Gingival recession and tooth mobility, journal of clinical. The main focus is on the surgical techniques used for recession coverage using either soft tissue substitutes or. Management and prevention of gingival recession merijohn. Recession may lead to a mucogingival problem characterised by gingival inflammation in an area of limited or no attached tissue figure 2. Gingival recession is an enigma among clinicians due to multiple etiological factors and various treatment modalities.
Gingival recession on buccal and palatal surfaces of all teeth was measured. The occurrence and severity of the gingival recession present considerable differences between populations. This paper is the second in a three part series looking at the aetiology and management of gingival recession. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity, esthetic complaints, and a tendency toward root caries. Gingival recession coverage using soft tissue substitutes. In both cases, the sulcular gingival margin was gently disephitelized with a diamond bur leaving the soft tissue healing by itself. It is important to note the etiology of gingival recession is multifactorial. This book aims to serve as a clinical manual for gingival recession management.
The occurrence and severity of the gingival recession present. Classifications for gingival recession galore international journal. Gingival recession has direct causes and predisposing factors. Gingival recession is associated with oral exposure of the root surface due to a displacement of the gingival margin apical to the cementoenamel junction. A protocol was developed a priori following initial discussion between members of the research team. This can cause significant esthetic concerns for the patient, especially when it affects the anterior teeth. Orthodontic treatment is able to prevent recession and even contribute to its treatment, with or without periodontal approach, depending on the type and severity of gingival tissue damage.
Read gingival recession and tooth mobility, journal of clinical periodontology on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Twostage mucogingival surgery with free gingival autograft. Read gingival recessionits significance and management, journal of dentistry on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. The etiology and prevalence of gingival recession sciencedirect. There are many surgical procedures for treating gingival recessions and the main goal is to cover the exposed tooth surface by soft tissue augmentation. Effect of smoking on gingival recession semantic scholar. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile. A2 facial subcritical contour modified to an acceptable convex.
Diagnosis and treatment of gingival recession decisions. Apr 04, 2016 gingival recession has direct causes and predisposing factors. Association of gingival recession and other factors with. Gingival recession an overview sciencedirect topics. Introduction gingival recession is the most common and undesirable condition. Etiology and occurrence of gingival recession an epidemiological study.
Unfortunately, the relatively low prevalence of gingival recession in our sample and low number of patients who had mandibular incisors proclined 10 degrees precluded further analysis. This preliminary study examined the relation between a history of hard t. Gingival recession can lead to root exposure and increased tooth sensitivity. Lateral pedicle and connective tissue graft a combined approach for management of isolated gingival recession ramnath elangovan 1, ramakrishnan theyagarajan 2, ebenezer mani 3 and mejalla muthiah amaladhas 1. Enamel matrix derivative and plateletrich plasma andre p.
Gingival recession was recorded as present if any root surface was clearly visible without retraction of the gingival tissue. Gum recession can cause problems for your dental health. Their mean age was 46 years and they had an average of 19. Gingival recession on the labial aspect of both maxillary central incisors, which extended apically to about onehalf of the root length. Orthodontic treatment and isolated gingival recession. Gingival recession occurs when the location of the gingival margin lies apical to the cementoenamel junction cej, leading to exposure of the root surface figure 1. Even more confusing is the fact that there are numerous options available for gingival recession treatment, each with its own benefi ts. American academy of periodontology 1992 the term marginal tissue recession is considered to be more accurate than gingival recession, since the marginal tissue may have been alveolar mucosa. This migration of the marginal tissue leads to esthetic concerns, dentin hypersensitivity, root caries, and cervical wear. In addition, the relationship between the gingival recession and the following factors was evaluated.
Gingival recession or receding gums is a condition where the gum tissue that covers the coronal portion of the tooth is reduced or lost. So this may be associated with any class of gingival recession and remains a constant factor, irrespective of the severity of gingival recession. Ag a the recession of the gingiva is increasingly becoming a prominent condition in. Knowledge and interest in treating gingival recession among. Nonsurgical management of gingival recession and associated. Pdf treatment of gingival recessions in heavy smokers. Gum recession is a common problem in adults over the age of 40, but it may also occur starting from the age of a teenager, or around the age of 10. Corti and jacques dejou, comparative clinical study of a bioabsorbable membrane and subepithelial connective tissue graft in the treatment of human gingival recession, journal of periodontology, 70, 2, 123, 1999. It has been proposed that recession is multifactorial, with one type being associated with anatomical factors and another type with physiological or pathological factors. Gingival recession in mandibular incisors and symphysis.
This book is designed to serve as a clear and concise clinical manual that covers all aspects of the current management of gingival recession, with a particular focus on surgical techniques with the adjunctive use of autogenous tissues or soft tissue substitutes for recession coverage. Gingival recession occurs when the location of the gingival margin lies. Recession was found on at least one tooth surface in 68% of subjects. Comparison of 2 clinical techniques for treatment of. Gingival recession associated with orthodontic treatment and. This can lead to exposure of the roots of the teeth and increased tooth sensitivity. One hundred and four japanese subjects with or without gingival recession were randomly selected. Case 4 was a 27yearold male who presented with millers class ii gingival recession defects, ranging from 1 to 4 mm, involving 22,23,24 teeth. Oct 02, 2012 gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins.
