The importance of orthodontic treatment for the increase of the radical overlay previsibility: Case report




Orthodontics; Gingival Recession; Periodontics.


Introduction: Gingival recession is established through several factors and its treatment can be planned integrating surgical procedures with the aid of orthodontic treatment. Methods: In this context, a 36-year-old woman sought dental treatment to realign the right lower central incisor. A localized gingival recession was verified, being related to poor positioning of the root. The patient had undergone previous orthodontic treatment, as well as periodontal surgical treatment, after which there was no success. Results: After the planning of the case, the dental element was reallocated through orthodontic movement and then the periodontal surgical treatment was performed. With the results obtained, the improvement of gingival recession through orthodontic and periodontal surgical treatment is discussed. Conclusions: This clinical report shows that the gingival graft, performed after tooth movement, can increase the probability of good results in reducing root exposure.


Afonso, P. H., & Guimarães, G. (2016). Evaluation of the levels of gingival recession present in dentistry students of the Faculty of São Lucas - Porto Velho–RO. Revista Saber Científico, 2(1), 1-11.

Allais, D., & Melsen, B. (2003). Does labial movement of lower incisors influence the level of the gingival margin? A case–control study of adult orthodontic patients. The European Journal of Orthodontics, 25(4), 343-352.

Andlin-Sobocki, A., & Persson, M. (1994). The association between spontaneous reversal of gingival recession in mandibular incisors and dentofacial changes in children. A 3-year longitudinal study. The European Journal of Orthodontics, 16(3), 229-239.

Årtun, J., & Krogstad, O. (1987). Periodontal status of mandibular incisors following excessive proclination A study in adults with surgically treated mandibular prognathism. American Journal of Orthodontics and Dentofacial Orthopedics, 91(3), 225-232.

Bon, C. G., Molina, G. O., & da Rosa Gaidzinski, P. (2004). Use of acellular dermal matrix for root coverage. RGO-Revista Gaúcha de Odontologia, 53 (2): 85-164.

Cairo, F. (2017). Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontology 2000, 75(1), 296-316.

Deng, H., Miao, D., Liu, J., Meng, S., & Wu, Y. (2010). The regeneration of gingiva: its potential value for the recession of healthy gingiva. Medical hypotheses, 74(1), 76-77.

Ericsson, I., Tehlander, B., Lindhe, J., & Okamoto, H. (1977). The effect of orthodontic tilting movements on the periodontal tissues of infected and non‐infected dentitions in dogs. Journal of clinical periodontology, 4(4), 278-293.

Ericsson, I., Thilander, B., & Lindhe, J. (1978). Periodontal conditions after orthodontic tooth movements in the dog. The Angle Orthodontist, 48(3), 210-218.

Esposito, M., Grusovin, M. G., Papanikolaou, N., Coulthard, P., & Worthington, H. V. (2009). Enamel matrix derivative (Emdogain®) for periodontal tissue regeneration in intrabony defects. Cochrane database of systematic reviews, (4).

Harfin JF (2004). What is the minimum amount of insertion period required to perform orthodontic movements? Revista Dental Press de Ortodontia e Ortopedia Facial, 9 (1), 145 -157.

Heitz‐Mayfield, L. J. A., Trombelli, L., Heitz, F., Needleman, I., & Moles, D. (2002). A systematic review of the effect of surgical debridement vs. non‐surgical debridement for the treatment of chronic periodontitis. Journal of clinical periodontology, 29, 92-102.

Ji, J. J., Li, X. D., Fan, Q., Liu, X. J., Yao, S., Zhou, Z., ... & Shen, Y. (2019). Prevalence of gingival recession after orthodontic treatment of infraversion and open bite. Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopädie, 80(1), 1-8.

Joss‐Vassalli, I., Grebenstein, C., Topouzelis, N., Sculean, A., & Katsaros, C. (2010). Orthodontic therapy and gingival recession: a systematic review. Orthodontics & craniofacial research, 13(3), 127-141.

Kahn, S., Menezes, C. C. D., Imperial, R. C., Leite, J. D. S., & Dias, A. T. (2013). Influence of periodontal biotype in Implantology and Orthodontics. Revista Brasileira de Odontologia, 70(1), 40-45.

