대한치과의사협회지 (The Journal of the Korean dental association)

  • 제56권4호
  • /
  • Pages.208-216
  • /
  • 2018
  • /
  • 0376-4672(pISSN)
  • /
  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

교정 치료와 관련된 하악 전치부 협측 치은 퇴축의 위험성을 최소화하기 위한 골이식 : 증례보고

Hard tissue augmentation to minimize a risk of buccal gingival recession in lower anterior teeth associated with orthodontic treatment: case report

  • 유지수 (아주대학교 치과병원 치주과) ;
  • 백승진 (아주대학교 치과병원 치주과) ;
  • 정재숙 (아주대학교 치과병원 치주과) ;
  • 지숙 (아주대학교 치과병원 치주과)
  • Yoo, Ji-Soo (Department of Periodontology, Ajou University School of Medicine) ;
  • Baek, Seung-Jin (Department of Periodontology, Ajou University School of Medicine) ;
  • Jung, Jae-Suk (Department of Periodontology, Ajou University School of Medicine) ;
  • Ji, Suk (Department of Periodontology, Ajou University School of Medicine)
  • 투고 : 2017.10.24
  • 심사 : 2018.02.28
  • 발행 : 2018.04.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Patients with malocclusion may present with preexisting mucogingival problems susceptible to attachment loss during or after orthodontic treatment. Lower anterior teeth especially show a high prevalence of gingival recession following orthodontic treatment. This case report demonstrates hard tissue augmentation of labially thin or deficient alveolar bone (dehiscences and fenestrations) to prevent attachment loss during or after orthodontic treatment. Three patients presented clinically prominent root surfaces and dehiscences and fenestrations on cone-beam computed tomography (CBCT) in lower anterior teeth. Labial hard tissue augmentation of lower anterior teeth was performed with deproteinized bovine bone mineral and collagen membrane. Six months later, hard tissue augmentation reduced root prominence and created a greater volume of hard tissue on lower anterior area in clinical and radiographic findings. Hard tissue augmentation using xenograft could prevent attachment loss associated with orthodontic treatment and maintain stability of healthy periodontium.

