The Prevalence of Smokeless Tobacco Consumption and Its Effects on Gingival and Periodontal Health Among the Adults in the Emirates of Sharjah, UAE - A Cross-Sectional Study.

Introduction: Smokeless tobacco (SLT) has been linked with various oral signs and symptoms, such as oral mucosal lesions and gingival and periodontal effects. However, there is limited research on the prevalence of SLT use and its impact on gingival and periodontal health in the adult population of the Emirates of Sharjah. Aim: To assess the prevalence of SLT consumption and its effects on gingival and periodontal health in the adult population of the Emirates of Sharjah. Methods: The study evaluated 171 dentate patients aged 18-77 years who use SLT or are nonsmokers. Data were collected through a questionnaire on SLT use and periodontal health assessed using plaque index, gingival index (GI), attachment score, and gingival recession (GR). Statistical analysis was done using SPSS 27.0 version. Results: Among 390 screened participants, 28 subjects (21 males and 7 females) were SLT users with prevalence of 7.18%. No significant differences were found in plaque index, GI, or periodontal pocket depth. However, SLT users had significantly higher clinical attachment loss scores (mean 4.01 mm, SD 0.35) compared to non-users (mean 1.49 mm, SD 1.12). Significant differences were also observed in GR. Conclusions: This study provides insights into the prevalence and impact of SLT use on periodontal and gingival health in UAE adults. SLT usage is associated with a higher risk of periodontitis and gingivitis, indicating the need for awareness and intervention. Further research is required to validate results and consider confounding factors.

Cirugía plástica periodontal. Aplicación de la técnica de colgajo semilunar / Periodontal plastic surgery. Application of the semilunar flap technique / Cirurgia plástica periodontal. Aplicação da técnica de retalho semilunar

RESUMEN Introducción: cada día es más frecuente observar la preocupación de los pacientes por la presencia de trastornos mucogingivales, y dentro de estos, uno de los más comunes es la recesión periodontal. Esta puede acompañarse de sensibilidad radicular, mayor prevalencia de caries y abrasiones cervicales. Presentación de caso: el caso que presentamos se trató de un paciente de 25 años de edad del sexo masculino que acudió a nuestra consulta preocupado por su estética y sensibilidad dental a los cambios térmicos. El mismo presentaba una recesión periodontal de 3 mm a nivel del 13. Discusión: decidimos darle solución al problema con la técnica de colgajo semilunar, cumpliéndose el objetivo del trabajo al quedar resueltos los problemas de estéticas y sensibilidad del paciente una vez cubierta la raíz y aumentado el ancho la encía insertada. Conclusiones: al examen clínico los resultados mostraron un recubrimiento radicular, aumento del grosor de encía insertada, disminución de sensibilidad dental y estética aceptada por el paciente.

ABSTRACT Introduction: every day it is more frequent to observe the concern of patients for the presence of mucogingival disorders, and within these, one of the most common is periodontal recession. This can be accompanied by root sensitivity, increased prevalence of caries and cervical abrasions. Case presentation: the case we presented was a 25-year-old male patient who came to our office concerned about his aesthetics and dental sensitivity to thermal changes. It presented a periodontal recession of 3 mm at the level of 13. Discussion: we decided to solve the problem with the semilunar flap technique, fulfilling the objective of the work by solving the problems of aesthetics and sensitivity of the patient once the root is covered and the width of the inserted gum is increased. Conclusions: on clinical examination the results showed a root coating, increase in the thickness of the inserted gum, decrease in dental sensitivity and aesthetics accepted by the patient.

RESUMO Introdução: a cada dia é mais frequente observar a preocupação dos pacientes com a presença de distúrbios mucogingival, e dentro destes, um dos mais comuns é a recessão periodontal. Isso pode ser acompanhado de sensibilidade radicular, aumento da prevalência de cárter e abrasões cervicais. Apresentação do caso: o caso que apresentamos foi um paciente do sexo masculino de 25 anos que veio ao nosso consultório preocupado com sua estética e sensibilidade dentária às mudanças térmicas. Apresentou uma recessão periodontal de 3 mm ao nível de 13. Discussão: decidimos resolver o problema com a técnica de retalho semilunar, cumprindo o objetivo do trabalho resolvendo os problemas da estética e sensibilidade do paciente uma vez que a raiz é coberta e a largura da gengiva inserida é aumentada. Conclusões: no exame clínico os resultados mostraram revestimento radicular, aumento da espessura da gengiva inserida, diminuição da sensibilidade dentária e estética aceita pelo paciente.