Machado, A. W., MacGinnis, M., Damis, L., & Moon, W. (2014). Spontaneous improvement of gingival recession after correction of tooth positioning. American Journal of Orthodontics and Dentofacial Orthopedics, 145(6), 828-835.

Matsumura, T., Ishida, Y., Kawabe, A., & Ono, T. (2017). Análise quantitativa da relação entre os incisivos superiores e o canal incisivo por tomografia computadorizada de feixe cônico em uma população japonesa adulta. Progress in Orthodontics, 18 (1), 1-6.

Melsen, B., & Allais, D. (2005). Factors of importance for the development of dehiscences during labial movement of mandibular incisors: a retrospective study of adult orthodontic patients. American Journal of Orthodontics and Dentofacial Orthopedics, 127(5), 552-561.

Miller Jr, P. D. (1985). A classification of marginal tissue recession. The International journal of periodontics & restorative dentistry, 5: 8-13.

Morris, J. W., Campbell, P. M., Tadlock, L. P., Boley, J., & Buschang, P. H. (2017). Prevalence of gingival recession after orthodontic tooth movements. American Journal of Orthodontics and Dentofacial Orthopedics, 151(5), 851-859.

Ngan, P. W., Burch, J. G., & Wei, S. H. (1991). Grafted and ungrafted labial gingival recession in pediatric orthodontic patients: effects of retraction and inflammation. Quintessence international, 22(2).

Ong, MM e Wang, HL (2002). Tratamento periodôntico e ortodôntico em adultos. American Journal of Orthodontics and Dentofacial Orthopaedics , 122 (4), 420-428.

Pereira, A. S, Shitsuka. D. M., Parreira F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM.

Polson, A., Caton, J., Polson, A. P., Nyman, S., Novak, J., & Reed, B. (1984). Periodontal response after tooth movement into intrabony defects. Journal of Periodontology, 55(4), 197-202.

Re, S., Cardaropoli, D., Abundo, R., & Corrente, G. (2004). Reduction of gingival recession following orthodontic intrusion in periodontally compromised patients. Orthodontics & craniofacial research, 7(1), 35-39.

Richman, C. (2011). Is gingival recession a consequence of an orthodontic tooth size and/or tooth position discrepancy?“ A paradigm shift”. Compendium of Continuing Education in Dentistry, 32(4), e73-9.

Rotundo, R., Bassarelli, T., Pace, E., Iachetti, G., Mervelt, J., & Prato, G. P. (2011). Orthodontic treatment of periodontal defects. Part II: A systematic review on human and animal studies. Progress in orthodontics, 12(1), 45-52.

Sharma Sharma, K., Mangat, S., Kichorchandra, M. S., Handa, A., Bindhumadhav, S., & Meena, M. (2017). Correlation of orthodontic treatment by fixed or myofunctional appliances and periodontitis: a retrospective study. The journal of contemporary dental practice, 18(4), 322-325.

Tugnait, A., & Clerehugh, V. (2001). Gingival recession—its significance and management. Journal of dentistry, 29(6), 381-394. 1

Yared, K. F. G., Zenobio, E. G., & Pacheco, W. (2006). Periodontal status of mandibular central incisors after orthodontic proclination in adults. American Journal of Orthodontics and Dentofacial Orthopedics, 130(1), 6-e1.

Zanicotti, D., Deliberador, T., Zielak, J., Fernando, A., & Giovanini, C. (2009). Coronally advanced flap and subepithelial connective tissue graft in the treatment of multiple recession-type defects. Perspectives in Oral Sciences, 1, 36-8.

Zavanelli, A. C., Mazaro, J. V. Q., Nóbrega, P. I., FalcÓn-antenucc, R. M., & Zavanelli, R. A. (2018). Data collection about failures in fixed partial dentures: 1-year monitoring. RGO-Revista Gaúcha de Odontologia, 66(3), 250-256.




How to Cite

MENDONÇA, A. K. P. de; COSTA, R. S. G. da S.; PEREIRA, H. S. G.; LINS, R. D. A. U.; MARTINS, A. R. L. de A.; GURGEL, B. C. de V.; DANTAS, E. M. The importance of orthodontic treatment for the increase of the radical overlay previsibility: Case report. Research, Society and Development, [S. l.], v. 10, n. 6, p. e36510613526, 2021. DOI: 10.33448/rsd-v10i6.13526. Disponível em: Acesso em: 18 jun. 2021.



Health Sciences