FLUXO PARA TOMADA DE DECISÕES QUANTO ÀS RECESSÕES GENGIVAIS

Autores

DOI:

https://doi.org/10.47820/recima21.v5i7.5457

Palavras-chave:

Recobrimento radicular, Classificação, Recessão gengival

Resumo

A recessão gengival é caracterizada pelo deslocamento apical da margem gengival, causando um comprometimento estético e biológico. Ela aumenta o risco do aparecimento de lesões cervicais e da sintomatologia dolorosa. Uma correta classificação e um diagnóstico preciso são requisitos indispensáveis para traçar o melhor plano de tratamento para o paciente. O objetivo dessa revisão de literatura narrativa foi abordar o diagnóstico, classificações e conceitos básicos para a tomada de decisões frente ao quadro clínico de recessões gengivais. Trata-se de uma revisão de literatura narrativa descritiva a respeito dos fundamentos básicos para um correto plano de tratamento das recessões gengivais. Incluiu-se livros e artigos científicos publicados em revistas revisadas por pares, revisões de literatura, revisões sistemáticas, meta-análises e estudos clínicos controlados e/ou randomizados. O conhecimento das classificações das recessões gengivais e dos direcionamentos de um fluxo para tomada de decisão do plano de tratamento pode promover melhores resultados clínicos, além de que iatrogenias e/ou agravamentos podem ser evitados em recessões gengivais únicas ou múltiplas.

Downloads

Os dados de download ainda não estão disponíveis.

Biografia do Autor

  • Micaele Araujo Fonseca

    Universidade Guarulhos - UNG.

  • Renan Dalla Soares

    Universidade Guarulhos - UNG.

  • José Augusto Rodrigues

    Universidade Guarulhos - UNG.

Referências

Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89(Suppl 1):S237-S48.

Lucchesi JA, Santos VR, Amaral CM, Peruzzo DC, Duarte PM. Coronally positioned flap for treatment of restored root surfaces: a 6-month clinical evaluation. J Periodontol. 2007;78(4):615-23. DOI: https://doi.org/10.1902/jop.2007.060380

Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000. 2015;68(1):333-68. DOI: https://doi.org/10.1111/prd.12059

Tavelli L, Barootchi S, Nguyen TVN, Tattan M, Ravidà A, Wang HL. Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and meta-analysis. J Periodontol. 2018;89(9):1075-90. DOI: https://doi.org/10.1002/JPER.18-0066

Chambrone L, Tatakis DN. Long-Term Outcomes of Untreated Buccal Gingival Recessions: A Systematic Review and Meta-Analysis. J Periodontol. 2016;87(7):796-808. DOI: https://doi.org/10.1902/jop.2016.150625

Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Clin Periodontol. 2018;45(Suppl 20):S190-S8. DOI: https://doi.org/10.1111/jcpe.12948

Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89(Suppl 1):S74-S84.

Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol. 2015;86(2 Suppl):S56-72. DOI: https://doi.org/10.1902/jop.2015.130684

Scheyer ET, Sanz M, Dibart S, Greenwell H, John V, Kim DM, et al. Periodontal soft tissue non-root coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol. 2015;86(2 Suppl):S73-6. DOI: https://doi.org/10.1902/jop.2015.140377

Zweers J, Thomas RZ, Slot DE, Weisgold AS, Van der Weijden FG. Characteristics of periodontal biotype, its dimensions, associations and prevalence: a systematic review. J Clin Periodontol. 2014;41(10):958-71. DOI: https://doi.org/10.1111/jcpe.12275

Araújo LNMd, Borges SB, Medeiros I, Amorim ACdM, Barbosa CV, Gurgel BCdV. Determinação do biótipo periodontal através de análise de fotografias intra-orais In: intra-orais Ddbpadadf, editor. Rev Odontol UNESP. 2018:282-90. DOI: https://doi.org/10.1590/1807-2577.08218

Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134(2):220-5. DOI: https://doi.org/10.14219/jada.archive.2003.0137

Kahn S, Rodrigues WJ, Barceleiro MeO. Periodontal plastic microsurgery in the treatment of deep gingival recession after orthodontic movement. Case Rep Dent. 2013;2013:851413. DOI: https://doi.org/10.1155/2013/851413

Pini-Prato G, Franceschi D, Cairo F, Nieri M, Rotundo R. Classification of dental surface defects in areas of gingival recession. J Periodontol. 2010;81(6):885-90. DOI: https://doi.org/10.1902/jop.2010.090631

Miller PD. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5(2):8-13.

Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol. 2011;38(7):661-6. DOI: https://doi.org/10.1111/j.1600-051X.2011.01732.x

Zucchelli G, Mele M, Stefanini M, Mazzotti C, Marzadori M, Montebugnoli L, et al. Patient morbidity and root coverage outcome after subepithelial connective tissue and de-epithelialized grafts: a comparative randomized-controlled clinical trial. J Clin Periodontol. 2010;37(8):728-38. DOI: https://doi.org/10.1111/j.1600-051X.2010.01550.x

Tonetti MS, Jepsen S, Periodontology WGotEWo. Clinical efficacy of periodontal plastic surgery procedures: consensus report of Group 2 of the 10th European Workshop on Periodontology. J Clin Periodontol. 2014;41 Suppl 15:S36-43. DOI: https://doi.org/10.1111/jcpe.12219

Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol. 2015;86(2 Suppl):S8-51. DOI: https://doi.org/10.1902/jop.2015.130674

Chambrone L, Pini Prato GP. Clinical insights about the evolution of root coverage procedures: The flap, the graft, and the surgery. J Periodontol. 2019;90(1):9-15. DOI: https://doi.org/10.1002/JPER.18-0281

Sculean A, Allen EP. The Laterally Closed Tunnel for the Treatment of Deep Isolated Mandibular Recessions: Surgical Technique and a Report of 24 Cases. Int J Periodontics Restorative Dent. 2018;38(4):479-87. DOI: https://doi.org/10.11607/prd.3680

Bernimoulin JP, Lüscher B, Mühlemann HR. Coronally repositioned periodontal flap. Clinical evaluation after one year. J Clin Periodontol. 1975;2(1):1-13. DOI: https://doi.org/10.1111/j.1600-051X.1975.tb01721.x

Pini Prato GP, Franceschi D, Cortellini P, Chambrone L. Long-term evaluation (20 years) of the outcomes of subepithelial connective tissue graft plus coronally advanced flap in the treatment of maxillary single recession-type defects. J Periodontol. 2018;89(11):1290-9. DOI: https://doi.org/10.1002/JPER.17-0619

Matter J, Cimasoni G. Creeping attachment after free gingival grafts. J Periodontol. 1976;47(10):574-9. DOI: https://doi.org/10.1902/jop.1976.47.10.574

Zucchelli G, Testori T, De Sanctis M. Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage. J Periodontol. 2006;77(4):714-21. DOI: https://doi.org/10.1902/jop.2006.050038

Santamaria MP, Mathias-Santamaria IF, Ferraz LFF, Casarin RCV, Romito GA, Sallum EA, et al. Rethinking the decision-making process to treat gingival recession associated with non-carious cervical lesions. Braz Oral Res. 2021;35(Supp 2):e096. DOI: https://doi.org/10.1590/1807-3107bor-2021.vol35.0096

Yadav AP, Kulloli A, Shetty S, Ligade SS, Martande SS, Gholkar MJ. Sub-epithelial connective tissue graft for the management of Miller's class I and class II isolated gingival recession defect: A systematic review of the factors influencing the outcome. J Investig Clin Dent. 2018;9(3):e12325. DOI: https://doi.org/10.1111/jicd.12325

Pini Prato G. Mucogingival deformities. Ann Periodontol. 1999;4(1):98-101. DOI: https://doi.org/10.1902/annals.1999.4.1.98

Downloads

Publicado

04/07/2024

Como Citar

FLUXO PARA TOMADA DE DECISÕES QUANTO ÀS RECESSÕES GENGIVAIS . (2024). RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 5(7), e575457. https://doi.org/10.47820/recima21.v5i7.5457