Gingival recession following apical surgery in the esthetic zone: a clinical study with 70 cases

von Arx, Thomas; Salvi, Giovanni E; Janner, Simone; Jensen, Simon S (2009). Gingival recession following apical surgery in the esthetic zone: a clinical study with 70 cases. European journal of esthetic dentistry - english edition, 4(1), pp. 28-45. Berlin: Quintessence Verlags-GmbH

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The present study evaluated gingival recession 1 year following apical surgery of 70 maxillary anterior teeth (central and lateral incisors, canines, and first premolars). A visual assessment of the mid-facial aspect of the gingival level and of papillary heights of treated teeth was carried out using photographs taken at pre-treatment and 1-year follow-up appointments. In addition, changes in the gingival margin (GM) and clinical attachment levels (CAL) were calculated with the use of clinical measurements, that is, pre-treatment and 1-year follow-up pocket probing depth and level of gingival margin. Changes in GM and CAL were then correlated with patient-, tooth-, and surgery-related parameters. The following parameters were found to significantly influence changes in GM and CAL over time: gingival biotype (P < 0.05), with thin biotype exhibiting more gingival recession than thick biotype; pre-treatment pocket probing depth (PPD) (P < 0.03), with cases of pre-treatment PPD < 2.5 mm demonstrating more attachment loss than cases of PPD > or = 2.5 mm; and type of incision (P < 0.01), with the submarginal incision showing considerably less gingival recession compared with the intrasulcular incision, papilla-base incision or papilla-saving incision. The visual assessment using pre-treatment and 1-year follow-up photographs did not demonstrate significant changes in gingival level or papillary height after apical surgery. In conclusion, gingival biotype, pre-treatment PPD, and type of incision may significantly influence changes in GM and CAL following apical surgery in maxillary anterior teeth.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology
04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology

UniBE Contributor:

von Arx, Thomas; Salvi, Giovanni Edoardo and Janner, Simone

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1862-0612

Publisher:

Quintessence Verlags-GmbH

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

04 Oct 2013 15:10

Last Modified:

04 Mar 2022 09:24

PubMed ID:

19655644

URI:

https://boris.unibe.ch/id/eprint/31004 (FactScience: 195384)

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