Efectividad de la membrana de fibrina rica en plaquetas asociada al colgajo de reposición coronal / Effectiveness of the platelet-rich fibrin membrane associated to coronally repositioned flap

Introducción: El colgajo de reposición coronal constituye una técnica ventajosa para el tratamiento de la recesión periodontal. Cuando esa técnica es combinada con diferentes biomateriales los resultados son superiores desde el punto de vista de la cobertura radicular y la estabilidad en el tiempo. Objetivo: Evaluar la efectividad de la membrana de fibrina rica en plaquetas combinada con el colgajo de reposición coronal en la cobertura radicular. Métodos: Se realizó una investigación cuasiexperimental con pacientes atendidos en la consulta de Periodoncia de la Facultad de Estomatología de Villa Clara durante el periodo comprendido entre marzo del 2017 y mayo del 2019. La población de estudio estuvo constituida por 41 pacientes que presentaban recesión periodontal y requerían recubrimiento radicular mediante la técnica del colgajo de reposición coronal. Se empleó un muestreo no probabilístico intencional por criterios y la muestra quedó constituida por 26 pacientes que cumplieron los criterios establecidos para el estudio. Se establecieron sitios de estudio y sitios de control. Las variables estudiadas fueron: edad, sexo, extensión longitudinal de la recesión, cobertura radicular, clasificación de Miller, anchura y ganancia de la encía insertada, categorías de evaluación y efectividad del tratamiento. Resultados: En el 92,45 por ciento de los dientes ubicados en los sitios de estudio predominó la categoría de evaluación favorable. El porcentaje de efectividad del tratamiento fue superior en los sitios de estudio en un 33,96 por ciento con relación a los controles. Conclusiones: Se consideró más efectivo el tratamiento de la membrana de fibrina rica en plaquetas asociada al colgajo de reposición coronal(AU)

Introduction: Coronally repositioned flap constitutes an advanced technique for the treatment of periodontal recession. When combined with different biomaterials the results are much more encouraging regarding root coverage and stability in time. Objective: to assess the effectiveness of the platelet-rich fibrin membrane combined with coronal repositioned flap in the root coverage. Methods: A quasi-experimental research was carried out in patients treated at the periodontal office of the Dentistry faculty in Villa Clara province from March 2017 to May 2019. The population was constituted by 41 patients who suffered from periodontal recession and required root coverage using coronally repositioned flap. An intentional non-probabilistic sample was used resulting in 26 patients with the established criteria. Study and control sites were established. Variables such as age, sex, recession length, root coverage, Miller's classification, width and gaining of the attached gingiva, assessment categories and effectiveness of treatment were studied. Results: A favorable assessment category was predominant in 92,45 percent of teeth located in the study sites. The percentage of effectiveness of treatment was higher in the study sites in 33,96 percent in relation to the control sites . Conclusions: The treatment of the platelet-rich fibrin membrane associated with coronally repositioned flap was considered more effective(AU)

Use of the pericoronal tissue of impacted third molar in subgingival connective tissue autograft: A case report.

INTRODUCTION AND IMPORTANCE: The pericoronal tissue, or dental follicle, is a connective tissue found around impacted teeth crown. The dental follicle is involved in odontogenesis, dental eruption and periodontogenesis. CASE PRESENTATION: A young woman presented a vestibular U-shaped periodontal recession localized in tooth 26. After consent the patient underwent a local intervention combining the extraction of her included 28 and a mucogingival management of her periodontal recession localized in 26, using the pericoronary sac of the tooth of 28 has been used as a subepithelial connective autograft. The results 6 weeks after surgery showed a significant gain in thickness and a gain in height of attached gingiva of 26. CLINICAL DISCUSSION: The success of the use of pericoronary sac in subepithelial connective autograft may allow to spare the use of a healthy harvesting site. Furthermore, the dental follicle is often available in young patients with prophylactic extraction of impacted 3rd molars. However, one pericoronary sac may provide enough connective tissue, only for the surgical treatment of a unique recession site. CONCLUSION: The use of the pericoronal sac has shown promising results in the treatment of periodontal recessions. Wider applications could be investigated using the pericoronal sac in the future.

[Prevalence Of Periodontal Recessions In The Odontology Department Of The Bamako Hospital Infirmery (Ihb)]. / Prevalence Des Recessions Parodontales Dans Le Service D'Odontologie De L'Infirmerie Hopital De Bamako (Ihb).

