Indication and timing of soft tissue augmentation at maxillary and mandibular incisors in orthodontic patients. A systematic review.

Kloukos, Dimitrios; Eliades, Theodore; Sculean, Anton; Katsaros, Christos (2014). Indication and timing of soft tissue augmentation at maxillary and mandibular incisors in orthodontic patients. A systematic review. European journal of orthodontics, 36(4), pp. 442-449. Oxford University Press 10.1093/ejo/cjt073

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OBJECTIVE To assess the indication and timing of soft tissue augmentation for prevention or treatment of gingival recession when a change in the inclination of the incisors is planned during orthodontic treatment. MATERIALS AND METHODS Electronic database searches of literature were performed. The following electronic databases with no restrictions were searched: MEDLINE, EMBASE, Cochrane, and CENTRAL. Two authors performed data extraction independently using data collection forms. RESULTS No randomized controlled trial was identified. Two studies of low-to-moderate level of evidence were included: one of prospective and retrospective data collection and one retrospective study. Both implemented a periodontal intervention before orthodontics. Thus, best timing of soft tissue augmentation could not be assessed. The limited available data from these studies appear to suggest that soft tissue augmentation of bucco-lingual gingival dimensions before orthodontics may yield satisfactory results with respect to the development or progression of gingival recessions. However, the strength of the available evidence is not adequate in order to change or suggest a possible treatment approach in the daily practice based on solid scientific evidence. CONCLUSIONS Despite the clinical experience that soft tissue augmentation of bucco-lingual gingival dimensions before orthodontic treatment may be a clinically viable treatment option in patients considered at risk, this treatment approach is not based on solid scientific evidence. Moreover, the present data do not allow to draw conclusions on the best timing of soft tissue augmentation when a change in the inclination of the incisors is planned during orthodontic treatment and thus, there is a stringent need for randomized controlled trials to clarify these open issues.

Item Type:

Journal Article (Review Article)

Division/Institute:

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

UniBE Contributor:

Kloukos, Dimitrios; Sculean, Anton and Katsaros, Christos

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0141-5387

Publisher:

Oxford University Press

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

24 Nov 2014 17:14

Last Modified:

27 Apr 2018 11:02

Publisher DOI:

10.1093/ejo/cjt073

PubMed ID:

24132403

BORIS DOI:

10.7892/boris.60574

URI:

https://boris.unibe.ch/id/eprint/60574

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