In the treatment of isolated or multiple gingival recession, prf and sctg with caf procedures have been reported to similar root coverage. Treating gingival recession burlington dental clinic. Gingival recession occurs when the location of the gingival margin lies. If you continue browsing the site, you agree to the use of cookies on this website. 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. If you have gum recession, your dentist can help you understand the causes and recommend a treatment. Outcome at the end of this chapter the reader will be aware of the limited range of conditions that give rise to localised gingival recession and be able to recognise when referral may be prudent. Jun 28, 2014 2 emdogain for gingival recession treatment case by pd dr. Introduction gingival recession is the most common and undesirable condition. Management of gingival recession in the orthodontic. Examples include a free gingival graft and subepithelial connective tissue graft, etc. Oct 02, 2012 gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins.
Treatment of gingival recession is performed via socalled mucogingival therapy, which includes surgical and nonsurgical procedures periodontal. The aim of this pilot study was to evaluate and validate the clinical impact of prf, a platelet concentrate collecting on a fibrin membrane, in the treatment of gingival recession. This is called gingival or gum disease or recession. The techniques used for root coverage are based on tissue.
How to stop gingival recession or receding gums treatment. Use of plateletrich fibrin membrane following treatment. Gingival recession jada american dental association. Since esthetics represents an inseparable part of successful implant therapy, treatment of gingival recessions is an important topic to understand.
Does gingival recession require surgical treatment. A closer look at gingival recession dimensions of dental. Abridged general view a from the preoperative view, there is obvious gingival recession and less of attached gingival width in mandibular anterior teeth area. Treatment of gingival recession using coronally advanced flap. Gingival recession an overview sciencedirect topics. A case series article pdf available in journal of indian society of periodontology 192.
Patients need to be warned that recession may occur as the gingival tissues heal following treatment. During this procedure, gum tissue is taken from your palate or another donor source to cover the exposed root. The diagnosis and examination of 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. Gingival recession gr is defined as the apical displacement of the gingival margin in relation to the cemento. Treatment planning softtissue risk assessment in esthetic. The main purpose of this study was to estimate the potential of prf to accelerate wound healing. Earlystage periodontal disease gingivitis is seldom painful and causes relatively minor signs, such as red, swollen and bleeding gums. A gingival recession figure 1a and 1b is defined as the displacement of the marginal tissue apical to the cementoenamel junction camargo et al. Gingival recession, root coverage, coronally advanced flap caf, subepithelial connective tissue grafts sctg, guided tissue. Hagewald assistant professor at the university of berlin. 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. Gingival recession, classification, treatment options. Diagnosis and treatment of gingival recession decisions in.
Generalized loss of attachment and gingival recession. Studies have shown that 50% of people between 1864 years of age have one or more sites with recession and 23. Gingival biotype width of keratinized tissue and bone morphotype thickness of labial bone are the critical diagnostic factors for prevention and treatment of gingival recession. Gingival recession classifications linkedin slideshare. A novel treatment of gingival recession using a botanical topical gingival patch and mouthrinse william z levine, noah samuels, meytal elia bar sheshet, john t grbic 10. Location of the gingival margin apical to the cej aap how much recession is out there. 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. Straumann emdogain for gingival recession treatment. Gingival recession can be defined as the displacement of the marginal tissue apical to the cementoenamel junction cej see aap glossary of terms. A novel treatment of gingival recession using a botanical. Recessions are relatively common in caucasian populations and their development is agedependentthey are more prevalent in older than in younger persons.
Gum recession can cause problems for your dental health. 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. The periodontal chart will give a map of how much pocketing and attachment loss there is around the mouth. Thorough diagnosis of the esthetic requirements and ramifications of restorative and implant dentistry in the esthetic zone requires a standar dized, methodical approach. Treatment of multiple gingival recessions with vista technique. Recession is relatively common in humans and their development depends on ageit is more prevalent in older than in younger persons. Gingival recession is defined as the displacement of marginal gingiva apical to the cementoenamel junction cej. Treatment of gingival recession using coronally advanced. Jan 08, 2012 gingival recession slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Gingival recession is represented by atrophic periodontal changes. But so far, it has not been determined whether gum disease is the cause of these conditions. Laterally stretched flap with connective tissue graft to.
Dealing with gum recession is essential, not just for relief, but additionally to protect the healthiness of the teeth. Diagnosis and treatment of gingival recession decisions. Gum recession is a major concern for many of our patients due to the poor esthetics and the possibility of sensitivity and decay. I have been informed that the purpose of gingival gum grafting is to create an adequate band width of attached gum tissue so as to prevent the likelihood of further gum recession. Gingival recession can be caused by periodontal disease, accumulations, inflammation, improper flossing, aggressive tooth brushing, incorrect. The colgate periodontal education program gingival recession. 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. Possible permanent numbness in the roof of the mouth where the graft is taken from. 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. Request pdf treatment of gingival recession gingival recession is an intriguing and complex phenomenon. Exploring the gingival recession surgical treatment modalities.
