Dimitrios Kloukos, DDS, Dr.med.dent, MAS Ortho UniBe, MSc LSHTM, PhD
Dimitrios Kloukos graduated from the Dental School of the Aristotle University οf Thessaloniki, Greece and the Greek Military Academy of Combat Support Officers in 2003. He specialized in Orthodontics at the University of Bern, Switzerland, receiving the title ‘Master of Science in Orthodontics’ (2009-2013) and the title of Doctorate at University of Bern (Dr. Med. Dent. in Dentistry in 2011). He has achieved a second Master title (Master of Science in Clinical Trials) at the University of London, United Kingdom (LSHTM, 2011-2015). He received his PhD title in Department of Periodontology, University of Malmö, Sweden in 2023. He is now enrolled for the Executive MSc in Health Economics, Policy and Management in London School of Economics (LSE).
He is Lieut. Colonel of Greek Air Force and Head of the Orthodontic Department of the 251 Hellenic Air Force General Hospital, Athens, Greece since 2014 and is the owner of five practices for orthodontics and pediatric dentistry in Athens, Naxos, and Santorini (ToothCare Clinics). He is also Senior Lecturer and Research Associate at Department of Orthodontics and Dentofacial Orthopedics in University of Bern. His academic writing involves articles in international journals and book chapters in the fields of Orthodontics, Orthodontics and Periodontology interaction, and research methodology. His scientific interests mainly include the various aspects of orthodontic-periodontal inter-relationship.
Topic: Risk factors for gingival recession development in orthodontic patients
Gingival recession refers to the apical displacement of the gingival margin from the cemento-enamel junction. Recessions can be localized or may involve more teeth or tooth surfaces. Although gingival recession has not been linked to increased tooth loss, it often represents an aesthetic problem, it predisposes to tooth hypersensitivity and may hinder oral hygiene. Patients with thin periodontal phenotype are more likely to undergo alteration of the gingival margin during orthodontic treatment irrespective of the type of tooth move-
ment. The precise mechanism by which orthodontic treatment influences the occurrence of recessions remains unclear. The movement of teeth to positions outside the labial or lingual alveolar plate has been associated with the development of dehiscence. It has been assumed that the presence of bony dehiscence before the beginning of orthodontic therapy is a prerequisite for the development of gingival recession. Nevertheless, bony dehiscence development during orthodontic treatment, per se, does not always lead to recession; thus other factors must also be of importance. This presentation will present the available evidence on pathogenesis of gingival recessions and further will demonstrate the existing evidence on orthodontically induced gingival recessions.
Main Learning/teaching points
- Gingival recessions- Etiology and Pathogenesis
- Predisposing and causative factors for gingival recession
- Short-term and long-term effects of orthodontic tooth movement regarding gingival recession / assessment of literature
- What is the impact of orthodontic tooth movement on gingival recession development?
- Can we prognose the development of gingival recession for the individual orthodontic patient?
- Risk factors for recessions after orthodontic treatment