RESUMO
BACKGROUND: Many gingival lesions are not induced by plaque. The aim of this study was to analyze the frequency of biopsied non-plaque-induced gingival lesions (NPIGL) in a Chilean population. METHODS: One thousand twelve cases of biopsied gingival lesions with confirmed anatomopathologic diagnosis were included, from the records of the Oral Pathology Referral Institute (OPRI), Faculty of Dentistry, University of Chile, between years 1990 and 2009. RESULTS: The most frequent non plaque-induced gingival lesions categories from biopsied cases included hyperplastic lesions, malignancies and benign neoplasms. The most frequent diagnoses in each category were fibrous hyperplasia (35.47%), squamous cell carcinoma (3.85%) and giant cell fibroma (2.08%), respectively. From all lesions, only 8.3% fitted in the specified categories of the current classification of periodontal diseases. CONCLUSIONS: The most frequent biopsied NPIGL were hyperplastic lesions and neoplasms. These categories represent relevant lesions to be included in a future periodontal classification system to improve the care needs of the patients, as well as early diagnosis and treatment.
Assuntos
Doenças da Gengiva/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Biópsia , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/epidemiologia , Carcinoma de Células Escamosas/etiologia , Carcinoma de Células Escamosas/patologia , Criança , Pré-Escolar , Chile/epidemiologia , Feminino , Gengiva/patologia , Doenças da Gengiva/diagnóstico , Doenças da Gengiva/etiologia , Doenças da Gengiva/patologia , Hiperplasia Gengival/diagnóstico , Hiperplasia Gengival/epidemiologia , Hiperplasia Gengival/etiologia , Hiperplasia Gengival/patologia , Neoplasias Gengivais/diagnóstico , Neoplasias Gengivais/epidemiologia , Neoplasias Gengivais/etiologia , Neoplasias Gengivais/patologia , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Doenças Periodontais/classificação , Doenças Periodontais/epidemiologia , Doenças Periodontais/etiologia , Estudos Retrospectivos , Adulto JovemRESUMO
RESUMEN: Existe una prescripción generalizada de retenedores fijos y removibles, con indicación indefinida, luego del tratamiento ortodóncico. El objetivo de este estudio fue dilucidar el impacto de los retenedores de ortodoncia sobre la salud periodontal de los dientes. Se realizó una búsqueda y análisis de artículos científicos de las bases de datos PubMed, ScienceDi rect, SciELO, LILACS y Google Scholar. Los artículos seleccionados fueron publicados entre los años 2015 y 2020 en base a criterios de inclusión y exclusión. Nuestra revisión sugiere que la indicación de un retenedor fijo o removible presenta mayores benefici os que riesgos y no significa, cuando son consideradas las características individuales de cada paciente, el detrimento de la salud periodontal. Sin embargo, son necesarios nuevos estudios prospectivos, con un tiempo de seguimiento suficiente y la presencia de un grupo control, para poder extrapolar resultados y los potenciales daños asociados con los retenedores de ortodoncia.
ABSTRACT: Due to the high prescription after orthodontic treatment of fixed and removable retainers with an indication of indefinite use, the aim of this study was to find the impact of orthodontic retainers on the periodontal health of the teeth. we proceed to search and analyze scientific articles from databases PubMed, ScienceDirect, SciELO, LILACS and Google Scholar, selected articles were published between 2015 and 2020 based on inclusion and exclusion criteria. Our review suggests that the indication of a fixed or removable retainer presents greater benefits than risks and does not mean, when considering the individual characteristics of each patient, the detriment of periodontal health. However, new prospective studies with a longer follow- up time and the presence of a control group are necessary to be able to extrapolate results and elucidate the possible damages associated with orthodontic retainers.