Nov 29, 2019 various surgical procedures are used for the management of gingival recession defects. A gingival recession figure 1a and 1b is defined as the displacement of the marginal tissue apical to the cementoenamel junction camargo et al. This can cause significant esthetic concerns for the patient, especially when it affects the anterior teeth. 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. Treatment of gingival recession using coronally advanced flap case reports. There are two factors to consider when trying to determine the root cause of gingival recession. Pdf treatment of gingival recessions in heavy smokers. Therefore, a single factor alone may not necessarily result in the development of gingival recession. Gingival recession and tooth mobility, journal of clinical. Gingival recession in mandibular incisors and symphysis.
Nov 11, 2019 gingival recession is defined as apical migration of the gingival epithelium leading to the exposure of root surface. So this may be associated with any class of gingival recession and remains a constant factor, irrespective of the severity of gingival recession. Effect of smoking on gingival recession semantic scholar. 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. Pubmed and medline were searched for entries up to april, 2012. Jul 12, 2019 this book aims to serve as a clinical manual for gingival recession management. The gingival morphology and tissue biotype have an influence on the likelihood of recession occurring. Pdf treatment of gingival recessions in heavy smokers using. Gingival recession on buccal and palatal surfaces of all teeth was measured. Twostage mucogingival surgery with free gingival autograft. 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.
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. 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. Therapeutic outcomes for gingival recession defects in the. Gingival recessions and the change of inclination of.
Gingival recession an overview sciencedirect topics. No association between gingival labial recession and facial. 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. Controlled clinical evaluation of the subpedicle connective. Recession was found on at least one tooth surface in 68% of subjects. Inagaki y, oishi k, tamaki n, ito ho, nagata t 2014 association of gingival recession and other factors with the presence of dentin hypersensitivity. Gingival recession coverage using soft tissue substitutes. Diagnosis and treatment of gingival recession decisions. The occurrence and severity of the gingival recession present.
The etiology and prevalence of gingival recession sciencedirect. 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 can be defined as the displacement of the marginal tissue apical to the cementoenamel junction cej see aap glossary of terms. View enhanced pdf access article on wiley online library html view. The main focus is on the surgical techniques used for recession coverage using either soft tissue substitutes or. When teeth are healthy, gum tissue fits around each tooth like a cuff. There are many surgical procedures for treating gingival recessions and the main goal is to cover the exposed tooth surface by soft tissue augmentation. 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. International journal of dental sciences and research 2. Gingival recession is the displacement of the gingival soft tissue margin apical to the cementoenamel junction which results in exposure of the root surface. If you have gum recession, your dentist can help you understand the causes and recommend a treatment. Sep 23, 2011 gingival recession is the displacement of the gingival soft tissue margin apical to the cementoenamel junction which results in exposure of the root surface.
Gingival recession the authors adopted the prisma statement checklist and. British dental journal volume 227, page92019cite this article. Gingival recession or receding gums is a condition where the gum tissue that covers the coronal portion of the tooth is reduced or lost. Gingival recession occurs when the location of the gingival margin lies. In addition, the relationship between the gingival recession and the following factors was evaluated.
Gingival recession is associated with oral exposure of the root surface due to a displacement of the gingival margin apical to the cementoenamel junction. If you continue browsing the site, you agree to the use of cookies on this website. To prevent the complications associated with the use of ctg, several treatment alternatives using soft tissue substitutes are now available for. 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. Ag a the recession of the gingiva is increasingly becoming a prominent condition in. Diagnosis and treatment of gingival recession decisions in. Introduction gingival recession is the most common and undesirable condition.
Recession may lead to a mucogingival problem characterised by gingival inflammation in an area of limited or no attached tissue figure 2. 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. Gingival recession was recorded as present if any root surface was clearly visible without retraction of the gingival tissue. Isolated gingival recession may occur in as many as 30 per cent of adolescents, and lead to problems of dentine hypersensitivity, root caries, and gingival inflammation in adult life. Their mean age was 46 years and they had an average of 19. A total of 182 subjects, male and female, between 18 and 65 years of age, with a minimum of 18 natural teeth, no advanced periodontitis or history of. Enamel matrix derivative and plateletrich plasma andre p. Gingival recession is defined as the displacement of marginal gingiva apical to the cementoenamel junction cej. Gingival recession is a problem affecting almost all middle and older aged.
