Abstract
Introduction: Gingival recession is established through several factors and its treatment can be planned integrating surgical procedures with the aid of orthodontic treatment. Methods: In this context, a 36-year-old woman sought dental treatment to realign the right lower central incisor. A localized gingival recession was verified, being related to poor positioning of the root. The patient had undergone previous orthodontic treatment, as well as periodontal surgical treatment, after which there was no success. Results: After the planning of the case, the dental element was reallocated through orthodontic movement and then the periodontal surgical treatment was performed. With the results obtained, the improvement of gingival recession through orthodontic and periodontal surgical treatment is discussed. Conclusions: This clinical report shows that the gingival graft, performed after tooth movement, can increase the probability of good results in reducing root exposure.
Highlights
Gingival recession is established through several factors and its treatment can be planned integrating surgical procedures with the aid of orthodontic treatment
There is no consensus in the literature, orthodontic movement may facilitate the development of gingival recession, especially in cases where the movement of the dental elements occurs through an excessive force for vestibular or lingual / palatal
The patient was referred for endodontic treatment of the right lower central incisor and, later, for orthodontic movement
Summary
Gingival recession is established through several factors and its treatment can be planned integrating surgical procedures with the aid of orthodontic treatment. Results: After the planning of the case, the dental element was reallocated through orthodontic movement and the periodontal surgical treatment was performed. There is no consensus in the literature, orthodontic movement may facilitate the development of gingival recession, especially in cases where the movement of the dental elements occurs through an excessive force for vestibular or lingual / palatal It occurs the displacement of the dental root out of the proper positioning within the alveolar bone, which can generate regions of bone dehiscence and, potentially, gingival recession (Richman, 2011; Morris et al, 2017; Sharma et al, 2017; Ji et al, 2019). It is important to emphasize that in the presence of biofilm, the orthodontic movements of inclination and intrusion within the alveolar bone can lead to the damage of the periodontium (Ericsson et al, 1977)
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