In a previous study, we evaluated the findings related to the use of resorbable collagen membranes in humans along with dfdba demin eralized freezedried bone allograft. 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. The ultimate goal of root coverage procedures should be complete coverage of the recession defect with a pleasing color and tissue blend between the. The aim of this surgical procedure is to prevent or correct anatomic. 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. Navarasu, and venkata srikanth treatment of gingival recession using, coronally advanced flap case reports international journal of. Pdf periodontal plastic surgery is part of mucogingival therapy.
Gingival recession is represented by atrophic periodontal changes. 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. Gum recession is most common in adults over the age of 40, but the process can begin in the teenage years. Surgical treatments also can help, such as grafts that attach gum tissue from one part of your mouth to the exposed area. 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 defined as the displacement of the marginal tissue apical to the cementoenamel junction.
Gum recession can cause problems for your dental health. 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. Treat gingival recession extensive oneappointment treatment using emdogain enamel matrix proteins. When teeth are healthy, gum tissue fits around each tooth like a cuff. Gingival recession is defined as the exposure of the root surface by an apical shift in the position of gingiva. Surgical management of gingival recession using autogenous soft. Gingival recession can be associated to periodontal disease or muco gingival conditions causing hypersensitivity, root caries and esthetic problems. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. Gingival recession, classification, treatment options.
Healing of localized gingival recessions treated with a. The purpose of this case report was to illustrate the relationship between orthodontic therapy and gingival recession, and to describe the successful treatment of this case. Treatment of millers class i gingival recession defects using coronally advanced flap. Identifying the tissue phenotype and the reason for the implantrelated gingival recession is a vital part of treatment. Straumann emdogain for gingival recession treatment. Orthodontic tooth movement through a thin buccal osseous plate leading to a dehiscence beneath a thin gingival tissue can cause recession andor loss of the gingiva 1, 3, 9. How to stop gingival recession or receding gums treatment. Treatment of miller class iii gingival recessions with. Treatment of gingival recession with collagen membrane and. Treatment of gingival recession with collagen membrane and dfdba. Gingival recession defects not extending to mucogingival junction. Gingival recession an overview sciencedirect topics. His classification of gingival recession is based on the remaining gingival tissues surrounding affected teeth see reference 3. This technique focuses mainly on monitoring implantrelated gingival recession.
Gingival recession can be defined as the displacement of the marginal tissue apical to the cementoenamel junction cej see aap glossary of terms. Recession frequently disturbs patients because of sensitivity and esthetics. Bridge flap for the treatment of multiple gingival recession. Become familiar with the causes of gingival recession and two alternate treatment options available to correct it. Ajay mahajan modified the millers classification as following. Diagnosis and treatment of gingival recession decisions. Recession height rh, recession width rw, width of keratinized tissue wkt, thickness of keratinized tissue tkt, probing depth pd, and clinical attachment level cal were measured at baseline, 6 and 12 months postsurgery.
Gingival recession associated with orthodontic treatment. Epithelializedsubepithelial connective tissue graft esctg combined with an envelope type flap is a treatment alternative combining the. Treatment of gingival recession has become an important therapeutic issue due to the increasing number of cosmetic requests from patients. Hopefully, the pockets that have formed between the teeth and the gums will shrink. Controversy exists in the literature between the role of orthodontic treatment and gingival recession. Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the united states, 19881994. The treatment of gingival recession focuses on covering the exposed surface of the dental root and arrest the progressive loss of tissue. 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. Management of gingival recession in the orthodontic.
Gum recession treatment it can be painful and ugly to have receding gums. It is a common oral health problem in adults, but teenagers are also susceptible to this condition. 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. Download pdf gingival recession management dencyclopedia. Gingival recession is defined as the displacement of the marginal tissue apical to the. Decision making in gingival recession treatment semantic scholar. This paper is the second in a three part series looking at the aetiology and management of gingival recession. Many surgical techniques have been introduced to treat. Gum recession is a condition when the roots of the teeth are exposed due to the loss of gum tissue. One of the most common esthetic concerns associated with the periodontal tissues is gingival recession. Your treatment options depend on the type and severity of your gum recession.
In a tooth with gum recession, the gum tissue has pulled away from the tooth. After treatment, the gingival gum tissue will become tight, pink, and healthy, with no bleeding or redness. Treatment of gingival recession using coronally advanced. 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. Understand why gingival recession is a concern both functionally and aesthetically for the soft and hard tissue. Pdf one of the most common esthetic concerns associated with the periodontal tissues is gingival recession. The present debate focuses on the treatment of multiple adjacent gingival. The problem is more common on facial surfaces, but it may also occur on the lingual surface. After gingival recession treatment, the acrylic template can be placed again and the difference in the gingival margin levels compared. It is the most common and undesirable condition of the gingiva.
Gingival recession is an intriguing and complex phenomenon. Treatment of multiple miller class i and iii gingival. Several mucogingival procedures have been used successfully including pedicle flaps procedure, implants of free gingival grafts and coronally advanced flaps procedure 6. Tunnel technique in the periodontal plastic treatment of multiple adjacent gingival recession defects. Pdf gingival recession is defined as the apical migration of the junctional epithelium with exposure of root surfaces. Does gingival recession require surgical treatment. Treatment of miller class iii gingival recessions with tunnel technique a subepithelial connective tissue graft was then harvested from the palate and divided into two portions to be adapted only for the recessions corresponding to 1.
Introduction gingival recession is the most common and undesirable condition. 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. Treating gingival recession over the last few years. Generalized recession ranging from 1 to 4 mm on tooth nos.
Gingival recession is defined as the displacement of marginal gingiva apical to the cementoenamel junction cej. A combination of the tunneling technique with subepithelial connective tissue graft can be considered an option for multiple gingival recession treatment. If you have gum recession, your dentist can help you understand the causes and recommend a treatment. This study aimed to evaluate the effects of a porcine acellular dermal matrix padm with or without an enamel matrix derivative emd on gingival recession defects treated with a coronally advanced flap caf in dogs. The gingival morphology and tissue biotype have an influence on the likelihood of recession occurring. 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. Consensus report and guidelines of the periodiabetes workshop.
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. 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. Treatment of gingival recession is not mandatory not all recession defects can be covered by tissue grafts, although. The dual goals of mucogingival treatment include complete root coverage, up to the cementoenamel junction, and blending of tissue color between the treated area and nontreated adjacent tissues. 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. Gum recession, however, can be treated by a qualified periodontist. Comparison of 2 clinical techniques for treatment of gingival. Abstract gingival recession is a common dental problem that. Various mucogingival problems such as shallow vestibule, aberrant. 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. For instance, gum recession caused by excessive or aggressive brushing can be helped with improved oral hygiene techniques. Connective tissue graft, gingival recession, tunneling technique, tooth hypersensitivity.
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