Therapeutic outcomes for gingival recession defects in the. For the assessment of quantitative parameters, criteria for considering studies for this assessment was based on the most current systemic. A gingival recession figure 1a and 1b is defined as the displacement of the marginal tissue apical to the cementoenamel junction camargo et al. If you have gum recession, your dentist can help you understand the causes and recommend a treatment. The gold standard approach for gingival recession coverage is the use of autogenous connective tissue grafts ctg in combination with a coronally advanced flap. The gingival morphology and tissue biotype have an influence on the likelihood of recession occurring. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity. Gingival recession and attached tissue a thorough understanding of the anatomy of the supporting structures of the teeth is a prerequisite to correct diagnosis and treatment planning when dealing with mucogingival defects around teeth or implants. Occurrence of gingival recession in adults vehkalahti. Nov 11, 2019 gingival recession is defined as apical migration of the gingival epithelium leading to the exposure of root surface.
Gingival recession can be defined as the displacement of the marginal tissue apical to the cementoenamel junction cej see aap glossary of terms. Gingival recession is the displacement of the gingival soft tissue margin apical to the cementoenamel junction which results in exposure of the root surface. Nov 29, 2019 various surgical procedures are used for the management of gingival recession defects. Gingival recession can be treated with various surgical procedures, and root coverage can be obtained irrespective of the surgical approach adopted. Separate analyses on premolars and on molars suggested that recession on premolars may be primarily due to brushing force and on the molars may be primarily due to debris and calculus. Treating gingival recession over the last few years dentistry has. Treatment of gingival recession using coronally advanced flap case reports. The findings suggest that recession is positively associated with percent abrasion reflecting forceful brushing and with poor oral hygiene. Etiology and occurrence of gingival recession an epidemiological. Controlled clinical evaluation of the subpedicle connective.
Therefore, a single factor alone may not necessarily result in the development of gingival recession. Article pdf available in journal of indian society of periodontology november. View enhanced pdf access article on wiley online library html view. This preliminary study examined the relation between a history of hard toothbrush use and gingival recession. Clinical measurements probing pocket depth, clinical attachment level, bleeding on probing, gingival recession height, gingival recession width, amount of keratinized tissue, and width and height of the papillae adjacent to the recession were determined at baseline, 3 and 6 months postoperatively. In a tooth with gum recession, the gum tissue has pulled away from the tooth. Jan 10, 2019 instant access to the full article pdf. Gingival recession, also known as receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue andor retraction of the gingival margin from the crown of the teeth. Diagnosis and treatment of gingival recession decisions in. The prevalence of gingival recession was found in patients with both good and poor oral hygiene. No association between gingival labial recession and facial.
To prevent the complications associated with the use of ctg, several treatment alternatives using soft tissue substitutes are now available for. Gingival recession associated with orthodontic treatment. Gingival recessions and the change of inclination of. Gingival recession classifications linkedin slideshare. It is characterized by the displacement of the gingival margin apically from the cementoenamel junction cej and the exposure of the root surface to the oral environment. Gingival recession is an apical shift of the gingival margin with exposure of the root surface. Month clinical study of a semilunar coronally positioned flap and subepithelial connective tissue graft for the treatment of gingival recession, journal of periodontology, 77, 2, 174181, 2006. Objective of this study was to evaluate the knowledge and interest among dental practitioners regarding the treatment of gingival recession. It is, paradoxically, a common finding in patients with a high standard of oral hygiene, as well as in periodontally untreated populations with poor oral. Dental plaque, epidemiology, etiology, gingival recession, prevalence. International journal of dental sciences and research 2.
Gingival recession and root caries in the ageing population. Unique creeping attachment after autogenous gingival grafting. Gingival recession checklist and visual guide is a practical chairside support tool that illustrates to the patient the gingival recession modifiable conditions that she or he can personally control. Jan 08, 2012 gingival recession slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. However, for a clinician, an establishment of a relationship between the facial type and gingival recession is sensible because the determination of facial type is easy and routinely performed and had it been associated with gingival recession it could have had a significant prognostic value. If you continue browsing the site, you agree to the use of cookies on this website. Aim of the study to study and analyze the most effective methods in clinical and paraclinic as early diagnosis of gingival recession. Gum recession is the process in which the margin of the gum tissue that surrounds the teeth wears away, or pulls back, exposing more of the tooth, or. Dentin hypersensitivity dh may be present in association with gingival recession. Pdf treatment of gingival recessions in heavy smokers using.
Northway 20 gingival recessioncan orthodontics be a cure. Application of vista technique to treat gingival recession in this case was similar as described. Progressive gingival recession also increases the risk of tooth loss secondary to clinical attachment loss. There are two factors to consider when trying to determine the root cause of gingival recession.
Although mitigating the causes of gingival recession decreases its incidence and severity, implementing practical management and prevention strategies in the clinical setting can be challenging. Pdf etiology and occurrence of gingival recession an. Treatment of gingival recession using coronally advanced flap. Jul 12, 2019 this book aims to serve as a clinical manual for gingival recession management. In other words, there might have been sufficient amount of alveolar bone to prevent dehiscence formation, which is a prerequisite for gingival recession. Treating gingival recession over the last few years. Clinical measurements probing pocket depth, clinical attachment level, bleeding on probing, gingival recession height, gingival recession width, amount of keratinized tissue, and width and height of the papillae adjacent to the recession were determined at. Inagaki y, oishi k, tamaki n, ito ho, nagata t 2014 association of gingival recession and other factors with the presence of dentin hypersensitivity.
The gingival veneer is a prosthesis indicated for challenging clinical situations where there are esthetic concerns because of gingival recession, particularly loss of interdental papillae. Lateral pedicle and connective tissue graft a combined. When teeth are healthy, gum tissue fits around each tooth like a cuff. Gingival recession is the term used to characterize the apical shift of the marginal gingiva from its normal position on the crown of the tooth. Gingival recession is defined as the displacement of marginal gingiva apical to the cementoenamel junction cej. Gingival recession the authors adopted the prisma statement checklist and. Gingival recession is a problem affecting almost all middle and older aged.
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