Id also like to add that i got a gum graft using cadaver tissue, i forget the name of it but its basically other peoples gums but cleans and made for patient use, rather than using my own gum from the roof on my mouth. International journal of health sciences and research. Treatment of recession and mucogingival defects using. Both the surgical procedures were equally effective in treatment of localized gingival recession by the free rotated papilla autograft technique combined with. Randomized clinical trial evaluating single maxillary gingival. In a tooth with gum recession, the gum tissue has pulled away from the tooth. In the cases presented, the etiologies of the gingival recession were scarce vestibular depth and inadequate width of keratinized gingiva.
Id also like to add that i got a gum graft using cadaver tissue, i forget the name of it but its basically other peoples gums but cleans and made for patient use, rather. Patient concerns unsatisfactory esthetics is a major reason why patients with gingival recession seek treatment. Acute necrotizing ulcerative gingivitis anug is a common, noncontagious infection of the gums with sudden onset. Gum recession can cause problems for your dental health. Both treatments resulted in a significant reduction in recession and gain in clinical attachment level. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity, esthetic complaints and a tendency toward. Treatment of miller class iii gingival recessions with. 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. Changes in lower incisor inclination and the occurrence of. To have a professional evaluation by an experienced periodontist, call the pittsburgh practice of dr. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins.
The multifactorial etiology, decision modality, and current trends followed in the treatment of gingival recession are discussed in this presentation. Review and strategies in treatment of recession article pdf available october 2012 with 9,412 reads how we measure reads. What are the key considerations for selecting the best surgical approach in mucogingival plastic surgery. Gingival recession during or after orthodontic treatment is a significant clinical problem, so preventative measures are very important. Abstract gingival recession is a common dental problem that escalates with increasing age. Hypersensitivity is another chief concern, and it has been shown to be significantly reduced following root coverage procedures. Early diagnosis and treatment of gum recession often provides you with the greatest chance for a healthy outcome. Guidelines for prevention of gingival recessions and non. Gum recession treatment if you are affected by receding gums, it can be treated. 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. Treatment of gingival recession using coronally advanced flap case reports. Earlystage periodontal disease gingivitis is seldom painful and causes relatively minor signs, such as red, swollen and bleeding gums. 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. Healing of gingival recessions using a collagen membrane with a.
When teeth are healthy, gum tissue fits around each tooth like a cuff. Treatment of a receding gum line intelligent dental. Sites wer e randomly assigned to either caf treatment contr ol, n 10 or gtrf treatment test, n 10 and examined at baseline and at 6 months postoperatively. Orthodontic treatment was done with no sign of recession and during the retention phase using hawley appliance sever fast gingival recession occurred. Jan 08, 2012 gingival recession slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Management and prevention of gingival recession merijohn. 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 checklist is especially helpful to the clinician when developing treatment plans. 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. The etiology and prevalence of gingival recession sciencedirect. This technique allows the clinician to restore the tooth with minimal invasive periodontal treatment, providing minimum discomfort to the patient, at the same time without violating the biologic width. The dual goals of mucogingival treatment include complete root coverage, up to the cemento. If the bone around the tooth after braces treatment is thin, the gum has less blood coming to it and so will shrink back more readily. Treatment of multiple gingival recessions with vista.
Several treatments are suggested in the current literature. Treatment with braces can cause the gums to shrink back if the teeth are moved too far out of their original position. Its use during treatmentprocedure planning can help guide the clinician toward options that can potentially decrease the risk of damage to tissues e. The two commonest causes of receding gums are plaqueinduced gum inflammation and toothbrush trauma, revealing dehiscence in jaw bone.
There is a direct correlation between flap tension and reduced root coverage, and between tissue thickness and the percentage of coverconnective tissue. Treatment of gingival recessions in heavy smokers using. Treatment of miller class i gingival recession with using. Treatment of gingival recession is performed via socalled mucogingival therapy, which includes surgical and nonsurgical procedures periodontal. Does gingival recession require surgical treatment. August 30, 2016 gingival recession introduction gingival recession is characterized by the displacement of the gingival margin apically from the cementoenamel junction, or cej, or from the former location of the cej in which restorations have distorted the location or appearance of the cej. Determine need for treatment determine type of treatment indicated gingival recession. The recession of gingiva is increasingly becoming a more prominent condition in the oral health of many patients and should be treated at its earliest detection. This is a pdf file of an unedited manuscript that has.
Examples include a free gingival graft and subepithelial connective tissue graft, etc. The recession of the gingiva is increasingly becoming a more prominent condition in the oral health of many patients and should be treated at its earliest detection. Treatment of gingival recession with subepithelial connective. While each individuals presentation is unique there are some common predisposing factors that increase the likelihood of gum recession. This paper is the second in a three part series looking at the aetiology and management of gingival recession. Changes in lower incisor inclination and the occurrence of gingival recession r dental press ortodon ortop facial 68 maringa, v. A novel treatment of gingival recession using a botanical topical gingival patch and mouthrinse jcdp the journal of contemporary dental practice, septemberoctober 20. Localized recession and root caries colgate professional.
