FATORES ASSOCIADOS AO SUCESSO DO TRATAMENTO CIRÚRGICO DAS RECESSÕES GENGIVAIS: REVISÃO DA LITERATURA

  • Anderson Nicolly Fernandes-Costa
  • Daniel Ferreira do Nascimento
  • Ana Rafaela Luz de Aquino Martins
  • Euler Maciel Dantas
  • Bruno César de vasconcelos Gurgel
Palavras-chave: Retração gengival. Tabaco. Abrasão dentária. Resultado do tratamento.

Resumo


Introdução: A recessão gengival é uma condição de alta prevalência que leva a exposição radicular causando queixas estéticas e sintomáticas e cujo tratamento pode ser de difícil execução caso fatores complicadores estejam associados. Objetivo: Realizar uma revisão da literatura para discutir a influência de determinados fatores sobre os resultados dos procedimentos para recobrimento radicular. Método: Artigos foram selecionados nas bases de dados Pubmed, Scopus, Web of Science, Scielo e LILACS. Os critérios de escolha dos artigos foram: escritos em Inglês, Espanhol, Francês ou Português e que fossem classificados como ensaios clínicos. Resultados: A busca resultou em 20 artigos selecionados que avaliaram e discutiram sobre os possíveis fatores influenciadores como fumo (11), lesão cervical não cariosa (5), biótipo periodontal (4) e anatomia local (1). Discussão: O fumo foi o fator mais discutido na literatura cujos resultados mostram que pode interferir negativamente no tratamento cirúrgico da recessão gengival, embora pacientes fumantes possam apresentar bons resultados desde que façam um bom controle do biofilme dentário. Os artigos sobre lesão cervical não cariosa mostram que os resultados do recobrimento radicular são iguais, em curto e em longo prazo, independente da lesão cervical não cariosa estar restaurada ou não ou com qual material restaurador. Indivíduos que apresentam biótipo periodontal espesso apresentaram melhor prognóstico quanto ao recobrimento radicular. Conclusão: O tratamento da recessão gengival é complexo devido estar ligado a vários fatores relacionados ao indivíduo, desde fatores anatômicos a hábitos que o mesmo apresente. A literatura demonstra que o fumo é um dos fatores que limitam a previsibilidade do tratamento das recessões gengivais.

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Publicado
27-12-2016
Como Citar
FERNANDES-COSTA, A. N.; NASCIMENTO, D. F. DO; MARTINS, A. R. L. DE A.; DANTAS, E. M.; GURGEL, B. C. DE VASCONCELOS. FATORES ASSOCIADOS AO SUCESSO DO TRATAMENTO CIRÚRGICO DAS RECESSÕES GENGIVAIS: REVISÃO DA LITERATURA. Revista Ciência Plural, v. 2, n. 2, p. 84-98, 27 dez. 2016.
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