키워드

참고문헌

  1. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999;4(1):1-6. https://doi.org/10.1902/annals.1999.4.1.1
  2. Loe H, Anerud A, Boysen H. The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession. J Periodontol. 1992;63(6):489-495. https://doi.org/10.1902/jop.1992.63.6.489
  3. Albandar JM. Global risk factors and risk indicators for periodontal diseases. Periodontol 2000. 2002;29(1):177-206. https://doi.org/10.1034/j.1600-0757.2002.290109.x
  4. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. The journal of the American dental association. 2003;134(2):220-225. https://doi.org/10.14219/jada.archive.2003.0137
  5. Neha J, Manvi CA, Ellora M, Shubhangi G, Aditya L. Gingival biotype and gingival bioform: Determining factors for periodontal disease progression and treatment outcome. International Journal of Scientific Study. 2016; 4(3):220-225.
  6. Andlin Sobocki A, Bodin L. Dimensional alterations of the gingiva related to changes of facial/lingual tooth position in permanent anterior teeth of children. J Clin Periodontol. 1993;20(3):219-224. https://doi.org/10.1111/j.1600-051X.1993.tb00347.x
  7. Artun J, Krogstad O. Periodontal status of mandibular incisors following excessive proclination A study in adults with surgically treated mandibular prognathism. Am J Orthod Dentofacial Orthop. 1987;91(3):225-232. https://doi.org/10.1016/0889-5406(87)90450-1
  8. Joss Vassalli I, Grebenstein C, Topouzelis N, Sculean A, Katsaros C. Orthodontic therapy and gingival recession: a systematic review. Orthod Craniofac Res. 2010;13(3):127-141. https://doi.org/10.1111/j.1601-6343.2010.01491.x
  9. Renkema AM, Fudalej PS, Renkema AA, Abbas F, Bronkhorst E, Katsaros C. Gingival labial recessions in orthodontically treated and untreated individuals: a case?control study. J Clin Periodontol. 2013;40(6):631-637. https://doi.org/10.1111/jcpe.12105
  10. Bonacci FJ. Hard and soft tissue augmentation in a postorthodontic patient: a case report. Int J Periodontics Restorative Dent. 2011;31(1):19.
  11. Dorfman HS. Mucogingival changes resulting from mandibular incisor tooth movement. Am J Orthod. 1978;74(3):286-297. https://doi.org/10.1016/0002-9416(78)90204-X
  12. Baker D, Seymour G. The possible pathogenesis of gingival recession. J Clin Periodontol. 1976;3(4):208-219. https://doi.org/10.1111/j.1600-051X.1976.tb00040.x
  13. Richman C. Is gingival recession a consequence of an orthodontic tooth size and/or tooth position discrepancy? "A paradigm shift.". Compend Contin Educ Dent. 2011;32(4):73-79.
  14. Lost C. Depth of alveolar bone dehiscences in relation to gingival recessions. J Clin Periodontol. 1984;11(9):583-589. https://doi.org/10.1111/j.1600-051X.1984.tb00911.x
  15. Evans M, Tanna NK, Chung C-H, editors. 3D guided comprehensive approach to mucogingival problems in orthodontics. Seminars in Orthodontics; 2016: Elsevier.
  16. Wilcko WM, Ferguson DJ, Bouquot J, Wilcko MT. Rapid orthodontic decrowding with alveolar augmentation: case report. World J Orthod. 2003;4(3):197-205.
  17. Enhos S, Uysal T, Yagci A, Veli i, Ucar FI, Ozer T. Dehiscence and fenestration in patients with different vertical growth patterns assessed with cone-beam computed tomography. The Angle Orthodontist. 2012;82(5):868-874. https://doi.org/10.2319/111211-702.1
  18. Wehrbein H, Bauer W, Diedrich P. Mandibular incisors, alveolar bone, and symphysis afterorthodontic treatment. A retrospective study. Am J Orthod Dentofacial Orthop. 1996;110(3):239-246. https://doi.org/10.1016/S0889-5406(96)80006-0
  19. Watson WG. Expansion and fenestration or dehiscence. Am J Orthod. 1980;77(3):330-332. https://doi.org/10.1016/0002-9416(80)90086-X
  20. Sun L, Zhang L, Shen G, Wang B, Fang B. Accuracy of cone-beam computed tomography in detecting alveolar bone dehiscences and fenestrations. Am J Orthod Dentofacial Orthop. 2015;147(3):313-323. https://doi.org/10.1016/j.ajodo.2014.10.032
  21. Johal A, Katsaros C, Kiliaridis S, Leitao P, Rosa M, Sculean A et al. State of the science on controversial topics: orthodontic therapy and gingival recession (a report of the Angle Society of Europe 2013 meeting). Prog Orthod. 2013;14(1):16. https://doi.org/10.1186/2196-1042-14-16
  22. Rupprecht RD, Horning GM, Nicoll BK, Cohen ME. Prevalence of dehiscences and fenestrations in modern American skulls. J Periodontol. 2001;72(6):722-729. https://doi.org/10.1902/jop.2001.72.6.722
  23. Handelman CS. The anterior alveolus: its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae. The Angle orthodontist. 1996;66(2):95-110.
  24. Yared KFG, Zenobio EG, Pacheco W. Periodontal status of mandibular central incisors after orthodontic proclination in adults. Am J Orthod Dentofacial Orthop. 2006;130(1):6.e1-6.e8. https://doi.org/10.1016/j.ajodo.2006.01.015
  25. Schlegel AK, Donath K. BIO-OSS?a resorbable bone substitute? J Long Term Eff Med Implants. 1998;8(3-4):201-209.
  26. Paula VPO, Ricardo LN, Jose FCH, Rumio T, Tania MC, Daniele SC, Guilherme J, Jose MG. Orthodontic movement in bone defects filled with xenogenic graft: An experimental study in minipigs. Am J Orthod Dentofacial Orthop. 2007;131(3):302.e10-302.e17. https://doi.org/10.1016/j.ajodo.2006.07.020