FLUXO PARA TOMADA DE DECISÕES QUANTO ÀS RECESSÕES GENGIVAIS
DOI:
https://doi.org/10.47820/recima21.v5i7.5457Palavras-chave:
Recobrimento radicular, Classificação, Recessão gengivalResumo
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
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
Licença
Direitos de Autor (c) 2024 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.
