FATORES ASSOCIADOS AO SUCESSO DO TRATAMENTO CIRÚRGICO DAS RECESSÕES GENGIVAIS: REVISÃO DA LITERATURA
DOI:
https://doi.org/10.21680/2446-7286.2016v2n2ID10852Palavras-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.Downloads
Referências
American Academy of Periodontology (AAP). Glossary of Periodontal Terms. 4rd ed. Chicago: The American Academy of Periodontology; 2002.
American Academy of Periodontology (AAP). Position paper: tobacco use and the periodontal patient. J Periodontol. 1999; 70(11): 1419-1427.
Albandar JM, Kingman A. Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988-1994. J Periodontol. 1999;70(1):30-43.
Susin C, Haas AN, Oppermann RV, Haugejorden O, Albandar JM. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol. 2004; 75(10): 1377-1386.
Litonjua LA, Andreana S, Bush PJ, Cohen RE. Toothbrushing and gingival recession. Int Dent J 2003; 53(2): 67-72.
Souza SL, Macedo GO, Tunes RS, Silveira e Souza AM, Novaes AB Jr, Grisi MF et al. Subepithelial connective tissue graft for root coverage in smokers and non-smokers: a clinical and histologic controlled study in humans. J Periodontol. 2008 Jun;79(6):1014-21.
Aroca S, Keglevich T, Nikolidakis D, Gera I, Nagy K, Azzi R et al. Treatment of class III multiple gingival recessions: a randomized-clinical trial. J Clin Periodontol. 2010; 37(1): 88-97.
Lindhe J, Socransky SS, Nyman S, Westfelt E. Dimensional alteration of the periodontal tissues following therapy. Int J Periodontics Restor Dent. 1987;7(2):9-22.
Boke F, Gazioglu C, Akkaya S, Akkaya M. Relationship between orthodontic treatment and gingival health: a retrospective study. Eur J Dent. 2014;8(3):373-380.
Daprile G, Gatto MR, Checchi L. The evolution of buccal gingival recessions in a student population : A 5 year follow-up. J Periodontol. 2007; 78(4):611-614.
Roccuzzo M, Bunino M, Needleman I, Sanz M. Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol. 2002; 29(Suppl. 3):178-194.
Oates TW, Robinson M, Gunsolley JC. Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol. 2003 Dec;8(1):303-320.
Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5(2):8-13.
Carvalho PF, da Silva RC, Cury PR, Joly JC. Modified coronally advanced flap associated with a subepithelial connective tissue graft for the treatment of adjacent multiple gingival recessions. J Periodontol. 2006;77(11):1901-6.
Bittencourt S, Ribeiro Edel P, Sallum EA, Sallum AW, Nociti FH, Casati MZ. Semilunar coronally positioned flap or subepithelial connective tissue graft for the treatment of gingival recession: a 30-month follow-up study. J Periodontol. 2009 Jul;80(7):1076-1082.
Bittencourt S, Del Peloso Ribeiro E, Sallum EA, Nociti FH Jr, Casati MZ. Surgical microscope may enhance root coverage with subepithelial connective tissue graft: a randomized-controlled clinical trial. J Periodontol. 2012 Jun;83(6):721-730.
Pendor S, Baliga V, Bhongade ML, Turakia V, Shori T.A comparison between connective tissue grafts combined with either double pedicle grafts or coronally positioned pedicle grafts: A clinical study. J Indian Soc Periodontol. 2014 May;18(3):326-30.
Reino DM, Maia LP, Novaes AB Jr, Souza SL. Comparative study of two surgical techniques for root coverage of large recessions in heavy smokers. Int J Esthet Dent. 2015;10(3):456-67.
de Sanctis M, Clementini M. Flap approaches in plastic periodontal and implant surgery: critical elements in design and execution. J Clin Periodontol. 2014;41(Suppl 15):S108-122.