Periodontal or gingival recession is the term used to characterize the apical displacement of the marginal gingiva on the surface of the root beyond the enamel junction. THE OBJECTIVE: of this study was to determine the prevalence of periodontal recession in the Dentistry Department of the Bamako Hospital Infirmary. METHOD: This study was carried out in the dentistry department of the Bamako Hospital Infirmary over a 3-month period from January 15 to April 15, 2020. The inclusion criteria concerned patients who came for consultation in the department. A survey sheet comprising socio-demographic and clinical variables was developed for this purpose. RESULTS: The prevalence of periodontal recession was 23.64%. Men were the most represented with 63.9%. Oral hygiene was fair with 42.62%, 36% of periodontal recessions were shallow and narrow. Miller's Class I and Class II recession types were the most represented with 41%. The incisors were the most affected with a rate of 29.64%. At the community level, adequate awareness and education in maintaining oral hygiene should prove successful in the long term.

La récession parodontale ou gingivale est le terme utilisé pour caractériser le déplacement apical de la gencive marginale à la surface de la racine au-delà de la jonction amelocementaire. L'OBJECTIF: de cette étude était de déterminer la prévalence de la récession parodontale dans le service d'Odontologie de l'Infirmerie Hôpital de Bamako. MÉTHODE: Cette étude a été réalisée dans le service d'odontologie de l'Infirmerie Hôpital de Bamako sur une période de 3 mois du 15 janvier au 15 Avril 2020. Les critères d'inclusion concernaient les patients venus en consultation dans le service. Une fiche d'enquête comportant les variables sociodémographiques et les variables cliniques a été élaborée à cet effet. RÉSULTAT: La prévalence de la récession parodontale était de 23,64%. Les hommes étaient les plus représentés avec 63,9%. L'hygiène bucco-dentaire était passable dans 42,62% des cas et 36% des récessions parodontales étaient peu profondes et étroites. Les types de récession de classe I et II de Miller étaient les plus représentés avec 41%. Les incisives étaient les plus touchées avec un taux de 29,64%. Au niveau communautaire une sensibilisation et une éducation adéquate en matière de maintien de l'hygiène buccale s'avère bénéfique à long terme.

Single tooth torque correction in the lower frontal area by a completely customized lingual appliance.

BACKGROUND: Aim of this study was to analyze the efficacy and precision of the completely customized lingual appliance (CCLA) regarding the single tooth torque correction. The study also examined external apical root resorptions as possible side effects of torque correction and the changings of the periodontal situation. METHODS: A case series of three patients were included. The patients showed a single tooth torque problem with a gingival recession and were treated with the CCLA. Plaster casts before and after treatment and plaster casts of the set up were scanned and superimposed. Deviations between the two plaster casts were analyzed at different points of interest. Changes of the gingival recession were compared before and after treatment. Relative root resorptions were measured by the orthopantomograms. Treatment times were assessed by the records of the patients. Results were presented descriptively. RESULTS: The mean change of the most apical part of the root reached by the orthodontic treatment was 1.8 ± 0.3 mm. The largest deviation between set up and final model was measured on the occlusal surface of the tooth 36 with 0.8 mm. Most measurement points showed a deviation of 0.5 mm or less. The depths of the gingival recession showed a significant reduction of 4.7 mm. The widths of the gingival recession were reduced by 1.1 mm. The average relative root resorption of the corrected teeth was 2.7 ± 1.5%. The average treatment time was 13.8 ± 4.5 months. CONCLUSIONS: This is the first study showing that the CCLA with its high precision is very effective in correcting single tooth torque problems. Orthodontic torque correction resulted in a significant reduction of gingival recessions and caused only negligible root resorptions.

Age estimation from structural changes of teeth and buccal alveolar bone level.

