Abstract
Gingival invagination is an alteration of the ginviva often observed during orthodontic space closure. This finding appears as a “pseudopocket” which can be probed both horizontally and vertically. The objective of this systematic literature review was to present information on the etiology and intermediate and long-term sequelae of gingival invagination, together with possible approaches to its prevention and treatment. To find currently available literature a MeSH term search in the PubMed literature database was carried out, complemented by manual search in selected dental journals and in the reference lists of the identified articles. Only few articles on gingival invagination were identified. Those that were found displayed different levels of evidence which made a quantitative evaluation impossible. The results are summarized and discussed in light of this information.
Zusammenfassung
Die Gingivaduplikatur ist eine Veränderung der Schleimhaut, welche oftmals im Laufe eines kieferorthopädischen Lückenschlusses zu beobachten ist. Eine solche Gingivaduplikatur stellt sich als eine Art „Pseudotasche“ dar, die horizontale und vertikale Sondierungstiefen aufweist. Ziel der vorliegenden systematischen Literaturübersicht war es, genauere Hinweise zur Ätiologie, mittel- und langfristigen Folgen sowie zu Ansätzen für die Vermeidung und Therapie von Gingivaduplikaturen zu erhalten. Eine Schlagwortsuche in der Literaturdatenbank „Pubmed“, manuelle Recherche in zahnmedizinischen Zeitschriften sowie eine weitere Recherche in den Quellen der resultierenden Publikationen wurden vorgenommen, um die derzeit verfügbare Literatur zu identifizieren. Die Literaturrecherche ergab nur eine geringe Anzahl an Publikationen zur jeweiligen Fragestellung mit unterschiedlichen Evidenzgraden, die eine quantifizierbare Verwertung der Publikationen nicht zuließen. Aus diesem Grund wurden die Ergebnisse entsprechend der genannten Fragestellung zusammengefasst und diskutiert.
References
PRISMA Transparent Reporting of Systematic Reviews and Meta-Analyses. http://www.prisma-statement.org/statement.htm
Amler MH (1969) The time sequence of tissue regeneration in human extraction wounds. Oral Surg Oral Med Oral Pathol 27:309–318
Araujo MG, Lindhe J (2005) Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 32:212–218
Atherton JD (1970) The gingival response to orthodontic tooth movement. Am J Orthod 58:179–186
Baumrind S, Korn EL, Boyd RL, Maxwell R (1996) The decision to extract: part II. Analysis of clinicians’ stated reasons for extraction. Am J Orthod Dentofacial Orthop 109:393–402
Cardaropoli G, Araujo M, Hayacibara R et al (2005) Healing of extraction sockets and surgically produced—augmented and non-augmented—defects in the alveolar ridge. An experimental study in the dog. J Clin Periodontol 32:435–440
Cardaropoli G, Araujo M, Lindhe J (2003) Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. J Clin Periodontol 30:809–818
Diedrich P (1995) Probleme und Risiken bei der Bewegung von Unterkieferfrontzähnen. Fortschr Kieferorthop 56:148–156
Diedrich P, Wehrbein H (1997) Orthodontic retraction into recent and healed extraction sites. A histologic study. J Orofac Orthop 58:90–99
Donos N, Mardas N, Chadha V (2008) Clinical outcomes of implants following lateral bone augmentation: systematic assessment of available options (barrier membranes, bone grafts, split osteotomy). J Clin Periodontol 35:173–202
Edwards JG (1971) The prevention of relapse in extraction cases. Am J Orthod 60:128–144
Edwards JG (1970) A surgical procedure to eliminate rotational relapse. Am J Orthod 57:35–46
Erikson JG, Kaplan H, Aisenberg MS (1945) Orthodontics and transseptal fibers. Am J Orthod 31:1–20