Hellyer PH, Beighton D, Heath MR, Lynch, EJR. Root caries in older people attending a general dental practice in East Sussex. Br Dent J. 1990;169(7):201-206.
Furlan ML, Sallun AW, Sallun EA, Nociti junior FH, Casati MZ, Ambrosano GMB. Incidência de recessão gengival e hipersensibilidade dentinária na clínica de graduação da FOP-UNICAMP. Periodontia. 2007;17(1):53-61.
Kaval B, Renaud DE, Scott DA, Buduneli N. The role of smoking and gingival crevicular fluid markers on coronally advanced flap outcomes. J Periodontol. 2014;85(3):395-405.
Nanavati B, V Bhavsar N, Jaydeepchandra M. Coronally Positioned Flap for Root Coverage: Comparison between Smokers and Nonsmokers. J Int Oral Health. 2013;5(2):21-27.
Alves LB, Costa PP, Scombatti de Souza SL, de Moraes Grisi MF, Palioto DB, Taba Jr M et al. Acellular dermal matrix graft with or without enamel matrix derivative for root coverage in smokers: a randomized clinical study. J Clin Periodontol. 2012;39(4):393-399.
Reino DM, Novaes Junior AB, Maia LP, Palioto DB, Grisi MFM, Taba Junior M et al. Treatment of gingival recessions in heavy smokers using two surgical techniques: a controlled clinical trial. Braz Dent J. 2012;23(1):59-67.
Andia DC, Martins AG, Casati MZ, Sallum EA, Nociti FH. Root coverage outcome may be affected by heavy smoking: a 2-year follow-up study. J Periodontol. 2008;79(4):647-653.
Silva CO, de Lima AF, Sallum AW, Tatakis DN. Coronally positioned flap for root coverage in smokers and non-smokers: stability of outcomes between 6 months and 2 years. J Periodontol. 2007;78(9):1702-177.
Erley KJ, Swiec GD, Herold R, Bisch FC, Peacock ME. Gingival recession treatment with connective tissue grafts in smokers and non-smokers. J Periodontol. 2006;77(7):1148-1155.
Silva CO, Sallum AW, de Lima AF, Tatakis DN. Coronally positioned flap for root coverage: poorer outcomes in smokers. J Periodontol. 2006;77(1):81-7.
Martins AG, Andia DC, Sallum AW, Sallum EA, Casati MZ, Nociti Júnior FH. Smoking may affect root coverage outcome: a prospective clinical study in humans. J Periodontol. 2004;75(4):586-591.
Santamaria MP1, da Silva Feitosa D, Casati MZ, Nociti Júnior FH, Sallum AW, Sallum EA. Randomized controlled clinical trial evaluating connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesion: 2-year follow-up. J Periodontol. 2013;84(9):e1-8.
Santamaria MP, da Silva Feitosa D, Nociti Júnior FH, Casati MZ, Sallum AW, Sallum EA. Cervical restoration and the amount of soft tissue coverage achieved by coronally advanced flap: a 2-year follow-up randomized-controlled clinical trial. J Clin Periodontol. 2009a;36(5):434-441.
Santamaria MP, Ambrosano GMB, Casati MZ, Nociti Júnior FH, Sallum AW, Sallum EA. Connective tissue graft plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesion: a randomized-controlled clinical trial. J Clin Periodontol. 2009b;36(9):791-798.
Santamaria MP, Suaid FF, Casati MZ, Nociti Júnior FH, Sallum AW, Sallum EA. Coronally positioned flap plus resin-modified glass ionomer restoration for the treatment of gingival recession associated with non-carious cervical lesions: a randomized controlled clinical trial. J Periodontol. 2008;79(4):621-628.
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):615-623.
Ahmedbeyli C, Ipçi ?D, Cakar G, Kuru BE, Y?lmaz S. Clinical evaluation of coronally advanced flap with or without acellular dermal matrix graft on complete defect coverage for the treatment of multiple gingival recessions with thin tissue biotype. J Clin Periodontol. 2014;41(3):303-310.
