In the authors opinion, this method is the least invasive and there are the least contraindications to it. The one of the common factor is faulty tooth brushing trauma. Gingival recession gr is defined as the exposure of the root surface due to the displacement of the gingival margin apical to the cementoenamel junction cej. Gingival recession can lead to root exposure, sensitivity and root caries. Gingival recession is defined as the displacement of marginal gingiva apical to the cementoenamel junction cej. Treating gingival recession ronan allen presents a practical guide to assessing and diagnosing mucogingival deformities, and discusses common treatment modalities involved in root coverage over the last few years dentistry has evolved in such a way that clinicians are not only required to treat disease and improve function but also to cope with. The gingival recession is clinically defined as the apical movement of the gingival margin to the cementoenamel junction cej 1. Table 2 shows the second digit of the ir that gives the vertical. The horizontal component is expressed as a whole number value from the range 05 depending on what proportion of the cej is exposed on either the facial or lingual aspects of the tooth, between the mesial and distal midpoints. Is leukocyte and plateletrich fibrin membrane an alternative for the. Various consequences associated with gingival recession are increased clinical crown length, hypersensitivity, root caries and cervical abrasion.
How to stop gingival recession or receding gums treatment. Most of the classifications of gingival recession are unable to convey all the relevant information related to marginal tissue recession. Gingival recession is defined as the displacement of the marginal tissue apical to the cementoenamel junction. The gingival morphology and tissue biotype have an influence on the likelihood of recession occurring. If you have gum recession, your dentist can help you understand the causes and recommend a treatment. Gum recession is most common in adults over the age of 40, but the process can begin in the teenage years. Surgical management using free grafts and guided tissue regeneration m. Neglected, this disorder can result in larger threat of tooth. Gingival recession is a common problem associated with or without periodontitis. The official nber definition of recession which is used to date u. Gingival recession classifications linkedin slideshare. Treating gingival recession over the last few years. It can be associated with many etiological factors.
To categorize gingival recession, various classifications have been proposed. Management of multiple and isolated gingival recession sites with periodontal plastic surgical proceduresa case report. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity, esthetic complaints. Gingival recession receding gums refers to the progressive loss of gum tissue, which can eventually result in tooth root exposure if left untreated.
Many consider it to be just a sign of aging, and in some cases it is essentially that often the result of wear and tear or years of aggressive tooth brushing. In a tooth with gum recession, the gum tissue has pulled away from the tooth. The colgate periodontal education program gingival. Gingival recession is defined as the apical migration of the gingival margin in relation to the cementoenamel junction causing root exposure. The negative effects of exposed roots may lead to dentine hypersensitivity, root caries, and poor esthetics1. However, sometimes receding gums can be a sign of something more. Treatment of gingival recession with subepithelial. Treatment of millers class i gingival recession defects using coronally advanced flap. Gingival recession or receding gums, is a disorder in which the roots of the teeth come to be uncovered due to the reduction or decreasing of periodontal tissue. Gingival recession with exposed root colgate professional. The most common factors that influence gingival recession are alveolar bone dehiscence, high muscle attachment, frenal pull, iatrogenic factors, hard tooth brush, traumatic tooth brushing habits, orthodontic tooth movements and periodontal disease. Treat gingival recession extensive oneappointment treatment using emdogain enamel matrix proteins.
Periodontal evaluation included gingival score, plaque score, gingival recession, clinical attachment loss and mea surement of width of attached gingival. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity, esthetic complaints and a tendency toward. The recession of the gingiva is increasingly becoming a prominent condition in the oral health of many patients and should be treated at its earliest detection. 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. Table 101 lists the most common causes of generalised gingival recession, but this chapter will limit discussion to recession associated with underlying systemic diseases. Records of 205 patients 162 female, 43 male were obtained from two private practice orthodontists who were careful to avoid excessive labial movement of mandibular incisors and maxillary posterior teeth. Understand why gingival recession is a serious concern both functionally and aesthetically for the soft and hard tissue. Gingival recession, exposure of the root surface due to apical migration of the gingival margin, affects a signi. Watch this interesting video to learn what causes gum recession and the treatment available. When teeth are healthy, gum tissue fits around each tooth like a cuff. The morphology of the lesions created is correlated. 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 the tooths root.
