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. Conclusion considering the relationship between orthodontic treatment and gingival health, cooperation among patients, orthodontists, and periodontists is important. And also cuspids were the teeth with the highest prevalence of gingival recession. Gingival recession is represented by atrophic periodontal changes. Gingival recession journal of the american dental association. The colgate periodontal education program gingival. The gingival morphology and tissue biotype have an influence on the likelihood of recession occurring. Treatment of multiple miller class i and iii gingival. Does gingival recession require surgical treatment. Management of gingival recession in the orthodontic patient. Gingival recession an overview sciencedirect topics.
How to stop gingival recession or receding gums treatment. 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. You can have a healthy mouth and prac tice good oral hygiene, and yet experi ence a condition called gingival. About 23% of adults in the united states have one or more tooth surfaces with 3 mm or more gingival recession. Rationale and treatment options october 1, 2012 by avi shelemay, dds, mscperio, frcdc many techniques have been developed over the years for managing gingival recession and preventing it from progressing. Healing of gingival recessions using a collagen membrane with a. Gingival recession can be defined as the displacement of the marginal tissue apical to the cementoenamel junction cej see aap glossary of terms. Your treatment options depend on the type and severity of your gum recession. This paper is the second in a three part series looking at the aetiology and management of gingival recession. Pdf surgical treatment of single gingival recessions. Treatment of gingival recession using coronally advanced flap. If you continue browsing the site, you agree to the use of cookies on this website. 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.
Treatment of gingival recession is performed via socalled mucogingival therapy, which includes surgical and nonsurgical procedures periodontal. The term atrophy makes reference to all processes of cell lesion characterized by a decrease in volume. Treatment of gingival recession type defects using different restorative materials the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Jan 08, 2012 gingival recession slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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. One of the most common esthetic concerns associated with the periodontal tissues is 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. Apr 04, 2016 gingival recession is represented by atrophic periodontal changes. However higher resistance and viscosity of cgf may protect growth factors from proteolysis better than prf. Severe gingival recession around the mandibular central. The decision to proceed with periodontal surgical procedures in the anterior regions. Gingival recession periodontal attachment loss esthetics surgical flaps key points gingival recession is defined as when the location of the gingival margin is apical to the cementoenamel junction cej. Records of 205 patients 162 female, 43 male were obtained from two private practice. Treatment of gingival recessiontype defects using different. Treating gingival recession over the last few years. Clinical gingival health may be found in a periodontium that is intact, i. But so far, it has not been determined whether gum disease is the cause of these conditions. Gingival recession definition of gingival recession by. Gingival recession associated with orthodontic treatment and. But untreated gingivitis can progress to periodontitis.
In a tooth with gum recession, the gum tissue has pulled away from the tooth. His classification of gingival recession is based on the remaining gingival tissues surrounding affected teeth see reference 3 for details. Relationship between orthodontic treatment and gingival. 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. Listing a study does not mean it has been evaluated by the u. Ajay mahajan modified the millers classification as following. Conclusion considering the relationship between orthodontic treatment and gingival health, cooperation. Recession frequently disturbs patients because of sensitivity and esthetics. Gingival recession is associated with oral exposure of the root surface due to a displacement of the gingival margin apical to the cementoenamel junction. Gingival recession is an intriguing and complex phenomenon.
It is characterized by the displacement of the gingival. Introduction gingival recession is the most common and undesirable condition. Gingival recession is defined as when the location of the gingival margin is apical to the cementoenamel junction cej. Other studies showed that women with gum disease were more likely than those. 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. Straumann emdogain for gingival recession treatment recession treatment with coronally advanced flap technique caf and straumann emdogain case by pd dr. Gum recession exposes the roots of teeth, 4 which can lead to. The most common factors that influence gingival recession are. Other studies showed that women with gum disease were more likely than those with healthy gums to deliver preterm, low birth weight babies.
From the most apical extent of the free gingival to the. Slutzkey and levin 2008 observed that the prevalence and extent of. Oct 29, 2016 gingival recession is an intriguing and complex phenomenon. Orthodontic treatment may promote development of recessions bollen et al. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. When teeth are healthy, gum tissue fits around each tooth like a cuff. Gingival recessions and the change of inclination of. Pdf gingival recession is defined as the apical migration of the junctional epithelium with. Clinical guidelines article pdf available in european journal of oral implantology 71.
