Dersot Jean-Marc
88, rue Michel-Ange, 75016 Paris, France.
Int Orthod. 2012 Mar;10(1):29-42. doi: 10.1016/j.ortho.2011.09.013. Epub 2012 Jan 17.
The presence of a gingival recession prior to orthodontic treatment is a real problem. Patients are concerned about losing their teeth but may also complain of their unpleasant appearance or root sensitivity in the exposed area. The orthodontist is not sure whether orthodontic treatment can be performed or whether the tooth movement will not aggravate the recession and whether periodontal surgery needs to be done before or after orthodontic treatment. The aim of this paper is to present recent data from the literature and several clinical situations in adults in order to submit a treatment sequence and clarify the role of different periodontal plastic surgery root coverage procedures.
正畸治疗前存在牙龈退缩是一个实际问题。患者担心会掉牙,也可能会抱怨外观不佳或暴露区域的牙根敏感。正畸医生不确定是否可以进行正畸治疗,牙齿移动是否会加重退缩,以及正畸治疗前还是治疗后需要进行牙周手术。本文的目的是展示文献中的最新数据以及成人的几种临床情况,以便提出一个治疗顺序,并阐明不同牙周整形手术牙根覆盖程序的作用。