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Abstract(s)
Introdução: O papel do trauma oclusal na etiologia das recessões gengivais (GR) e das lesões cervicais não cariosas (LCNC) é um tema relevante na Medicina Dentária moderna, dada a elevada prevalência e implicações estéticas e funcionais que acarretam. Contudo, o seu papel como fator causal ou contribuinte permanece ainda alvo de debate e controvérsia, em particular no que respeita às recessões gengivais. Com vista a esclarecer esta temática, delineou-se como objetivo principal do estudo, realizar uma revisão sistemática para se verificar a possível influência dos fatores oclusais na ocorrência de LCNC e RG. Metodologia: Para se responder à questão de investigação formulada (“Existe uma relação entre a presença de trauma oclusal e o aparecimento de recessões gengivais ou lesões cervicais não cariosas?”) efetuou-se uma pesquisa bibliográfica de artigos respeitantes ao tema, publicados desde março de 2010 a março de 2020, com termos de pesquisa e critérios de inclusão e exclusão bem definidos. Os artigos obtidos foram primeiramente sujeitos a uma análise do título e/ou abstract e, finalmente, a leitura integral. Dada a quantidade e diversidade dos estudos, foi efetuada uma análise qualitativa dos mesmos. Resultados: Com base nos critérios estabelecidos foram obtidos 757 artigos iniciais. Após revisão, 19 artigos foram sujeitos a análise de texto completo, restando 5 artigos para inclusão (1 case-control e 4 cross-sectional). Os resultados descritos nos artigos revelam-se distintos, dada a heterogeneidade de artigos sujeitos a análise. Conclusão: Considerando as limitações desta revisão sistemática foi possível concluir: poucos estudos relativos a este tema foram publicados nos últimos 10 anos, em particular, respeitante à associação entre RG e fatores oclusais; LCNC e RG apresentam etiologia multifatorial; trauma oclusal parece estar associado com a ocorrência das LCNC; não foi possível tirar conclusões a respeito da associação entre trauma oclusal e RG.
Introduction: Occlusal trauma in the etiology of gingival recession (GR) and noncarious cervical lesion (NCCL) remains of great relevance in modern dentistry, given the increased prevalence and its esthetic and functional implications. However, its role as a causal or contributing factor remains a matter of debate and controversy, particularly concerning GR. To clarify this theme, the main objective of this research was to carry out a systematic review (SR) to verify the possible influence of occlusal factors on the occurrence of GR and NCCL. Methods: In order to answer the research question ("Is there a relationship between the presence of occlusal trauma and the appearance of gingival recessions or non-carious cervical lesions?"), a bibliographic search was conducted focusing on articles published since March 2010 to March 2020, with well-defined search terms for inclusion and exclusion criteria. Firstly, it was analyzed the title and/or abstract of the articles obtained and, finally, full-text reading was carried out. Given the amount and diversity of final studies, a qualitative analysis was carried out. Results: Based on the established criteria, it was possible to obtain an initial 757 articles. After screening, 19 articles were excluded after full-text read, remaining 5 articles for inclusion (1 case-control, and 4 cross-sectional studies). The results described in the articles were different, given the heterogeneity of articles subject to analysis. Conclusion: Within the limitation of this SR, it was possible to conclude that: few studies regarding the topic have been published in the past 10 years, in particular, about the association of GR with occlusal factors; NCCL and GR present a multifactorial etiology; traumatic occlusion seem to be associated with the occurrence of NCCL; it is not possible to draw any conclusions regarding the association between occlusal trauma and GR.
Introduction: Occlusal trauma in the etiology of gingival recession (GR) and noncarious cervical lesion (NCCL) remains of great relevance in modern dentistry, given the increased prevalence and its esthetic and functional implications. However, its role as a causal or contributing factor remains a matter of debate and controversy, particularly concerning GR. To clarify this theme, the main objective of this research was to carry out a systematic review (SR) to verify the possible influence of occlusal factors on the occurrence of GR and NCCL. Methods: In order to answer the research question ("Is there a relationship between the presence of occlusal trauma and the appearance of gingival recessions or non-carious cervical lesions?"), a bibliographic search was conducted focusing on articles published since March 2010 to March 2020, with well-defined search terms for inclusion and exclusion criteria. Firstly, it was analyzed the title and/or abstract of the articles obtained and, finally, full-text reading was carried out. Given the amount and diversity of final studies, a qualitative analysis was carried out. Results: Based on the established criteria, it was possible to obtain an initial 757 articles. After screening, 19 articles were excluded after full-text read, remaining 5 articles for inclusion (1 case-control, and 4 cross-sectional studies). The results described in the articles were different, given the heterogeneity of articles subject to analysis. Conclusion: Within the limitation of this SR, it was possible to conclude that: few studies regarding the topic have been published in the past 10 years, in particular, about the association of GR with occlusal factors; NCCL and GR present a multifactorial etiology; traumatic occlusion seem to be associated with the occurrence of NCCL; it is not possible to draw any conclusions regarding the association between occlusal trauma and GR.
Description
Keywords
Trauma occlusal Lesões cervicais não cariosas Recessões gengivais Oclusão Abfração Occlusal trauma Non-carious cervical lesions Gingival recessions Occlusion Abfraction