Various surgical techniques can be used in combination with autogenous soft tissue grafts for gingival recession coverage. Patients looking for a decrease in root sensitivity, esthetic improvement, treatment or reduction of the risk of root caries and for restoration of the gingival margin. 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. 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. Jun 20, 2018 there is a possibility of gingival recession initiation or progression of recession during or after orthodontic treatment depending on the direction of the orthodontic movement.
Millers classifi cation of gingival recession is the most widely used method for categorization of the different types and severities of recession defects and is useful to establish general guidelines for clinicians when predicting the success of various gingival recession treatments. The treatment of gingival recession and its sequelae is based on an assessment of the etiological factors and the degree of tissue involvement. Download pdf gingival recession management dencyclopedia. Gingival recession gr is the term that designates the oral exposure of the root. The treatment of gingival recession defects is indicated for esthetic reasons, to reduce root hypersensitivity and to create or augment keratinized tissue. If you continue browsing the site, you agree to the use of. Gingival recession represents a significant concern for patients and a therapeutic problem for clinicians. How to stop gingival recession or receding gums treatment. When teeth are healthy, gum tissue fits around each tooth like a cuff. Gingival recession, classification for gingival recession, palatal recession introduction. A gold standard treatment approach for coverage of gingival recession with predictable esthetic outcomes is the transplantation of autogenous soft tissue grafts. The tunnel technique in the periodontal plastic treatment. 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.
A clinical manual pdf this book is designed to serve as a clear and concise clinical manual that covers all aspects of the current management of gingival. If you have gum recession, your dentist can help you understand the causes and recommend a treatment. Treatment of human gingival recession defects by means of either gtr or ctg results in clinically and statistically significant improvement of the soft tissue conditions of the defect when pre. Gingival recession an overview sciencedirect topics. Follow up every year to asses progression of recession i. The gingival morphology and tissue biotype have an influence on the likelihood of recession occurring. Treatment usually depends on the cause of the gum problems. Previously placed and failing class 5 restorations were present on.
Pubmed and the cochrane oral health group trials register were searched to identify human studies in english investigating the therapeutic use of a soft tissue surgical procedure to treat gingival recession. The initial part of the management of the patient with gingival. Gingival recession occurs when the location of the gingival margin lies. 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. Apr 23, 20 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 is defined as the apical displacement of the gingival margin from the cementoenamel junction cej. Records of 205 patients 162 female, 43 male were obtained from two private practice orthodontists who were. Orthodontic treatment is able to prevent recession and even contribute to its treatment, with or without periodontal approach. Straumann emdogain for gingival recession treatment.
Gingival recession is associated with oral exposure of the root surface due to a displacement of the gingival margin apical to the cementoenamel junction. Apr 04, 2016 gingival recession has direct causes and predisposing factors. A clinical manual pdf 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. This treatment may include the use of local anesthetic, antibiotics, analgesics, sutures stitches and a wound dressing if required. It is characterized by the displacement of the gingival margin apically from the. Introduction gingival recession is the most common and undesirable condition. Dealing with gum recession is essential, not just for relief, but additionally to protect the healthiness of the teeth. Gingival recession has direct causes and predisposing factors. It may be localized to a few sites or generalized to several teeth, and the severity may vary within the same person and between different people.
His classification of gingival recession is based on the remaining gingival tissues surrounding affected teeth see reference 3 for details. There is no evidence on the fact that orthodontic treatment alone might induce gingival recession. May 28, 2017 gingival recession is defined as the displacement of marginal gingiva apical to the cementoenamel junction cej. There is a possibility of gingival recession initiation or progression of recession during or after orthodontic treatment depending on the direction of the orthodontic movement. Surgical management of gingival recession using autogenous. Gingival hyperplasia can be a recurrent condition despite improvements in oral hygiene, professional treatment, and drug substitutions. Millers classifi cation of gingival recession is the most widely used method for categorization of the different types and severities of recession defects.
Searches were performed for articles published by april 2002. 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. Gingival recession is defined as the displacement of the marginal tissue apical to the cementoenamel junction. Pdf one of the most common esthetic concerns associated with the periodontal tissues is gingival recession. Currently the connective tissue graft ctg is the most common and predictable treatment for gingival recession, and is considered the gold standard.
Gingival recession is characterized by apical displacement of the gingival margin. Periodontal plastic surgery is now an important tool in the armamentarium of the clinician treating gingival recessions, and practitioners at all levels will find. Treatment of gingival recession using coronally advanced. Several techniques have been proposed to achieve root coverage.
Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue. Gingival recession is a frequently observed clinical condition characterized by exposure of tooth cementum, predominately on the labial surfaces of teeth, and is reported to be present in the vast majority 5088% of the adult dentition. 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. Blood supply is a significant factor in gaining favorable results from recession graft surgery, and it has been suggested that not using vertical incisions for flap release is important. In addition, where there is high frenal attachment or muscle pull, such as the.
Surgical therapies for the treatment of gingival recession. Gingival recession, classification, treatment options. Abstract gingival recession is the term that designates the oral exposure of the root surface due to a. Recession frequently disturbs patients because of sensitivity and esthetics. 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 management a clinical manual adrian.
Gingival recession is the displacement of the gingival soft tissue margin apical to the cementoenamel junction which results in exposure of the root surface. Hagewald assistant professor at the university of berlin and private practice, berlingermany stefan. Gingival recession is defined as an apical displacement of soft tissues to the cementoenamel junction cej. A 55yearold man presented with significant gingival.
Treatment of gingival recession with hypersensitivity. Pinhole surgical technique compared to connective tissue. Management of gingival recession in the orthodontic patient. Abstract gingival recession is the term that designates the oral exposure of the root surface due to a displacement of the gingival margin apical to the cementenamel junction. Orthodontic treatment is able to prevent recession and even contribute to its treatment, with or without periodontal approach, depending on the. Gingival recession is a common condition in the adult population and is related to several undesirable conditions such as unaesthetic appearance, root caries, and hypersensitivity. Straumann emdogain for gingival recession treatment recession treatment with coronally advanced flap technique caf and straumann emdogain case by pd dr. 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. Diagnosis and treatment of gingival recession decisions in. Gingival recession is defined as the apical migration of the marginal gingiva and it leads to root surface exposure. Gingival recession and root caries in the ageing population.
Controversy exists in the literature between the role of orthodontic treatment and gingival recession. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. One of the most common esthetic concerns associated with the periodontal tissues is gingival recession. Many techniques have been introduced to treat gingival recession, including connective tissue grafting, or ctg. 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.
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. Treatment of human gingival recession defects with. Gingival recession associated with orthodontic treatment and. Treating gingival recession over the last few years dentistry has.
Gingival recession is a frequently observed clinical condition characterized by exposure of. It is the most common and undesirable condition of the gingiva. In such cases, overgrown gums may need to be surgically removed. Treatment of gingival recession journal of the american dental. 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. Gingival recession can be treated with various surgical procedures, and root coverage can be obtained irrespective of the surgical approach adopted. Blood supply is a significant factor in gaining favorable results from recession graft surgery, and it has been suggested that not using vertical incisions for flap. Gum recession can cause problems for your dental health. Many surgical techniques have been introduced to treat gingival recession, including those involving autogenous tissue grafting, various flap designs, orthodontics. 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.
A 55yearold man presented with significant gingival recession in all three of the maxillary sextants figure 1a and figure 1b. Gingival recession associated with orthodontic treatment. Although differences between ctg and gtr in mean root coverage and prevalence of. Gingival recession can be caused by periodontal disease, accumulations, inflammation, improper flossing, aggressive tooth brushing, incorrect. Gingival recession is a common clinical finding that entails an esthetic problem. Oct 02, 2012 gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. The tunnel technique in the periodontal plastic treatment of. Gingival recession is defined as the displacement of marginal gingiva apical to the cementoenamel junction cej. Oct 21, 2011 gingival recession is defined as the apical displacement of the gingival margin from the cementoenamel junction cej. In a tooth with gum recession, the gum tissue has pulled away from the tooth. If you continue browsing the site, you agree to the use of cookies on this website. Diagnosis and treatment of gingival recession decisions. This book is designed to function a clear and concise clinical guide that covers all components of the modern control of gingival recession, with a particular.
This book is designed to function a clear and concise clinical guide that covers all components of the modern control of gingival recession, with a particular cognizance on surgical strategies with the adjunctive use of autogenous tissues or smooth tissue substitutes for recession coverage. Jan 08, 2012 gingival recession slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The techniques used for root coverage are based on tissue. Gingival recession can be defined as the displacement of the marginal tissue apical to the cementoenamel junction cej see aap glossary of terms. However, you can keep the problem from getting worse. 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. Oct 30, 2019 a gold standard treatment approach for coverage of gingival recession with predictable esthetic outcomes is the transplantation of autogenous soft tissue grafts. Covering exposed roots becomes more and more difficult as the gingiva becomes thinner and the vestibule becomes more shallow.
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