Prevalencia de agrandamiento gingival en pacientes portadores de aparatología de ortodoncia fija. Facultad de Odontología de la Universidad de Cuenca 2016

Abstract

The gingival enlargement is a common complication in orthodontic treatment. It could appear one or two months after placement of fixed appliances, the etiologic factors are: excess of cements used for othodontic appliances, food impaction, molar bands, and less efficient oral-hygiene maintenance, stress causes by orthodontic forces, anatomical abnormalities, and / or extractions.

Objective: Determinate the prevalence of gingival enlargement in patients with fixed orthodontic appliances in Orthodontics Posgraduate, Dentistry School, University of Cuenca. Materials and Methods: 105 subjects fulfilled the inclusion criteria for participate in this study, we get information about sex, age, use of dental mouthwashes, periodontal treatment before orthodontic therapy, motivation and previous teaching hygiene, period after cementation of appliances; then, a periodontal examination was done. The probing depth of all permanent teeth was measured using PCP 11.5 periodontal probe. Every value greater than 3.5mm was considered as gingival enlargement, it was classified according to degree and location. (Carranza 2010).

Conclusions: AG prevalence was 65.7%, there was no difference in sex prevalence, and the most affected were 16 to 25 years old patients with fixed orthodontics for more than two years, thick periodontal biotype and previous periodontal treatment. The most common AG grade was I (papilar), located in the anterior sector, in the vestibular thooth face