Published Paper Details:

Background: Orthodontic treatments are widely utilized to correct dental and jaw misalignments but can potentially induce gingival recession, a condition characterized by the displacement of the gingival margin towards the tooth root. This systematic review assesses the prevalence and management of gingival recession in patients undergoing orthodontic treatment, exploring the interplay between various orthodontic appliances and gingival health. Methods: Adhering to PRISMA guidelines, this review synthesizes evidence from studies that employed observational, cohort, and case-control designs to explore the effects of orthodontic appliances on gingival recession. Databases such as MEDLINE, EMBASE, Cochrane Library, Web of Science, PsycINFO, Scopus, and CINAHL were searched using a combination of controlled vocabulary and keywords related to orthodontic appliances and gingival recession. The inclusion criteria focused on human participants of any age and gender who underwent treatment with various orthodontic appliances, with outcomes measuring the prevalence and severity of gingival recession. Results: The review included studies that detailed demographic data, treatment specifics, and outcomes from diverse geographical regions. The findings highlight a significant association between specific orthodontic practices, such as the type of appliance and the mechanical forces applied, and the incidence of gingival recession. Studies also underscored the role of anatomical factors, treatment duration, and patient-specific variables in influencing the risk and severity of recession. Conclusion: Orthodontic treatments, while beneficial for dental health, pose risks to gingival integrity, primarily through mechanical stresses that may exacerbate predisposed vulnerabilities. The review emphasizes the necessity for comprehensive treatment planning, including risk assessment and preventive strategies, to mitigate the onset and progression of gingival recession. Future research should focus on longitudinal studies to further elucidate the pathophysiological mechanisms and to refine preventive and therapeutic approaches in orthodontic care.