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VISTA - 4 years follow up
Posted on 12.15.2019 12:18 PM By snjezana pohl In Soft Tissue Enhancement
Recently published study is showing that 2/3 of adult periodontal patients are interested in ortho therapy. Well, majority of my patients refuses orthodontic alignment, like this presented patient.
There were already few discussions on this forum about occlusion as a co-factor for recession development.
2017 World Workshop concluded: “There does not appear to be any scientific evidence to prove that excessive occlusal forces cause abfraction or gingival recession”.
What does the group say: do you refuse to do surgical treatment if no occlusal adjustment is done? Is there any evidence that night guard helps to maintain the result?
snjezana pohl says on 12.15.2019 12:19 PM
Maurice Salama says on 12.15.2019 02:00 PM
Snjezana; Great discussion points. I do believe occlusion is a contributing factor in recession but would still treat gingival recession with or without occlusal adjustment or nightguard. Beautiful work here....regards Dr. Salama
snjezana pohl says on 12.17.2019 01:41 PM
Thank you for your feedback, Maurice. I use to reduce occlusal contacts if there is a fremitus.
Best regards and thanks
andoni jones says on 12.15.2019 04:39 PM
Amazing results Snjezana! Agree with Maurice, just because there is no "evidence" doesn't mean occlusal trauma is not a big contributor to recession and abfraction. Usually don't see these lesions in well aligned and occluded teeth.regards!
snjezana pohl says on 12.17.2019 01:47 PM
I see them, especially after ortho treatment and at patients with aggressive tooth brushing habits.
It is interesting that despite occlusion I don´t see relapse! What is your experience, dear Andoni?