Frank W, Pfaller K, Konta B (2008) Mundgesundheit nach kiefer-orthopädischer Behandlung mit festsitzenden Apparaten. Schriftenreihe Health Technology Assessment (HTA) in der Bundesrepublik Deutschland, DIMDI, Köln, pp 1–55
Glans R, Larsson E, Ogaard B (2003) Longitudinal changes in gingival condition in crowded and noncrowded dentitions subjected to fixed orthodontic treatment. Am J Orthod Dentofacial Orthop 124:679–682
Kurol J, Ronnerman A, Heyden G (1982) Long-term gingival conditions after orthodontic closure of extraction sites. Histological and histochemical studies. Eur J Orthod 4:87–92
Malkoc S, Buyukyilmaz T, Gelgor I, Gursel M (2004) Comparison of two different gingivectomy techniques for gingival cleft treatment. Angle Orthod 74:375–380
McCollum AG, Preston CB (1980) Maxillary canine retraction, periodontal surgery, and relapse. Am J Orthod 78:610–622
Parker GR (1972) Transseptal fibers and relapse following bodily retraction of teeth: a histologic study. Am J Orthod 61:331–344
Pinheiro ML, Moreira TC, Feres-Filho EJ (2006) Guided bone regeneration of a pronounced gingivo-alveolar cleft due to orthodontic space closure. J Periodontol 77:1091–1095
Pohl Y (2008) Neue Techniken der Zahnextraktion. Quintessenz 59:467–474
Proffit WR, Fields HW, Sarver DM (2007) Orthodontic treatment planning: limitations, controversies, and special problems. In: Proffit WR, Fields HW, Sarver DM (eds) Contemporary orthodontics, 4th edn. Mosby Elsevier, St. Louis MO, pp 268–330
Reed BE, Polson AM, Subtelny JD (1985) Long-term periodontal status of teeth moved into extraction sites. Am J Orthod 88:203–208
Reichert C, Wenghoefer M, Götz W, Jäger A (2011) Pilot study on orthodontic space closure after guided bone regeneration. J Orofac Orthop 72:45–50
Rivera Circuns AL, Tulloch JF (1983) Gingival invagination in extraction sites of orthodontic patients: their incidence, effects on periodontal health, and orthodontic treatment. Am J Orthod 83:469–476
Robertson PB, Schultz LD, Levy BM (1977) Occurrence and distribution of interdental gingival clefts following orthodontic movement into bicuspid extraction sites. J Periodontol 48:232–235
Rönnerman A, Thilander B, Heyden G (1980) Gingival tissue reactions to orthodontic closure of extraction sites. Histologic and histochemical studies. Am J Orthod 77:620–625
Schmidlin PR, Jung RE, Schug J (2004) Alveolarkammprävention nach Zahnextraktion − eine Literaturübersicht. Schweiz Monatsschr Zahnmed 114:328–336
Schropp L, Wenzel A, Kostopoulos L, Karring T (2003) Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 23:313–323
Stimmelmayr M, Stangl M, Gernet W et al (2010) Biologie der Alveolenheilung und chirurgische Maßnahmen zum Alveolen- und Kammerhalt. Dtsch Zahnarztl Z 65:294–303
Terheyden H, Iglhaut G (2006) Chirurgische Versorgung der Extraktionsalveole. Z Zahnarztl Implantol 22:42–45
Tiefengraber J, Diedrich P, Fritz U, Lantos P (2002) Orthodontic space closure in combination with membrane supported healing of extraction sockets (MHE) a pilot study. J Orofac Orthop 63:422–428
Wehrbein H, Bauer W, Diedrich PR (1995) Gingival invagination area after space closure: a histologic study. Am J Orthod Dentofacial Orthop 108:593–598
Wehrbein H, Fuhrmann R, Andreas A, Diedrich P (1993) Die Bedeutung von Gingivaduplikaturen beim orthodontischen Lückenschluß. Eine klinisch-radiologische Studie. Fortschr Kieferorthop 54:231–236
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Gölz, L., Reichert, C. & Jäger, A. Gingival invagination—a systematic review. J Orofac Orthop 72, 409–420 (2011). https://doi.org/10.1007/s00056-011-0046-z
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DOI: https://doi.org/10.1007/s00056-011-0046-z
Keywords
- Gingival pseudopocket
- Gingival invagination
- Orthodontic space closure
- Tooth extraction
- Bone loss
- Oral hygiene