Determinants of gingival recessions in Portuguese adults
DOI:
https://doi.org/10.15448/1980-6523.2016.2.16957Keywords:
Gingival recession, Prevalence, Toothbrushing, Orthodontic treatment, Dental plaqueAbstract
Objectives: The objective of this study consisted in determining the prevalence of gingival recession and potential risk factors associated in a sample of patients that had a dental appointment in the University Clinic of the Portuguese Catholic University in Viseu, Portugal.
Methods: We conducted an epidemiological observational cross-sectional study where a sample of 101 patients was assessed. The participants were subjected to a questionnaire and an intra-oral clinical examination was made in order to assess gingival recessions.
Results: The prevalence of recession was 85.1%. The presence of habits and a high plaque index are associated with the onset of recessions and its severity. The aesthetic condition was influenced only in 14.0% of the cases and just 17.4% of the patients with gingival recession had tooth hipersensibility. There is a stronger association between the development of recessions and using a brushing technique based mostly on horizontal movements and brushes with harder bristles.
Conclusion: Although further studies need to be applied in a more representative sample, we conclude that the majority of the analyzed sample has already suitable oral health behaviors, however, some need to be modified as the understanding of the need to change certain habits to prevent development of recessions.
References
Sala Emili, GP. Odontología preventiva y comunitaria. 3rd ed. Masson, S.A.; 2005.
Martins, M. A promoção da saúde: percursos e paradigma. Ver Saúde Amato Lusitano. 2005; 9(22):42-6.
Ordem dos Médicos Dentistas. Plano nacional de saúde 2011-2016 estratégia de saúde oral em Portugal – um conceito de transversalidade que urge implementar (projecto conceptual). 2011; 2-29.
Slade GD. Measuring oral health and quality of life. Department of Dental Ecology, School of Dentistry, University of North Carolina. 1997.
Kimbrough VJ, Karen H. Oral health education. 1st ed. Prentice Hall; 2006.
Petersen PE, Kandelman D, Arpin S, Ogawa H. Global oral health of older people – Call for public health action. Community Dent. Health. 2010; 27(2):257-68.
Shinkai Ro, Cury A. O papel da odontologia na equipe interdisciplinar: contribuindo para a atenção integral ao idoso. Cad. Saúde Pública. 2000; 16(4):1099-109.
World Health Organization. Oral health. Fact sheet. 2007:11-2.
Harris NO, García-Godoy F. Primary preventive dentistry. 6th ed. Prentice Hall; 2004.
Rateitschak KH, Rateitschak EM, Wolf HF, Hassell TM. Colour Atlas of Periodontology. 3rd ed. Thieme; 2005.
Clerehugh V, Tugnait A, Genco R. Periodontology at a glance. 1st ed. Wiley-Blackwell; 2009.
Lindhe J, Niklaus L, Karring T. Clinical periodontology and implant denstistry. 5ª ed. Blackwell Munksgaard; 2008.
Mueller HP. Periodontology – The essentials. 1st ed. Thieme; 2005.
Newman MG, Takei HH, Carranza FA. Carranza’s Clinical Periodontology. 9th ed. Saunders; 2002.
Rose L, Genco R. Periodontal Medicine. 1st ed. B.C. Decker Corp. 2000.
Panagakos F, Davies R. Gingival diseases – their aetiology, prevention and treatment. 1st ed. InTesh; 2011.
Tugnait A. Gingival recession – its significance and management. J. Dent. 2001; 29(6):381-94.
Chrysanthakopoulos NA. Aetiology and severity of gingival recession in an adult population sample in Greece. Dent. Res. J. 2011;8(2):64-70.
Marini MG, Greghi SLA, Passanezi E, Sant’ana ACP. Gingival recession: prevalence, extension and severity in adults. J Appl Oral Sci. 2004; 12(3):250-5.
Kassab M, Cohen R. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134(2): 220-5.
Lafzi A, Abolfazli N. Assessment of the etiologic factors of gingival recession in a group of patients in Northwest Iran. J Dent Res Dent Clin Dent Prospects. 2009;3(3):90-3. https://doi.org/10.5681/joddd. 2009.023
Slutzkey S, Levin L. Gingival recession in young adults: occurrence, severity, and relationship to past orthodontic treatment and oral piercing. Am. J. Orthod. Dentofac. Orthop. 2008;134(5):652-6. https://doi. org/10.1016/j.ajodo.2007.02.054
Mahajan A. Mahajan’s modification of the miller's classification for gingival recession. Dent. Hypotheses. 2010;1(2):45-50. https://doi. org/10.4103/0972-124X.128198
Ravishankar Y, Srinivas K, Sharma S. Management of black triangles and gingival recession: a prosthetic approach. Indian J. Dent. Sci. 2012; 4(1):141-5.
Alghamdi H, Babay N, Sukumaran A. Surgical management of gingival recession: A clinical update. Saudi Dent. J. King Saud University; 2009; 21(2):83-94. https://doi.org/10.1016/j.sdentj.2009.07.006
Smith R. Gingival recession reappraisal of an enigmatic condition and a new index for monitoring. J. Clin. Periodontol. 1997;24(3):201-5.
Furlan L, Sallum A, Sallum E, Junior F. Incidência de recessão gengival e hipersensibilidade dentinária na clínica de graduação da FOP-UNICAMP. Rev. Periodontia. 2008;18:53-61.
Mumghamba EGS, Honkala S, Honkala E, Manji KP. Gingival recession, oral hygiene and associated factors among Tanzanian women. East Afr. Med. J. 2009; 86(3):125-32.
Chute M, Gunjikar T, Lobo T, Pol S. Dentine hypersensitivity: the distribution of recession, sensitivity and plaque. J. Indian Dent. Assoc. 2012;6:139-41.
Bartold PM. Dentinal hypersensitivity: a review. Aust. Dent. J. 2006; 51(3):212-8.
Rutsatz C, Baumhardt SG, Feldens CA, Rösing CK, Grazziotin-Soares R, Barletta FB. Response of pulp sensibility test is strongly influenced by periodontal attachment loss and gingival recession. J. Endod. 2012; 38(5):580-3. https://doi.org/10.1016/j.joen.2012.01.011
Patel M, Nixon PJ, Chan MFW-Y. Gingival recession: part 3. Surgical management using free grafts and guided tissue regeneration. Br. Dent. J. [Internet]. 2011;211(8):353-8. ttps://doi.org/10.1038/sj.bdj. 2011.861
Zalkind M, Hochman N. Alternative method of conservative esthetic treatment for gingival recession. J. Prosthet. Dent. 1997;77(6):561-3.
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