Tooth wear and gingival recession in 210 orthodontically treated patients: a retrospective cohort study.

Mijuskovic, Marco; Gebistorf, Meret; Pandis, Nikolaos; Renkema, Anne M; Fudalej, Piotr (2018). Tooth wear and gingival recession in 210 orthodontically treated patients: a retrospective cohort study. European journal of orthodontics, 40(4), pp. 444-450. Oxford University Press 10.1093/ejo/cjx083

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To assess the association between tooth wear (TW) and gingival recession (GR).

Materials and Methods

Two hundred and ten orthodontically treated participants (100 males) were evaluated. GR and TW were rated independently by four raters on plaster models at four time points: before treatment (T1), mean age 13.8 years (SD = 3.7); after treatment (T2), mean age 16.7 years (SD = 3.9); 3 years after treatment (T3), mean age 19.7 years (SD = 4.2); and 7 years after treatment (T4), mean age 23.9 years (SD = 4.8). Univariable and mulitvariable random effects logistic regression analyses were performed with scores for GR as dependent variables and with TW, age, gender, dental segments (maxillary and mandibular anterior and posterior segments), time points, and Angle classification as independent variables. Method reliability was assessed with kappa statistics.


Mandibular incisors, mandibular and maxillary first premolars and maxillary first molars were most vulnerable to GR. The prevalence of GR increased during the observation period. At T1 20.5% participants had one or more recession sites, at T4 85.7 % of the participants had at least one GR. There was evidence of association between moderate/severe TW and GR-for a tooth with moderate/severe wear, the odds of recession were 23% higher compared to a tooth with no/mild wear (odds ratio 1.23; 95% CI: 1.08-1.40; P = 0.002). Age, dental segment, and time were also significant recession predictors, whereas gender was not.


There is evidence that moderate/severe TW is associated with the presence of gingival recession. Clinical significance of this can be limited.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Mijuskovic, Marco; Gebistorf, Meret; Pandis, Nikolaos and Fudalej, Piotr


600 Technology > 610 Medicine & health




Oxford University Press




Renate Imhof-Etter

Date Deposited:

14 Jun 2019 11:38

Last Modified:

23 Oct 2019 13:04

Publisher DOI:


PubMed ID:





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