Orthodontic treatment of localised gingival recession associated with traumatic anterior crossbite. 2009

Jadbinder Seehra, and Padhraig S Fleming, and Andrew T DiBiase
Maxillofacial Unit, Kent and Canterbury Hospital, United Kingdom. Jad_Seehra@hotmail.com

BACKGROUND Gingival recession can be defined as the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction. The aetiology of this condition is multifactorial, but can result from a traumatic occlusion. The long-term prognosis of teeth with localised gingival recession can be uncertain. Successful management of these cases may involve either orthodontic or periodontal treatment in isolation or in combination. OBJECTIVE To describe two patients in which localised gingival recession associated with anterior crossbites were corrected with orthodontic appliances. METHODS A 2 x 4 appliance and an upper removable appliance were used to correct the crossbites. RESULTS Correction of the anterior crossbites resulted in a clinical improvement of the gingival recession. The aetiology and management of localised gingival recession is discussed. CONCLUSIONS Simple orthodontic appliances can be used to provide interceptive treatment to correct localised crossbite and enhance the overall long-term prognosis of the lower incisors. To achieve optimal results multidisciplinary involvement is recommended.

UI MeSH Term Description Entries
D008297 Male Males
D009967 Orthodontic Appliances Devices used for influencing tooth position. Orthodontic appliances may be classified as fixed or removable, active or retaining, and intraoral or extraoral. (Boucher's Clinical Dental Terminology, 4th ed, p19) Appliance, Orthodontic,Appliances, Orthodontic,Orthodontic Appliance
D009972 Orthodontics, Interceptive Recognition and elimination of potential irregularities and malpositions in the developing dentofacial complex. Interceptive Orthodontics
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003769 Dental Occlusion, Traumatic An occlusion resulting in overstrain and injury to teeth, periodontal tissue, or other oral structures. Occlusion, Dental, Traumatic,Occlusion, Traumatic Dental,Traumatic Dental Occlusion,Dental Occlusions, Traumatic,Occlusions, Traumatic Dental,Traumatic Dental Occlusions
D005889 Gingival Recession Exposure of the root surface when the edge of the gum (GINGIVA) moves apically away from the crown of the tooth. This is common with advancing age, vigorous tooth brushing, diseases, or tissue loss of the gingiva, the PERIODONTAL LIGAMENT and the supporting bone (ALVEOLAR PROCESS). Gingival Atrophy,Atrophy of Gingiva,Gingiva Atrophies,Gingiva Atrophy,Gingival Atrophies,Gingival Recessions,Recession, Gingival,Recessions, Gingival
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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