For the dental patient preventing the size and shape of. Treatment of miller class iii gingival recessions with. A gingival recession is the displacement of the marginal tissue apical to the cementoenamel junction 1. Current treatment of gingival recession gr is limited to surgical procedures. Treating gingival recession using the vista technique. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. Explain why patients seek treatment for gingival recession, management. The resulting exposure of root surface can cause aesthetic concerns 2, tooth hypersensitivity 3, and can lead to caries of the root 4.
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. 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. 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. Ajay mahajan modified the millers classification as following. For example, young adults 1822 years old who had been treated orthodontically many years before showed twice as high risk of developing gingival. Gingival recession associated with orthodontic treatment and. A combination of the tunneling technique with subepithelial connective tissue graft can be considered an option for multiple gingival recession treatment. Gingival recession is defined as the displacement of the marginal tissue apical to the cementoenamel junction. 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. The dual goals of mucogingival treatment include complete root coverage, up to the cemento. Gingival recession can be associated to periodontal disease or muco gingival conditions causing hypersensitivity, root caries and esthetic problems. It is the most common and undesirable condition of the gingiva. When teeth are healthy, gum tissue fits around each tooth like a cuff.
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. His classification of gingival recession is based on the remaining gingival tissues surrounding affected teeth see reference 3. The decision to proceed with periodontal surgical procedures in the anterior regions of the mouth must take into account the likelihood of aesthetic and possibly phonetic problems if recession leads to loss of the interdental papillae. 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. Other studies showed that women with gum disease were more likely than those with healthy gums to deliver preterm, low birth weight babies. Once your periodontal treatment is completed, your dentist will want. Gingival recession and root caries in the ageing population. One of the chief goals of periodontal plastic surgery is establishment of ideal pink esthetics through the reconstruction of gingival recessions. Pdf periodontal plastic surgery is part of mucogingival therapy. Treatment of miller class iii gingival recessions with tunnel.
Gingival recession gr is the term that designates the oral exposure of the root. Gingival recessions and the change of inclination of. Apr 19, 2018 treating gingival recession using the vista technique last updated april 19, 2018 3 comments since esthetics represents an inseparable part of successful implant therapy, treatment of gingival recessions is an important topic to understand. 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. This chapter aims to outline the principal causes of localised gingival recession, including those associated with underlying systemic disease. Abstract gingival recession is a common dental problem that escalates with increasing age. Gingival recession treatment with concentrated growth. Case report treatment of periodontally hopeless mandibular. Causes of recession recession, or exposure of the root surface of a tooth, is generally caused by a combination of. The miller classification is designed to assist in the planning of gingival coverage procedures. Treating gingival recession over the last few years.
It has been suggested that gingival grafting be performed in areas of my mouth where i have significant gum. Pdf treatment of multiple gingival recessions with vista. Treating gingival recession over the last few years dentistry has. Gum recession exposes the roots of your teeth, which, in turn, leaves your teeth more susceptible to sensitivity. Orthodontic treatment may promote development of recessions bollen et al. 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. Straumann emdogain for gingival recession treatment recession treatment with coronally advanced flap technique caf and straumann emdogain case by pd dr. An array of treatment options exists for treatment of gingival recession, such as a coronally advanced flap caf combined with connective tissue graft ctg.
Controversy exists in the literature between the role of orthodontic treatment and gingival recession. In a tooth with gum recession, the gum tissue has pulled away from the tooth. Treatment of multiple miller class i and iii gingival. 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.
Gingival recession defects not extending to mucogingival junction. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity. His classification of gingival recession is based on the remaining gingival tissues surrounding affected teeth see reference 3 for details. The aim of this surgical procedure is to prevent or correct anatomic. Many surgical techniques have been introduced to treat gingival recession, including those involving autogenous tissue grafting, various flap designs, orthodontics, and guided tissue regeneration. Oct 29, 2016 gingival recession is an intriguing and complex phenomenon. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity. Management of gingival recession in the orthodontic patient. Other situations that may increase your risk of gum recession include tobacco use, oral piercings which can irritate the gums, use of. Gingival recession is defined as an apical displacement of soft tissues to the cementoenamel junction cej. A treatment for periodontally hopeless tooth with fgg and stabilization 9615 int j clin exp med 2017. Determine need for treatment determine type of treatment indicated gingival recession. Gingival recession is an intriguing and complex phenomenon.
Gingival recession is associated with oral exposure of the root surface due to a displacement of the gingival margin apical to the cementoenamel junction. Healing of gingival recessions using a collagen membrane with a. Apr 04, 2016 gingival recession is represented by atrophic periodontal changes. Threedimensional volumetric analysis of gingival augmentation for the treatment of multiple recession defects by vestibular incision subperiosteal tunnel acces vista page 1. 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. Softtissue risk assessment in esthetic restorative and implant dentistry. 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. Slutzkey and levin 2008 observed that the prevalence and extent of recessions correlated with past orthodontic treatment. However higher resistance and viscosity of cgf may protect growth factors from proteolysis better than prf. You can have a healthy mouth and prac tice good oral hygiene, and yet experi ence a condition called gingival. The gingival morphology and tissue biotype have an influence on the likelihood of recession occurring. 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. Surgical management of gingival recession using autogenous soft. Smile analysis, gingival esthetics, and dental implant report eduardo r.
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