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新西兰正畸医师和牙周病医师对正畸治疗中牙龈退缩管理的看法。

Perceptions of NZ orthodontists and periodontists on the management of gingival recession in orthodontic patients.

机构信息

Department of Oral Sciences, Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.

出版信息

Aust Dent J. 2022 Mar;67 Suppl 1(Suppl 1):S41-S49. doi: 10.1111/adj.12914. Epub 2022 May 16.

DOI:10.1111/adj.12914
PMID:35527478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9790197/
Abstract

BACKGROUND

This study aimed to investigate the perceptions and opinions of orthodontists and periodontists on the management of gingival recession in orthodontic patients.

METHODS

An online survey was sent to 29 periodontists and 80 orthodontists registered and currently practising in New Zealand. All participants answered questions about the timing and clinical indications of mucogingival surgeries in orthodontic patients diagnosed with mucogingival deformities.

RESULTS

Most periodontists and orthodontists believed that gingival grafts should ideally be performed after orthodontic treatment. In clinical practice, 40% of periodontists indicated that they would receive referrals after completion of orthodontic treatment. However, 29.6% of orthodontists indicated that they would refer to a periodontist before orthodontic treatment in clinical practice. The most crucial factor that affected periodontists' decision-making was 'evidence-based guidelines' (35.0%), followed by 'clinical experience' (30.0%) and 'patient concerns' (15.0%). All four factors of 'gingival phenotype', 'presence of gingival recession', 'amount of keratinised tissue' and 'planning specific tooth movements' were equally considered by orthodontists regarding their decision-making.

CONCLUSIONS

The majority of the surveyed New Zealand periodontists and orthodontists expressed a belief that the ideal timing for the management of gingival recessions would be after the completion of orthodontic treatment.

摘要

背景

本研究旨在调查正畸医生和牙周医生对正畸患者牙龈退缩管理的看法和意见。

方法

对新西兰注册并正在执业的 29 名牙周医生和 80 名正畸医生进行了在线调查。所有参与者均回答了有关正畸患者出现黏骨膜畸形时黏膜-牙周手术时机和临床适应证的问题。

结果

大多数牙周医生和正畸医生认为理想情况下应在正畸治疗后进行牙龈移植。在临床实践中，40%的牙周医生表示，他们会在正畸治疗完成后收到转诊。然而，29.6%的正畸医生表示，他们在临床实践中会在正畸治疗前转诊给牙周医生。影响牙周医生决策的最重要因素是“循证指南”（35.0%），其次是“临床经验”（30.0%）和“患者关注”（15.0%）。正畸医生在决策时同样考虑了“牙龈表型”“是否存在牙龈退缩”“角化组织量”和“特定牙齿移动规划”这四个因素。

结论

大多数接受调查的新西兰牙周医生和正畸医生表示，理想的牙龈退缩管理时机是在正畸治疗完成后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/44f5a35779bb/ADJ-67-S41-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/096211999779/ADJ-67-S41-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/e2083d20cfb7/ADJ-67-S41-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/9387afc3bfa8/ADJ-67-S41-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/e41a3a76d973/ADJ-67-S41-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/e1220ad14b57/ADJ-67-S41-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/44f5a35779bb/ADJ-67-S41-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/096211999779/ADJ-67-S41-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/e2083d20cfb7/ADJ-67-S41-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/9387afc3bfa8/ADJ-67-S41-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/e41a3a76d973/ADJ-67-S41-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/e1220ad14b57/ADJ-67-S41-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eff/9790197/44f5a35779bb/ADJ-67-S41-g001.jpg

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Dent J (Basel). 2020 Jan 2;8(1):4. doi: 10.3390/dj8010004.
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Long-term evaluation of lower incisors gingival recessions after orthodontic treatment.正畸治疗后下切牙牙龈退缩的长期评价。
Eur J Orthod. 2019 Nov 15;41(6):559-564. doi: 10.1093/ejo/cjy086.
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