Gingival recession is defined as an apical displacement of soft tissues to the cementoenamel junction cej. This clinical condition is frequently noticed in the population and particularly among patients. But untreated gingivitis can progress to periodontitis, a serious infection that destroys the soft tissue and bone that support your teeth, and eventually may cause tooth loss. Gingival recession is represented by atrophic periodontal changes. Presence of gingival recession in the anterior teeth may cause esthetic concern to the patients. Generalized recession ranging from 1 to 4 mm on tooth nos. One of the most common esthetic concerns associated with the periodontal tissues is gingival recession. The presence of gingival recession amongst subjects with a good standard of oral hygiene suggests that the aetiology is complex and multifactorial joshipura et al. The rationale for this treatment includes 1 a smaller surgical site and a reduction in treatment time through a combined approach and 2 faster healing in the donor area by primary closure of the wound area. Gingival recession is a common clinical condition, presenting in at least one or more tooth surfaces in 23% of u. Gingival recession associated with orthodontic treatment. It is a common condition seen in both dentally aware populations and those with limited access to dental care.
Proper mucogingival therapy should lead to gingival augmentation and create a vestibule with adequate depth in the regions with insufficient attached gingival tissues 1, 14, 18, 20, 22. Histologically it is characterised by the loss of connective fibres of the periodontal tissue and alveolar bone 2. In clinical dentistry, gingival recession is a common annoying problem. 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 sensitivity. Most of these conditions are uncommon and patients should be referred for specialist management, rather than. Gingival recession is the exposure of root surfaces due to migration of the gingival margin apical to the cementoenamel junction. Location of the gingival margin apical to the cej aap how much recession is out there. Healing of localized gingival recessions treated with a. Gingival recession financial definition of gingival recession. Ajay mahajan modified the millers classification as following.
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. Baker dl, seymour gj 1976 the possible pathogenesis of gingival recession. The term atrophy makes reference to all processes of cell lesion characterized by a decrease in volume and cell population of a given organ or tissue, resulting from sublethal cell aggression, such as hypoxia, mechanical compression, local reduced vascularization, among others. Earlystage periodontal disease gingivitis is seldom painful and causes relatively minor signs, such as red, swollen and bleeding gums. 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. Gingival recession defects not extending to mucogingival junction. Treatment of gingival recession using coronally advanced. Gingival recession is a mucogingival defect of multifactorial origin. Gingival margins of restorations should generally be placed supragingivally or at the gingival crest. Receding gums gums that recede to expose the root surfaces of teeth is a common condition in adults over the age of 40. Gum recession can cause problems for your dental health. This paper is the second in a three part series looking at the aetiology and management of gingival recession. It has also been reported that recession will increase over time with the use of hardbristle brushes, excessive force, and frequency of brushing. A recession is a significant decline in economic activity spread across the economy, lasting more than a few months, normally visible in real gdp, real.
Clinical case report autogenous connective tissue graft. Reduction of gingival recession and of hypersensitivity were maintained at least until the final evaluation at months. The use of these procedures can lead to the formation of a stable, noninflamed band of attached gingival tissue. Introduction gingival recession is the most common and undesirable condition.
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 has direct causes and predisposing factors. There are other factors too which contribute to the gingival recession. The author proposes his own version of updating one of the methods of treating gingival recession, namely a laterally moved flap with the addition of enamel matrix proteins. Recession a temporary downturn in economic activity, usually indicated by two consecutive quarters of a falling gdp.
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. Gum recession can be difficult to selfdiagnose in its earlier stages because the changes often occur asymptomatically and gradually. 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. Miller class ii gingival recession defects 5 mm wide and 7 mm deep were surgically created on the labial side of bilateral maxillary canines in 12 dogs. The digits describe the horizontal and vertical components of a recession site in that order. A histological study of induced recession in the rat. Gingival recession is defined as the displacement of marginal tissue apical to the cementoenamel junction cej. Chan3 verifiable cpd paper condition of root surface presence of calculus, caries, contaminated cementum or restorations on root surface prominent fraenal attachments depth of vestibule.
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