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Recessões gengivais em caninos tracionados ortodonticamente: revisão bibliográfica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_40059 | 401.51 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: A tração ortodôntica de caninos impactados representa um grande desafio para a
Ortodontia. A exposição cirúrgica do canino impactado e a complexa mecânica ortodôntica
aplicada para alinhar o dente de volta ao arco podem levar a complicações envolvendo tecidos
de suporte induzindo a recessão gengival quando os dentes são movidos para fora do osso
alveolar.
Objectivos: O objectivo deste estudo é apresentar uma revisão bibliográfica atualizada dos
principais resultados periodontais encontrados na literatura após a abordagem cirúrgica clínica
de caninos impactados e a prevalência de recessão gengival.
Materiais e métodos: Pesquisas em base de dados on line PubMed, PMC e MedLine até
junho de 2020 e listas de referências de publicações relevantes foram usadas para identificar
estudos que avaliavam o status periodontal de caninos impactados e tracionados
ortodonticamente. Considerou-se ensaios clínicos controlados e randomizados, revisões de
literatura, revisões sistemáticas, estudos em humanos, meta-análises e texto que tiveram pelo
menos uma ocorrência relacionando recessão gengival, periodonto e caninos impactados
tracionados ortodónticamente, seja por vestibular ou palatino, superior e/ou inferior como os
critérios de elegibilidade.
Resultados: Foram encontrados 691 artigos numa pesquisa livre. Após aplicar os critérios de
elegibilidade chegou-se a uma subtração de 7 artigos relevantes e estes resultados obtiveram
maior ocorrência para os caninos superiores.
Conclusão: Atualmente, não existem evidências claras que favoreçam uma técnica cirúrgica
para descobrir caninos em termos de resultados periodontais. Os resultados encontrados
afirmaram que clinicamente as evidências são insignificantes quando comparados aos dentes
erupcionados normalmente.
Background: The orthodontic traction of impacted canines represents a great challenge for Orthodontics. Surgical exposure of the impacted canine and the complex orthodontic mechanics applied to align the tooth back to the arch can lead to complications involving supporting tissues inducing gingival recession when the teeth are moved out of the alveolar bone. Aim: The aim of this study is to present an updated bibliographic review of the main periodontal results found in the literature after the clinical management of impacted canines and the prevalence of gingival recession. Materials and methods: Research in electronic databases PubMed, PMC and MedLine until June 2020 and reference lists of relevant publications were used to identify studies that assessed the periodontal status of impacted and orthodontically tractioned canines. Controlled and randomized clinical trials, literature reviews, systematic reviews, studies in humans, metaanalyzes and text that had at least one occurrence relating to gingival recession, periodontal outcomes and impacted canines tractioned orthodontically, whether by buccal or palatal, superior and / or lower as the eligibility criteria. Results: 691 articles were found in a free search. After applying the eligibility criteria, 7 relevant articles were subtracted, and these results were more frequent for upper canines. Conclusion: Currently, there is no clear evidence to determine which surgical technique procedure is better to discover canines in terms of periodontal outcomes. The results found stated that clinically the evidence is insignificant when compared to teeth normally erupted.
Background: The orthodontic traction of impacted canines represents a great challenge for Orthodontics. Surgical exposure of the impacted canine and the complex orthodontic mechanics applied to align the tooth back to the arch can lead to complications involving supporting tissues inducing gingival recession when the teeth are moved out of the alveolar bone. Aim: The aim of this study is to present an updated bibliographic review of the main periodontal results found in the literature after the clinical management of impacted canines and the prevalence of gingival recession. Materials and methods: Research in electronic databases PubMed, PMC and MedLine until June 2020 and reference lists of relevant publications were used to identify studies that assessed the periodontal status of impacted and orthodontically tractioned canines. Controlled and randomized clinical trials, literature reviews, systematic reviews, studies in humans, metaanalyzes and text that had at least one occurrence relating to gingival recession, periodontal outcomes and impacted canines tractioned orthodontically, whether by buccal or palatal, superior and / or lower as the eligibility criteria. Results: 691 articles were found in a free search. After applying the eligibility criteria, 7 relevant articles were subtracted, and these results were more frequent for upper canines. Conclusion: Currently, there is no clear evidence to determine which surgical technique procedure is better to discover canines in terms of periodontal outcomes. The results found stated that clinically the evidence is insignificant when compared to teeth normally erupted.
Description
Keywords
Recessão gengival Tração ortodôntica Canino impactado Gingival recession Orthodontic traction Impacted canine