Forensic odontology plays a vital role in the identification and age estimation of unknown deceased individuals. The purpose of this study is to estimate the chronological age from Cone-Beam Computed Tomography (CBCT) images by measuring the buccal alveolar bone level (ABL) to the cemento-enamel junction and to investigate the possibility of employing the age-related structural changes of teeth as studied by Gustafson. In addition, this study will determine the forensic reliability of employing CBCT images as a technique for dental age estimation. A total of 284 CBCT images of Malays and Chinese patients (150 females and 134 males), aged from 20 years and above were selected, measured and stages of age-related changes were recorded using the i-CAT Vision software. Lower first premolars of both left and right side of the jaw were chosen and the characteristics described by Gustafson, namely attrition, secondary dentine formation and periodontal recession were evaluated. Linear regression analysis was performed for the buccal bone level and the R values obtained were 0.85 and 0.82 for left and right side respectively. Gustafson's characteristics were analysed using multiple regression analysis with chronological age as the dependent variable. The results of the analysis showed R values ranged from 0.44 to 0.62. Therefore it can be safely concluded that the buccal bone level highly correlated with the chronological age and is consequently the most suitable age-related characteristic for forensic age estimation.

Trastornos mucogingivales y su tratamiento, cinco años de seguimiento en pacientes matanceros / Mucogingival dysfunctions and its treatment, 5 years of following in patients from Matanzas

Introducción: la encía marginal, encía adherida, mucosa alveolar y unión mucogingival conforman el complejo mucogingival y las aberraciones adquiridas de la morfología, la posición y la cantidad de gingiva que rodea los dientes constituyen los trastornos mucogingivales. Objetivo: determinar el comportamiento de los trastornos mucogingivales y su tratamiento en el servicio de Periodoncia de la Clínica Estomatológica Docente “III Congreso del PCC” en Matanzas, entre enero 2008 y diciembre 2012. Materiales y métodos: se realizó un estudio observacional, descriptivo, en una población de 329 pacientes de ambos sexos. Resultados: la periodontitis y la recesión periodontal resultaron las afecciones periodontales más frecuentes, con un 58,3 y 26,9 %, respectivamente. La recesión periodontal fue el trastorno mucogingival predominante y se presentó con mayor frecuencia en mujeres entre 19 y 34 años de edad. De los 51 pacientes remitidos de ortodoncia que se mantenían en seguimiento evolutivo periodontal la mayoría, 42 (82,4 %), pertenecían al grupo de edad de 5 a 11 años. Los pacientes entre 35-59 años fueron los más afectados por periimplantitis en ambos sexos. Conclusiones: la periodontitis y la recesión periodontal resultaron las afecciones periodontales mayormente notificadas. La recesión periodontal y los trastornos mucogingivales asociados a zonas implantadas fueron más frecuentes en el sexo femenino. La mayoría de los pacientes remitidos de ortodoncia, estaban en el grupo de 5-11 años y se mantenían bajo control evolutivo periodontal. La técnica de cirugía mucogingival más utilizada fue el injerto libre de tejido conectivo y epitelio en todas las edades (AU).

Introduction: The marginal gum, stuck gum, mucous alveolar and union mucogingival conforms the mucogingival complex and the acquired aberrations of the morphology, the position and the quantity of gingiva that it surrounds the teeth, constitute the dysfunctions mucogingivals. Objective: to determine the behavior of the mucogingival dysfunctions and their treatment in the service of Periodontology of Odontology Clinical "III Congress of PCC" in Matanzas, among January 2008 and December 2012. Materials and methods: it was carried out an observational, descriptive study, in a population of 329 patients of both sexes. Results: Periodontitis and the periodontal recession were the most frequent periodontal affections, with a 58,3 % and 26,9 %, respectively. The periodontal recession was the mucogingival dysfunction predominant and it showed up most often in women among 19 and 34 years of age. Of the 51 remitted patients of Orthodontics that stayed in evolutionary periodontal pursuit most, 42 (82,4 %), they belonged to the age group from 5 to 11 years. The patients among 35-59 years were those more affected by periimplantitis in both sexes. Conclusions: Periodontitis and the periodontal recession were the principal periodontal affections. The periodontal recession and the mucogingival dysfunctions associated to implanted areas, were more frequent in the female. Most of the remitted patients of Orthodontics, were in the 5-11 year old group and they stayed periodontal low evolutionary control. The mucogingival technique of surgery more used was the free autograft of connective tissue and epithelia in all the ages (AU).

