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Does the time-point of orthodontic space closure initiation after tooth extraction affect the incidence of gingival cleft development? A randomized controlled clinical trial.
Malmö University, Faculty of Odontology (OD). Med Univ Vienna, Univ Clin Dent, Div Oral Surg, Vienna, Austria.ORCID iD: 0000-0002-8279-7943
Med Univ Vienna, Univ Clin Dent, Div Orthodont, Vienna, Austria.
Med Univ Vienna, Univ Clin Dent, Div Orthodont, Vienna, Austria.
Med Univ Vienna, Univ Clin Dent, Div Orthodont, Vienna, Austria.
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2020 (English)In: Journal of Periodontology, ISSN 0022-3492, E-ISSN 1943-3670, Vol. 91, no 5, p. 572-581Article in journal (Refereed) Published
Abstract [en]

Background: Gingival clefts (GC) develop frequently during orthodontic space closure and may compromise the treatment outcome. This study assessed whether the time-point of orthodontic space closure initiation, after permanent tooth extraction, affects the incidence of GC. Methods: In 25 patients requiring bilateral premolar extraction due to orthodontic reasons, one premolar, chosen at random, was extracted 8 weeks before space closure initiation (“delayed movement”, DM), while the contralateral premolar was extracted one week before (“early movement”, EM) (“treatment group”). Presence/absence of GC after 3 and 6 months (“time-point”) was recorded and any association with various parameters (i.e., treatment group, time-point, gender, jaw, craniofacial growth, gingival biotype, buccal bone dehiscence after extraction, space closure) was statistically assessed. Results: Twenty-one patients contributing with 26 jaws were finally included in the analysis. Overall, GC were frequent after 3 (DM: 53.9%; EM: 69.2%) and 6 months (DM: 76.9%; EM: 88.5%). EM (p=0.014) and larger space closure within the study period (p=0.001) resulted in a significantly higher incidence of GC. Further, there was a tendency for GC development in the presence of buccal bone dehiscence (p=0.052) and thin gingival biotype (p=0.054). “Fast movers” (herein cases with a tooth movement ≥ 1mm per month) developed a GC in > 90% of the cases already after 3 months. “Slow movers” developed a GC only in 25 and 70% after 3m and FE, respectively. Conclusions: GC development is a frequent finding during orthodontic space closure and seems to occur more frequently with early tooth movement initiation and in “fast movers”.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020. Vol. 91, no 5, p. 572-581
Keywords [en]
gingiva, gingival disease, orthodontic space closure, tooth extraction, tooth socket
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-6281DOI: 10.1002/JPER.19-0376ISI: 000490512500001PubMedID: 31559633Scopus ID: 2-s2.0-85084915345Local ID: 30140OAI: oai:DiVA.org:mau-6281DiVA, id: diva2:1403222
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-06-17Bibliographically approved

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Bertl, KristinaStavropoulos, Andreas

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