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. Pdf etiology and occurrence of gingival recession an. Gingival recession and root caries in the ageing population. This preliminary study examined the relation between a history of hard t. Association of gingival recession and other factors with. This book aims to serve as a clinical manual for gingival recession management. Orthodontic treatment and isolated gingival recession.
Treating gingival recession over the last few years. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity. Lateral pedicle and connective tissue graft a combined. Apr 04, 2016 gingival recession has direct causes and predisposing factors. 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. Jan 08, 2012 gingival recession slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Nonsurgical management of gingival recession and associated. Jan 10, 2019 instant access to the full article pdf. One hundred and four japanese subjects with or without gingival recession were randomly selected. Gum recession can cause problems for your dental health. Knowledge and interest in treating gingival recession among. One of the most common esthetic concerns associated with the periodontal tissues is gingival recession.
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. 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. 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. 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.
Gingival recession is an apical shift of the gingival margin with exposure of the root surface. Application of vista technique to treat gingival recession in this case was similar as described. Gingival recession is an enigma among clinicians due to multiple etiological factors and various treatment modalities. Aim of the study to study and analyze the most effective methods in clinical and paraclinic as early diagnosis 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. A2 facial subcritical contour modified to an acceptable convex.
Gingival recession on the labial aspect of both maxillary central incisors, which extended apically to about onehalf of the root length. Dentin hypersensitivity dh may be present in association with gingival recession. A protocol was developed a priori following initial discussion between members of the research team. Classifications for gingival recession galore international journal. Objective of this study was to evaluate the knowledge and interest among dental practitioners regarding the treatment of gingival recession. Gingival recession classifications linkedin slideshare. Northway 20 gingival recessioncan orthodontics be a cure.
In a tooth with gum recession, the gum tissue has pulled away from the tooth. Even more confusing is the fact that there are numerous options available for gingival recession treatment, each with its own benefi ts. 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. For the assessment of quantitative parameters, criteria for considering studies for this assessment was based on the most current systemic. 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. It has been proposed that recession is multifactorial, with one type being associated with anatomical factors and another type with physiological or pathological factors. The gold standard approach for gingival recession coverage is the use of autogenous connective tissue grafts ctg in combination with a coronally advanced flap.
Treating gingival recession over the last few years dentistry has. 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. Recessions are relatively common in caucasian populations and their development is agedependentthey are more prevalent in older than in younger persons. Gingival recession can lead to root exposure and increased tooth sensitivity. Etiology and occurrence of gingival recession an epidemiological. This preliminary study examined the relation between a history of hard toothbrush use and gingival recession. 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. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile. Unique creeping attachment after autogenous gingival grafting. Gingival recession has direct causes and predisposing factors. Comparison of 2 clinical techniques for treatment of. Gingival recession in relation to history of hard toothbrush.
This can lead to exposure of the roots of the teeth and increased tooth sensitivity. Treatment of gingival recession using coronally advanced flap. It is important to note the etiology of gingival recession is multifactorial. Management and prevention of gingival recession merijohn. 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. 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. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. Dental plaque, epidemiology, etiology, gingival recession, prevalence. Gingival recession associated with orthodontic treatment. The findings suggest that recession is positively associated with percent abrasion reflecting forceful brushing and with poor oral hygiene. 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. The aim of this study was to determine quantitatively the association of gingival recession and other factors with the presence of dh. Gingival recession can be treated with various surgical procedures, and root coverage can be obtained irrespective of the surgical approach adopted. Article pdf available in journal of indian society of periodontology november.
Etiology and occurrence of gingival recession an epidemiological study. Progressive gingival recession also increases the risk of tooth loss secondary to clinical attachment loss. Gingival recession associated with orthodontic treatment and. Oct 02, 2012 gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. 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. This migration of the marginal tissue leads to esthetic concerns, dentin hypersensitivity, root caries, and cervical wear.
In both cases, the sulcular gingival margin was gently disephitelized with a diamond bur leaving the soft tissue healing by itself. The prevalence of gingival recession was found in patients with both good and poor oral hygiene. In other words, there might have been sufficient amount of alveolar bone to prevent dehiscence formation, which is a prerequisite for gingival recession. Occurrence of gingival recession in adults vehkalahti. 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. 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.
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