Trastornos mucogingivales y su tratamiento, cinco años de seguimiento en pacientes matanceros / Mucogingival dysfunctions and its treatment, 5 years of following in patients from Matanzas

Introducción: la encía marginal, encía adherida, mucosa alveolar y unión mucogingival conforman el complejo mucogingival y las aberraciones adquiridas de la morfología, la posición y la cantidad de gingiva que rodea los dientes constituyen los trastornos mucogingivales. Objetivo: determinar el comportamiento de los trastornos mucogingivales y su tratamiento en el servicio de Periodoncia de la Clínica Estomatológica Docente “III Congreso del PCC” en Matanzas, entre enero 2008 y diciembre 2012. Materiales y métodos: se realizó un estudio observacional, descriptivo, en una población de 329 pacientes de ambos sexos. Resultados: la periodontitis y la recesión periodontal resultaron las afecciones periodontales más frecuentes, con un 58,3 y 26,9 %, respectivamente. La recesión periodontal fue el trastorno mucogingival predominante y se presentó con mayor frecuencia en mujeres entre 19 y 34 años de edad. De los 51 pacientes remitidos de ortodoncia que se mantenían en seguimiento evolutivo periodontal la mayoría, 42 (82,4 %), pertenecían al grupo de edad de 5 a 11 años. Los pacientes entre 35-59 años fueron los más afectados por periimplantitis en ambos sexos. Conclusiones: la periodontitis y la recesión periodontal resultaron las afecciones periodontales mayormente notificadas. La recesión periodontal y los trastornos mucogingivales asociados a zonas implantadas fueron más frecuentes en el sexo femenino. La mayoría de los pacientes remitidos de ortodoncia, estaban en el grupo de 5-11 años y se mantenían bajo control evolutivo periodontal. La técnica de cirugía mucogingival más utilizada fue el injerto libre de tejido conectivo y epitelio en todas las edades (AU).

Introduction: The marginal gum, stuck gum, mucous alveolar and union mucogingival conforms the mucogingival complex and the acquired aberrations of the morphology, the position and the quantity of gingiva that it surrounds the teeth, constitute the dysfunctions mucogingivals. Objective: to determine the behavior of the mucogingival dysfunctions and their treatment in the service of Periodontology of Odontology Clinical "III Congress of PCC" in Matanzas, among January 2008 and December 2012. Materials and methods: it was carried out an observational, descriptive study, in a population of 329 patients of both sexes. Results: Periodontitis and the periodontal recession were the most frequent periodontal affections, with a 58,3 % and 26,9 %, respectively. The periodontal recession was the mucogingival dysfunction predominant and it showed up most often in women among 19 and 34 years of age. Of the 51 remitted patients of Orthodontics that stayed in evolutionary periodontal pursuit most, 42 (82,4 %), they belonged to the age group from 5 to 11 years. The patients among 35-59 years were those more affected by periimplantitis in both sexes. Conclusions: Periodontitis and the periodontal recession were the principal periodontal affections. The periodontal recession and the mucogingival dysfunctions associated to implanted areas, were more frequent in the female. Most of the remitted patients of Orthodontics, were in the 5-11 year old group and they stayed periodontal low evolutionary control. The mucogingival technique of surgery more used was the free autograft of connective tissue and epithelia in all the ages (AU).

Mordida cruzada anterior y recesión periodontal: Tratamiento con el MUH Shield. Reporte de caso / Anterior cross bite and periodontal recession: Treatment with the MUH Shield. Case report

Fundamento: Según el Programa Nacional de Atención Estomatológica Integral, se observa una disminución de la prevalencia de caries dental en la población infantil y adolescente, mientras que las periodontopatías ocupan el segundo lugar en la jerarquización de las enfermedades bucales, y la Organización Mundial de la Salud las considera entre las afecciones más comunes del género humano. Entre los factores causantes de recesión periodontal se encuentran la malposición dentaria, las inserciones frénicas anormales y los defectos de la oclusión. Objetivo: Descruzar la mordida anterior simple, asimismo mejorar el estado periodontal del paciente con el aparato tipo MUH Shield. Reporte del caso: Paciente masculino de raza negra, ocho años de edad, con antecedentes de retención dentaria temporal, que acudió a consulta por maloclusión, con trastorno mucogingival asociado a una mordida cruzada anterior simple, sobrepase de 2 mm, resalte de 1 mm. Conclusiones: Se logró descruzar la mordida anterior a las nueve semanas de tratamiento con el aparato tipo MUH Shield y se mejoró el estado periodontal del paciente.

