Prevalence, Risk Indicators, and Patient‐Reported Outcomes of Labial Gingival Recession Following Orthodontic Treatment: A Retrospective Study
5 affiliations
- 1University of Lille, Lille University Hospital
- 2Harvard School of Dental Medicine
- 3Private Practice
- 4CHU Lille
- 5University of Michigan School of Dentistry
Abstract
Objectives To assess the prevalence, distribution, and risk indicators of gingival recession (GR) following orthodontic treatment (OT) in both private and hospital‐based settings, and to evaluate its impact on patient satisfaction and willingness to seek corrective treatment. Materials and Methods Clinical and radiographic records from baseline to follow‐up were retrospectively analyzed. Additionally, participants completed a survey on satisfaction, perception of GR if present, and willingness to seek corrective treatment. Incident and persistent GR were analyzed separately. Bayesian mixed‐effects logistic regression with weakly informative priors was used to identify risk indicators for incident GR. Results A total of 103 patients (2030 teeth; mean age: 20.7 ± 9.7 years) were included. GR prevalence increased from 1.7% at baseline to 2.0% at appliance removal and continued to rise during the retention phase (3%–5%), with a site‐specific distribution. Among 1996 teeth free of GR at baseline, 49 developed incident GR. A thin‐scalloped gingival phenotype was the strongest risk indicator for incident GR (OR = 4.10; 95% CrI: 1.25–13.46). Most baseline GR persisted throughout follow‐up. Satisfaction with OT remained high (mean score: 8.99 ± 1.04 on a 10‐point scale) and was not significantly influenced by GR or treatment setting. Conclusions Gingival recession occurrence after orthodontic treatment is time‐ and site‐dependent. A thin‐scalloped gingival phenotype is the main risk indicator for incident GR, whereas pre‐existing recession is highly persistent. Despite its occurrence, gingival recession had limited impact on patient satisfaction. Clinical Relevance This study provides long‐term, multicenter data on gingival recession following orthodontic treatment, and is the first to assess its impact on patient perception. The findings may help inform risk‐based treatment planning and individualized patient counseling in orthodontic care.
Related
- V-pattern with diplopia following bilateral lateral rectus recession in intermittent exotropia
- Multidimensional patterns of malocclusion in treatment-seeking Turkish orthodontic patients : A retrospective cross-sectional study
- Preoperative prevalence and risk factors for thromboembolic events following tibial plateau fractures: a retrospective analysis of an underestimated risk.
- Women’s experience following orthodontic treatment with conventional fixed appliances and clear aligners: A qualitative study
- Facial and Dentoalveolar Changes Following Orthodontic Treatment of Bimaxillary Protrusion in Two Sisters
BibTeX
@article{benabdallah2026prevalence,
title = {{Prevalence, Risk Indicators, and Patient‐Reported Outcomes of Labial Gingival Recession Following Orthodontic Treatment: A Retrospective Study}},
author = {Sarah Benabdallah and Parham Hazrati and Catherine Delcourt and Pierre‐Alexandre Chataigner and Nassima Ramdane and Claire Averlant‐Dubois and Hom‐Lay Wang and Kevimy Agossa},
journal = {Clinical and experimental dental research},
year = {2026},
month = oct,
doi = {10.1002/cre2.70483},
url = {https://europepmc.org/article/PMC/PMC13654315},
note = {CC BY},
}
RIS
TY - JOUR
TI - Prevalence, Risk Indicators, and Patient‐Reported Outcomes of Labial Gingival Recession Following Orthodontic Treatment: A Retrospective Study
AU - Sarah Benabdallah
AU - Parham Hazrati
AU - Catherine Delcourt
AU - Pierre‐Alexandre Chataigner
AU - Nassima Ramdane
AU - Claire Averlant‐Dubois
AU - Hom‐Lay Wang
AU - Kevimy Agossa
PY - 2026
DA - 2026/10/01
JO - Clinical and experimental dental research
DO - 10.1002/cre2.70483
UR - https://europepmc.org/article/PMC/PMC13654315
AB - Objectives To assess the prevalence, distribution, and risk indicators of gingival recession (GR) following orthodontic treatment (OT) in both private and hospital‐based settings, and to evaluate its impact on patient satisfaction and willingness to seek corrective treatment. Materials and Methods Clinical and radiographic records from baseline to follow‐up were retrospectively analyzed. Additionally, participants completed a survey on satisfaction, perception of GR if present, and willingness to seek corrective treatment. Incident and persistent GR were analyzed separately. Bayesian mixed‐effects logistic regression with weakly informative priors was used to identify risk indicators for incident GR. Results A total of 103 patients (2030 teeth; mean age: 20.7 ± 9.7 years) were included. GR prevalence increased from 1.7% at baseline to 2.0% at appliance removal and continued to rise during the retention phase (3%–5%), with a site‐specific distribution. Among 1996 teeth free of GR at baseline, 49 developed incident GR. A thin‐scalloped gingival phenotype was the strongest risk indicator for incident GR (OR = 4.10; 95% CrI: 1.25–13.46). Most baseline GR persisted throughout follow‐up. Satisfaction with OT remained high (mean score: 8.99 ± 1.04 on a 10‐point scale) and was not significantly influenced by GR or treatment setting. Conclusions Gingival recession occurrence after orthodontic treatment is time‐ and site‐dependent. A thin‐scalloped gingival phenotype is the main risk indicator for incident GR, whereas pre‐existing recession is highly persistent. Despite its occurrence, gingival recession had limited impact on patient satisfaction. Clinical Relevance This study provides long‐term, multicenter data on gingival recession following orthodontic treatment, and is the first to assess its impact on patient perception. The findings may help inform risk‐based treatment planning and individualized patient counseling in orthodontic care.
SN - 2057-4347
ER -