Incisor proclination and gingival recessions: is there a relationship?

Abstract

Aim: To test the hypothesis that there is no relationship between the amount of vestibular inclination of mandibular incisors and the appearance of gingival recession in this region. Methods: This study included 20 patients selected in accordance with the following inclusion criteria: 1. adult patients without gingival recession in the mandibular incisors before treatment (T0), 2. no previous orthodontic treatment, 3. treated without tooth extraction in the mandibular arch, 4. bonded mandibular splinting from one canine to another after the active stage of orthodontic treatment (T1), 5. no visible wear of the incisal edge of the mandibular incisors, 6. Pre-and post-treatment teleradiography and plaster casts, and plaster casts 3 years post-treatment (T2). Depending on the amount of inclination of the mandibular incisors after treatment, the sample was divided into two groups: Group 1-10 individuals (IMPA T1-T0 ≤ 5˚) and Group 2-10 individuals (IMPA T1-T0 > 5˚). The measurement of length of the clinical crown (LCC) of the four mandibular incisors, distance between the incisal edge and vestibular marginal gingiva were made in plaster casts at T0, T1 and T2. Results: In spite of Group 1 presenting a reduction in LCC at T2, there was no statistically significant difference in LCC in the 3 time intervals evaluated in the two groups. Conclusions: The null hypothesis was accepted. The variation in the amount of vestibular inclination of the mandibular incisors during orthodontic treatment and 3 years after conclusion of treatment did not promote the appearance of gingival recessions in this group of patients.

Herbst–multibracket appliance treatment: is there an association between lower incisor position changes and the development of labial gingival recessions?

“…This result is in concordance with the findings of investigations and reviews in the literature [4,13,23,26,30,31,37]. Several studies found both proclined and nonproclined teeth to exhibit similar LGR development [13,30,31].…”

“…This result is in concordance with the findings of investigations and reviews in the literature [4,13,23,26,30,31,37]. Several studies found both proclined and nonproclined teeth to exhibit similar LGR development [13,30,31]. In contrast, other articles in the literature describe that orthodontic tooth movement might increase the risk for LGR development during retention [6,33].…”