Slutzkey Shimshon, Levin Liran
Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Am J Orthod Dentofacial Orthop. 2008 Nov;134(5):652-6. doi: 10.1016/j.ajodo.2007.02.054.
Gingival recession can be localized or generalized and associated with at least 1 tooth surface. As a result, gingival recession leads to root surface exposure, often causing esthetic impairment, fear of tooth loss, increased susceptibility for root caries, and dentin hypersensitivity. The prevalence, extent, and severity of gingival recession in a young adult Israeli population were evaluated, and the relationship between orthodontic therapy and other potential risk indicators and gingival recession was assessed.
Our cohort included 303 consecutive healthy patients who had routine dental examinations at a military dental center. Information was collected regarding age, smoking habits, oral piercing, oral hygiene habits, and past orthodontic treatment. Clinical examination included visible gingival inflammation, visible dental plaque, and gingival recession on the facial aspects of all teeth.
Gingival recession was found in 14.6% of the subjects and in 1.6% of all examined teeth. The prevalence, extent, and severity of recession correlated with past orthodontic treatment. A negative correlation was found between plaque on the buccal tooth aspect and gingival recession. There was no correlation between gingivitis or smoking habits and recession. Prevalence was related to oral piercing.
Gingival recession is not uncommon in young adults and is related to past orthodontic treatment and oral piercing. Patients undergoing orthodontic treatment or about to pierce the tongue or lips should be advised regarding these findings.
牙龈退缩可局限或广泛存在，且至少累及一个牙面。因此，牙龈退缩会导致牙根面暴露，常引起美观受损、牙齿脱落恐惧、根龋易感性增加以及牙本质过敏。本研究评估了以色列年轻成年人群中牙龈退缩的患病率、范围和严重程度，并评估了正畸治疗及其他潜在风险指标与牙龈退缩之间的关系。
我们的队列包括303名连续在军事牙科中心进行常规牙科检查的健康患者。收集了有关年龄、吸烟习惯、口腔穿刺、口腔卫生习惯和既往正畸治疗的信息。临床检查包括所有牙齿唇面的可见牙龈炎症、可见牙菌斑和牙龈退缩情况。
14.6%的受试者存在牙龈退缩，占所有检查牙齿的1.6%。牙龈退缩的患病率、范围和严重程度与既往正畸治疗相关。颊侧牙面的牙菌斑与牙龈退缩呈负相关。牙龈炎或吸烟习惯与牙龈退缩之间无相关性。患病率与口腔穿刺有关。
牙龈退缩在年轻成年人中并不少见，且与既往正畸治疗和口腔穿刺有关。对于正在接受正畸治疗或即将穿刺舌部或唇部的患者，应告知他们这些研究结果。