Facial gingival thickness has been positively associated with its underlying alveolar plate thickness. Apr 19, 2018 an array of treatment options exists for treatment of gingival recession, such as a coronally advanced flap caf combined with connective tissue graft ctg. If you have gum recession, your dentist can help you understand the causes and recommend a treatment. Management of gingival recession in the orthodontic. 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. Periodontal health and gingival diseases and conditions on. 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 article about gingival recession by. Treatment of gingival recession using coronally advanced.
Generalized loss of attachment and gingival recession. A gingival recession figure 1a and 1b is defined as the displacement of the marginal tissue apical to the cementoenamel junction camargo et al. Gum recession exposes the roots of teeth, 4 which can lead to sensitivity and put teeth at a higher risk of damage or disease 5 due to the loosening of their attachment within the gums and bones of the jaw. 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. Many surgical techniques have been introduced to treat gingival recession, including those involving autogenous tissue grafting, various flap designs, orthodontics, and guided tissue regeneration gtr. In the treatment of isolated or multiple gingival recession, prf and sctg with caf procedures have been reported to similar root coverage. Gingival recession is defined as an apical displacement of soft tissues to the cementoenamel junction cej. Download pdf gingival recession management dencyclopedia. Jan, 2017 in the treatment of isolated or multiple gingival recession, prf and sctg with caf procedures have been reported to similar root coverage. However, this technique is susceptible to flap retraction, which can result in incomplete root coverage. Hagewald assistant professor at the university of berlin. Dealing with gum recession is essential, not just for relief, but additionally to protect the healthiness of the teeth. The treatment of gingival recession defects is indicated for esthetic reasons, to reduce root. Navarasu, and venkata srikanth treatment of gingival recession using, coronally advanced flap case reports international journal of.
Controversy exists in the literature between the role of orthodontic treatment and gingival recession. Gingival recession treatment with concentrated growth. Treating gingival recession using the vista technique. Gingival recession definition of gingival recession by the. Hagewald assistant professor at the university of berlin and private practice, berlingermany stefan. Gingival grafting to treat recession is a predictable and reliable periodontal procedure.
Surgical treatments also can help, such as grafts that attach gum tissue from one part of your mouth to the exposed area. Gingival recession dent avrasya dental clinic in turkey. Oct 02, 2012 gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. Gingival recession synonyms, gingival recession pronunciation, gingival recession translation, english dictionary definition of gingival recession. Gingival recession is the exposure of root surfaces due to apical. Treating gingival recession over the last few years dentistry has. Gingival recession and root caries in the ageing population. Jun 28, 2014 2 emdogain for gingival recession treatment case by pd dr. Treatment of gingival recessiontype defects using different restorative materials the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Earlystage periodontal disease gingivitis is seldom painful and causes relatively minor signs, such as red, swollen and bleeding gums.
Since esthetics represents an inseparable part of successful implant therapy, treatment of gingival recessions is an important topic to understand. A combination of the tunneling technique with subepithelial connective tissue graft can be considered an option for multiple gingival recession treatment. Treating gingival recession burlington dental clinic. Gingival recession is defined as the displacement of the marginal tissue apical to the cementoenamel junction. Ajay mahajan modified the millers classification as. This chapter aims to outline the principal causes of localised gingival recession, including those associated with underlying systemic disease.
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. For instance, gum recession caused by excessive or aggressive brushing can be helped with improved oral hygiene techniques. Gingival recession is the exposure of root surfaces due to apical migration of the. 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. 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. Gingival recession defects not extending to mucogingival junction. Gingival recession treatment with concentrated growth factor. Recessions are relatively common in caucasian populations and their development is agedependentthey are more prevalent in older than in younger persons. Gingival recession periodontal attachment loss esthetics surgical flaps key points gingival recession is defined as when the location of the gingival margin is apical to the cemento. Jan 15, 2015 this chapter aims to outline the principal causes of localised gingival recession, including those associated with underlying systemic disease. For instance, gum recession caused by excessive or aggressive brushing can be helped with improved oral. Gingival recession is a frequently observed clinical condition characterized. Treating gingival recession ronan allen presents a practical guide to assessing and diagnosing mucogingival deformities, and discusses common treatment modalities involved in root.
Straumann emdogain for gingival recession treatment. Gum grafting, also known as a gingival graft or periodontal plastic surgery, is a surgical procedure to reverse gum recession. Restoring the gingival level with surgery, applying a free gum. Rationale and treatment options october 1, 2012 by avi shelemay, dds, mscperio, frcdc many techniques have been developed over the years for. Gingival recession associated with orthodontic treatment.
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