ABSTRACT Background: According to the National Program of Integral Stomatological Care, there is a decrease in the prevalence of dental cavities in children and adolescents, while periodonthopathies rank second in the hierarchy of oral diseases, and the World Organization of Health considers them among the most common conditions of mankind. Among the factors causing periodontal recession are dental miss position, abnormal phrenic insertions, and defects of occlusio. Objective: To uncross the simple anterior bite, as well as to improve the periodontal status of the patient with the MUH Shield type device Case report: An eight years old white male patient, with a history of temporary dental retention, who came to the clinic due to malocclusion, with a bucogingival disorder associated with a simple anterior cross bite, exceeding 2 mm, and a 1 mm margin Conclusions: The anterior bite was uncrossed after nine weeks of treatment with the MUH Shield type device and the patient's periodontal status was improved.

Comportamiento de los trastornos mucogingivales y su tratamiento, Matanzas, 2008-2010 / Behavior of the mucous- gingival disorders and its treatment, Matanzas, 2008-2010

Cada día es más frecuente observar la preocupación de los pacientes por la presencia de trastornos mucogingivales, y dentro de estos, uno de los más comunes es la recesión periodontal. Esta puede acompañarse de sensibilidad radicular, mayor prevalencia de caries y abrasiones cervicales. Sin embargo, el compromiso estético suele ser el principal motivo de consulta. Ante este tipo de trastorno podemos plantear dos posibilidades: no tratarla y controlar su evolución o corregirla mediante técnicas de cirugía mucogingival. Con el objetivo de mostrar el comportamiento de los trastornos mucogingivales y su tratamiento, se realizó un estudio observacional descriptivo y transversal en una población de 169 pacientes que fueron atendidos en el servicio de Periodoncia de la Clínica Estomatólogica Docente III Congreso del PCC, de Matanzas, en el período comprendido entre el 2008 y el 2010. Los trastornos mucogingivales se presentaron en un 34,1 por ciento, de ellos la recesión periodontal fue la más frecuente (28,6 por ciento). Se concluye que las féminas fueron las más afectadas, y los grupos de edades de 15 a 34 y de 35 a 59. Los pacientes remitidos de Ortodoncia en su mayoría tenían de 5 a 11 años de edad y se mantenían bajo control evolutivo periodontal, el injerto libre de tejido conectivo y epitelio fue la técnica mucogingival más utilizada en el servicio.

It is more and more frequent to observe the patients concern for the presence of mucous-gingival disorders, and among them, one of the most common is the periodontal recession. It can be accompanied by radicular sensibility, higher prevalence of caries and cervical abrasions. Nevertheless, the aesthetic compromise uses to be the main motive of consultation. In the presence of this kind of disorder we have two possibilities: no treating it and controlling its evolution or correcting it using mucous-gingival surgery techniques. With the objective of showing the behavior of the mucous-gingival disorders and their treatment, we carried out a an observational, descriptive and transversal research in a population of 169 patients attended in the service of Periodontics of the Teaching Stomatologic Clinic III Congreso del PCC, of Matanzas, in the period between 2008 and 2010. Mucous-gingival disorders were present in 34, 1 per cent, and the periodontal recession was the most frequent (28,6 per cent). We concluded that women were the most affected, and the age groups from 15 to 34 and from 35 to 59. Most of the patients referred from the service of Orthodontics were 5 to 11 years old and were under periodontal evolvable control; the free graft of connective tissue and epithelium was the most used mucous-gingival technique in the service.

Matriz dérmica acelular e conjuntivo gengival, no tratamento das recessões periodontais: avaliação clínica comparativa / Acellular dermal matrix and connective gingival in the treatment of periodontal recessions: comparative clinical evaluation in humans

Diferentes técnicas cirúrgicas periodontais têm sido propostas para o tratamento das recessões periodontais. Dentre essas, o enxerto de tecido conjuntivo gengival destaca-se pela alta previsibilidade de sucesso. Esse trabalho comparou os resultados clínicos do tratamento das recessões periodontais, utilizando os enxertos de tecido conjuntivo gengival e matriz dérmica acelular. Um total de 36 recessões constituiu a amostra, divididas igualmente em 2 grupos. O grupo 1 foi tratado com o enxerto de matriz dérmica acelular (MDA) associado ao retalho deslocado coronariamente, enquanto o grupo 2 (CG) recebeu o tratamento com enxerto de tecido conjuntivo gengival, também associado ao retalho deslocado coronariamente. Foram avaliados os parâmetros clínicos de profundidade de sondagem, nível clínico de inserção, recessão periodontal no sentido corono-apical, diâmetro mésio-distal das recessões, faixa de mucosa ceratinizada inserida e influência da espessura do retalho e dos enxertos em relação à cobertura radicular. As medidas iniciais foram comparadas às obtidas com 45, 90 e 120 dias pós-operatórios. Não foram encontradas diferenças estatisticamente significantes, entre os grupos, em termos de redução das recessões periodontais, faixa de mucosa ceratinizada inserida e espessura do retalho e dos enxertos em relação à cobertura radicular. O grupo 2 (CG) apresentou redução estatisticamente significante, na profundidade de sondagem e nível clínico de inserção, comparativamente ao grupo 1(MDA). Porém, essas diferenças não foram clinicamente relevantes. Concluiu-se que tanto o enxerto de tecido conjuntivo gengival quanto a matriz dérmica acelular podem ser utilizados no tratamento das recessões periodontais, com uma alta previsibilidade de sucesso.