Pini-Prato G, Franceschi D, Rotundo R, Cairo F, Cortellini P, Nieri M. Long-Term 8-Year Outcomes of Coronally Advanced Flap for Root Coverage. J Periodontol. 2012;83(5):590-594.
Berlucchi I, Francetti L, Del Fabbro M, Basso M, Weinstein RL. The influence of anatomical features on the outcome of gingival recessions treated with coronally advanced flap and enamel matrix derivative: a 1-year prospective study. J Periodontol. 2005;76(6):899-907.
Leknes KN, Amarante ES, Price DE, Bøe OE, Skavland RJ, Lie T. Coronally positioned flap procedures with or without a biodegradable membrane in the treatment of human gingival recession. A 6-year follow-up study. J Clin Periodontol. 2005;32(5):518-529.
Santamaria MP, Ambrosano GM, Casati MZ, Nociti Júnior FH, Sallum AW, Sallum EA. The influence of local anatomy on the outcome of treatment of gingival recession associated with non-carious cervical lesions. J Periodontol. 2010;81(7):1027-34.
Peacock ME, Sutherland DE, Schuster GS, Brennan WA, O Neal RB, Strong SL et al. The effect of nicotine on reproduction and attachment of human gingival fibroblasts in vitro. J Periodontol. 1993;64(7):658-665.
Tipton DA, Dabbous MK. Effects of nicotine on proliferation and extracellular matrix production of human gingival fibroblasts in vitro. J Periodontol. 1995;66(12):1056-1064.
Giannopoulo C, Geinoz A, Cimasoni G. Effects of nicotine on periodontal ligament fibroblasts in vitro. J Clin Periodontol. 1999;26(1):49-55.
Bergström J, Boström L. Tobacco smoking and periodontal hemorrhagic responsiveness. J Clin Periodontol. 2001;28(7):680-685.
Giannopoulo C, Roehrich N, Mombelli A. Effect of nicotine-treated epithelial cells on the proliferation and collagen production of gingival fibroblasts. J Clin Periodontol. 2001;28(8):769-775.
Gamal AY, Bayomy MM. Effect of cigarette smoking on human PDL fibroblasts attachment to periodontally involved root surfaces in vitro. J Clin Periodontol. 2002;29(8):763-770.
Morozumi T, Kubota T, Sugita N, Itagaki M, Yoshie H. Alterations of gene expression in human neutrophils induced by smoking cessation. J Clin Periodontol. 2004;31(12):1110-1116.
Benatti BB, César-Neto JB, Goncxalves PF, Sallum EA, Nociti FH Jr. Smoking affects the self-healing capacity of periodontal tissues. A histological study in the rat. Eur J Oral Sci. 2005;113(5):400-403.
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):714-721.
Santos VR, Lucchesi JA, Cortelli SC, Amaral CM, Feres M, Duarte PM. Effects of glass ionomer and microfilled composite subgingival restorations on periodontal tissue and subgingival biofilm: Aa 6-month evaluation. J Periodontol. 2007;78(8):1522-1528.
Santamaria MP, Suaid FF, Casati MZ, Nociti Jr FH, Sallum AW, Sallum EA. Periodontal surgery and glass ionomer restoration in the treatment of gingival recession associated with a non-carious cervical lesion: Report of three cases. J Periodontol. 2007;78(6):1146-1153.
Guida B, Nasciben M, Carvalho E, Ribeiro EP. Recobrimento radicular de recessões gengivais associadas a lesões cervicais não cariosas: revisão da literatura. Periodontia 2010;20(2):14-21.
Terry DA, McGuire MK, McLaren E, Fulton R, Swift EJ Jr. Perioesthetic approach to the diagnosis and treatment of carious and noncarious cervical lesions: Part I. J Esthet Restor Dent. 2003;15:217-232.
Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced flap procedures: a systematic review. J Clin Periodontol. 2008;35(8 supl):136-162.
Chambrone L, Sukekava F, Araújo MG, Pustiglioni FE, Chambrone LA, Lima LA. Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. J Periodontol. 2010;81(4):452-478.
Chambrone L, Pannuti CM, Tu YK, Chambrone LA. Evidence-based periodontal plastic surgery. II. An individual data meta-analysis for evaluating factors in achieving complete root coverage. J Periodontol. 2012;83(4):477-490.
Modica F, Del Pizzo M, Roccuzzo M, Romagnoli R. Coronally advanced flap for the treatment of buccal gingival recessions with and without enamel matrix derivative. A split-mouth study. J Periodontol. 2000;71(11):1693-1698.
Pini-Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogengival surgery int the treatment of human buccal gingival recession. J Periodontol. 1992;63(11):919-928.
Tatakis DN, Trombelli L. Gingival recession treatment: guided tissue regeneration with bioabsorbable membrane versus connective tissue graft. J Periodontol. 2000;71(2):299-307.
McGuire MK, Scheyer ET. Xenogeneic collagen matrix with coronally advanced flap compared to connective tissue with coronally advanced flap for the treatment of dehiscence-type recession defects. J Periodontol. 2010;81(8):1108-1117.
Huang LH, Neiva RE, Soehren SE, Giannobile WV, Wang HL. The effect of platelet-rich plasma on the coronally advanced flap root coverage procedure: a pilot human trial. J Periodontol. 2005;76(10):1768-1777.
Wilson Júnior TG, McGuire MK, Nunn ME.Evaluation of the safety and efficacy of periodontal applications of a living tissue-engineered human fibroblast-derived dermal substitute. II. Comparison to the subepithelial connective tissue graft: a randomized controlled feasibility study. J Periodontol. 2005;76(6):881-889.
Baldi C, Pini-Prato G, Pagliaro U, Nieri M, Saletta D, Muzzi L et al. Coronally advanced flap procedure for root coverage Is flap thickness a relevant predictor to achieve root coverage? A 19- case series. J Periodontol. 1999;70(9):1077-1084.
Anderegg CR, Metzler DG, Nicoll BK. Gingiva thickness in guided tissue regeneration and associated recession at facial furcation defects. J Periodontol. 1995;66(5):397-402.
Mörmann W, Ciancio SG. Blood supply of human gingiva following periodontal surgery. A fluorescein angiographic study. J Periodontol. 1977;48(11):681-692.
Pini Prato G, Baccetti T, Magnani C, Agudio G, Cortellini P. Mucogingival interceptive surgery of buccally-erupted premolars in patients scheduled for orthodontic treatment. I. A 7-year longitudinal study. J Periodontol. 2000;71(2):172-181.
Pini Prato GP, Baldi C, Nieri M, Franseschi D, Cortellini P, Clauser C et al. Coronally advanced flap: the post-surgical position of the gingival margin is an important factor for achieving complete root coverage. J Periodontol. 2005;76(5):713-722.
Nieri M, Rotundo R, Franceschi D, Cairo F, Cortellini P, Pini-Prato GP. Factors affecting the outcome of the coronally advanced flap procedure: a Bayesian network analysis. J Periodontol. 2009;80(3):405-410.
Löst C. Depth of alveolar bone dehiscences in relation to gingival recessions. J Clin Periodontol. 1984; 11(9):583-589.
Bernimoulin JP, Lüscher B, Mühlemann HR. Coronally repositioned periodontal flap. Clinical evaluation after one year. J Clin Periodontol. 1975;2(1):1-13.
Romanos GE, Bernimoulin JP, Marggraf E. The double lateral bridging flap for coverage of denuded root surface: longitudinal study and clinical evaluation after 5 to 8 years. J Periodontol. 1993;64(8):683-688.
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