Andlin-Sobocki A
Department of Orthodontics, University of Umeå, Sweden.
J Clin Periodontol. 1993 Mar;20(3):212-8. doi: 10.1111/j.1600-051x.1993.tb00346.x.
Facial gingival surfaces of maxillary and mandibular anterior teeth were monitored to evaluate changes of the width of the keratinized and attached gingiva. 96 children 6 to 12 years of age were examined 2 x with an interval of 2 years. Measurements included dental plaque, gingival inflammation, probing depth, and width of keratinized and attached gingiva. In addition, study models were used to determine the facial/lingual position of the teeth. The results of this report, evaluating well-aligned teeth only, showed that during the 2-year observation period, increases in widths of the facial keratinized and attached gingiva took place. Increases occurred for the various teeth regions examined, and for deciduous as well as permanent teeth. During transition from the deciduous to the permanent dentition, patterns of change were variable. The increase of gingival widths was greatest for sites with the smallest baseline width of attached gingiva, and smallest for sites with the greatest baseline width. It was concluded that in well-aligned teeth, a conservative, monitoring approach prior to a corrective, surgical intervention seems prudent in children of this age with a minimal zone or absence of attached gingiva.
对上颌和下颌前牙的面部牙龈表面进行监测，以评估角化龈和附着龈宽度的变化。对96名6至12岁的儿童进行了检查，间隔2年检查2次。测量内容包括牙菌斑、牙龈炎症、探诊深度以及角化龈和附着龈的宽度。此外，还使用研究模型来确定牙齿的面部/舌侧位置。本报告的结果仅评估排列整齐的牙齿，结果显示在2年的观察期内，面部角化龈和附着龈的宽度有所增加。在所检查的各个牙齿区域以及乳牙和恒牙中均出现了增加。在从乳牙列向恒牙列过渡期间，变化模式各不相同。附着龈基线宽度最小的部位牙龈宽度增加最大，而基线宽度最大的部位增加最小。得出的结论是，对于排列整齐的牙齿，在这个年龄段且附着龈区域最小或没有附着龈的儿童中，在进行矫正性手术干预之前采取保守的监测方法似乎是谨慎的。