Different techniques have been proposed for the treatment of periodontal recessions. This study compared the clinical results of periodontal recession treatment using a connective tissue graft and an acellular dermal matrix. A totalof 36 recessions were treated and assigned to the group one and the contralateral recession to the group two. In the group one, the exposed root surfaces were treated by the placement of a acellular dermal matrix in combination with a coronally positioned flap; in the group two, a connective tissue graft was used. Probing depth, clinical attachment level, periodontal recession, and width of Keratinized tissue were measured in the procediment initial and 45, 90 and 120 days post surgery. There were no statistically significant differences between the group one and the group two in terms of recession reduction and width of Keratinized tissue. The group two (connective tissue graft) had a statiscally significant reduction in probing depth and clinical attachment gain, so these differences were no clinical significants. Based on these results, the connective tissue graft and acellular dermal matrix can be used for the treatment of periodontal recession, with a high success preview.

Comportamiento de la sensibilidad dentinal en pacientes del municipio 10 de Octubre / Behavior of dentinal sensitivity in patients from the 10 de Octubre municipality

Se realizó un estudio descriptivo transversal con el objetivo de determinar el comportamiento de la sensibilidad dentinal en tres clínicas estomatológicas del municipio 10 de Octubre. Las variables estudiadas fueron: edad, sexo, factores predisponentes, grado del dolor, grupos de dientes examinados y tipo de retracción periodontal presente. Se encontraron 150 pacientes que presentaron 190 dientes afectados por sensibilidad dentinal. El sexo femenino fue el más representado, así como los grupos de edades más jóvenes. Se encontró que el grado 3 de dolor prevaleció y estuvo más relacionado con la recesión peridontal tipo III. La causa más frecuente de sensibilidad dentinal fue el cepillado dental(AU)

A cross-sectional and descriptive study was conducted to determine the behavior of dentinal sensitivity in patients of three Stomatology Clinics from 10 de Octubre municipality. Study variable were: age, sex, predisposing factors, pain degree, groups of examined teeth and the type of periodontal retraction present. There were 150 patients with 190 teeth involved by dentinal sensitivity. Female sex was the more affected one, as well as the younger age groups. We found that 3 degree pain prevailed and that it was more related to type III periodontal recession. The more frequent cause of dentinal sensitivity was the dental brushing(AU)

Comportamiento de la sensibilidad dentinal en pacientes del municipio 10 de Octubre / Behavior of dentinal sensitivity in patients from the 10 de Octubre municipality

Se realizó un estudio descriptivo transversal con el objetivo de determinar el comportamiento de la sensibilidad dentinal en tres clínicas estomatológicas del municipio 10 de Octubre. Las variables estudiadas fueron: edad, sexo, factores predisponentes, grado del dolor, grupos de dientes examinados y tipo de retracción periodontal presente. Se encontraron 150 pacientes que presentaron 190 dientes afectados por sensibilidad dentinal. El sexo femenino fue el más representado, así como los grupos de edades más jóvenes. Se encontró que el grado 3 de dolor prevaleció y estuvo más relacionado con la recesión peridontal tipo III. La causa más frecuente de sensibilidad dentinal fue el cepillado dental(AU)

A cross-sectional and descriptive study was conducted to determine the behavior of dentinal sensitivity in patients of three Stomatology Clinics from 10 de Octubre municipality. Study variable were: age, sex, predisposing factors, pain degree, groups of examined teeth and the type of periodontal retraction present. There were 150 patients with 190 teeth involved by dentinal sensitivity. Female sex was the more affected one, as well as the younger age groups. We found that 3 degree pain prevailed and that it was more related to type III periodontal recession. The more frequent cause of dentinal sensitivity was the dental brushing(AU)