left-handed than in the right-handed (p < .05). In the right-handed subjects, gingival recession was found in the premolar and canine regions of upper right and lower right jaw. A similar result was also observed in the left-handed subjects, because gingival recession was seen on their upper left and lower left jaw. Incisive teeth were affected at the same rate in the left-handed and right-handed. The gingival recession was seen more in maxillary jaw than in mandibular jaw in both groups. A statistically significant relationship between gingival recession and frequency duration, and technique of tooth brushing was found. While the greatest amount of gingival recession was found in horizontal scrub technique, gingival recession increased with increasing tooth brushing duration and frequency. The relationship between gingival recession and hand using in tooth brushing was determined.

Gingival recession, oral hygiene and associated factors among tanzanian women

“…In this study population comprising women only, the prevalence of gingival recession appears to have been lower than that found among non-hispanic blacks in the United States (15). In the present study, gingival recession was found more often on mandibular than on maxillary teeth, which was in agreement with other reports in Tanzania (16), but is contrary to those studies from Turkey, United States and elsewhere (13,15,17). It should be noted that in this study the mean number of teeth examined was not significantly different among participants with or without gingival recession.…”

“…The common use of plastic toothbrushes in this study population might have been considered to have been safer than using chewing sticks which were positively associated with a higher prevalence of gingival recession (25). Irrespective of the type of toothbrush used, most of the participants in this study population employed horizontal scrubbing technique for toothbrushing but surprisingly its effect on the occurrence of gingival recession was not statistically significant, and is contrary to what is commonly found in the literature (13,17,33). Gingival recession has been reported in subjects with both good and poor oral hygiene (21).…”

“…Women have previously been reported to have better oral hygiene than men in Tanzania (5) and elsewhere (13) and women in general have more GR than men do (14). In this study population comprising women only, the prevalence of gingival recession appears to have been lower than that found among non-hispanic blacks in the United States (15).…”

Oral hygiene and periodontal considerations in preventing and managing dentine hypersensitivity

“…In a large cross sectional study, cigarette smoking and presence of supragingival calculus were associated to a high level with localised and generalised recession in an urban Brazilian population 14 . Frequency of gingival recession has been shown to increase with age and women have less recession than men of the same age 11,23 . Socioeconomic status and number of dental visits may not be significant risk indicators in all populations 14 .…”

The Prevalence, Characteristics and Risk Factors in Non-Carious Cervical Lesion: A Survey on 295 People in Guangzhou Area

“…Cervical dental abrasion caused by tooth-brushing may also depend upon the manual dexterity and cognitive ability of individuals [22]. Hand preference was stated as one of the most important parameters affecting cognitive abilities and proficiency [23,24].…”