Gingival recession is the exposure of root surfaces due to migration of the gingival margin apical to the cementoenamel junction. Treatment of gingival recession with subepithelial. Gum recessionmucogingival defects gum recession is quite prevalent in the general population with some estimates showing up to 80% of individuals may have some form of this condition. Growth factormediated treatment of recession defects patientpop. Its use during treatment procedure planning can help guide the clinician toward options that can potentially decrease the risk of damage to tissues e. However, bacterial plaque is of equal importance in the aetiology of gingival recession. If you continue browsing the site, you agree to the use of cookies on this website. However, given the tissue complexities which need to be taken into account when assessing recession, it is perhaps not surprising that no consensus appears to exist in the literature regarding a classification of recession. A novel treatment of gingival recession using a botanical.
Location of the gingival margin apical to the cej aap how much recession is out there. Coverage of gingival recession using tunnel connective tissue. The botiss indication matrix is a free website offering clinical cases, product recommendations and advice on treatment concepts in dental implantology. Therefore basic periodontal care and correction of faulty tooth brushing techniques are the first lines of tr. Gingival recession may be a concern for patients for a number of reasons such as root hypersensitivity, erosion, root caries, and esthetics wennstrom 1996.
Case report 1 a 21yearold male was referred to the periodontics department, by his orthodontist because of severe gingival recession of maxillary central incisors. Gingival recession is an oral health problem that affects a large part of the population. For instance, gum recession caused by excessive or aggressive brushing can be helped with improved oral hygiene techniques. The multifactorial etiology, decision modality, and current trends followed in treatment of gingival recession are discussed in this presentation. Recession coverage an evidencebased treatment decision. Pdf surgical treatment of single gingival recessions. For instance, gum recession caused by excessive or aggressive brushing can be. Gingival recession has direct causes and predisposing factors. Treatment of gingival recession with subepithelial connective tissue harvested from the maxillary tuberosity by distal wedge procedure junbeom park, dds, msd, phd clinical showcase is a series of pictorial essays that focus on the technical art of clinical dentistry. Randomized clinical trial evaluating single maxillary gingival recession treatment with connective tissue graft and tunnel or trapezoidal flap. Gingival recession is also a common outcome of the therapies delivered to treat periodontal disease.
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. Surgical therapies for the treatment of gingival recession. Your treatment options depend on the type and severity of your gum recession. It is recommended not to eat, drink or rinse the mouth with water for 30 minutes after rinsing. Eventhough gingival recession may occur without any symptoms it can give rise to pain from exposed dentine, patient concern about loss of the tooth, poor esthetics or root caries. If you have gum recession, your dentist can help you understand the causes and recommend a treatment. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Using a sample of 9,689 subjects, they projected that 23. Practical decisionmaking criteria are proposed for when and how to monitor gingival recession, for deciding when a patient is a candidate for surgical evaluation or referral to a periodontist, and, if surgery is the treatment of choice, what should be considered as key surgical outcome objectives. Rapid gum recession and gum grafting oral and dental health.
Guidelines for prevention of gingival recessions and noncarious cervical lesions as a consequence of traumatic toothbrushing guidance for dentist and dental hy gienist recommendations gingival recession can result in compromised aesthetics, dentine hypersensitivity, plaque accumulation and. The causative agents involved in gingival recession all share a common feature gingival inflammation hall wb, 1984. Diagnosis and treatment of gingival recession decisions. Gingival recession with exposed root colgate professional. This technique further prevents gingival recession unlike the conventional crown lengthening surgery, which needs an osteoplasty. The main features are painful, bleeding gums, and ulceration of interdental papillae the sections of gum between adjacent teeth. Treatment of gingival recession using coronally advanced flap. Apart from esthetic reasons, periodontal plastic surgeries have also been indicated for the treatment of gingival recession due. Sep 14, 2012 recession coverage an evidencebased treatment decision september 14, 2012 by alessandro geminiani in soft tissue graft, tissue regeneration.
A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Etiology and the contributing factors are chief when deciding on appropriate treatment procedures for patients with localized gingival recession. For a mild recession, our gum specialists will help by deep cleaning the affected area. Deep cleaning or tooth scaling and root planing by our experienced periodontists aims at the careful removal of the plaque and tartar build up on the teeth and the gum line. Oct 02, 2012 etiology and the contributing factors are chief when deciding on appropriate treatment procedures for patients with localized gingival recession. Treatment of recession and mucogingival defects using connective tissue grafts on teeth and implants 39 ply to the graft increases its success rate 10, 55, 56. Recently, new techniques have been suggested for the surgical treatment of multiple adjacent recession type defects. Dec 17, 20 gingival recession may be a concern for patients for a number of reasons such as root hypersensitivity, erosion, root caries, and esthetics wennstrom 1996.
Albandar and kingman 4 studied the prevalence of gingival recession among subjects 30 to 90 years of age. Treatment of gingival recession has become an important therapeutic issue due to the increasing number of cosmetic requests from patients. Gum recessionmucogingival defects and soft tissue grafting. Treating gingival recession over the last few years dentistry has.
927 800 1221 1392 634 1245 763 374 1257 852 466 1269 1056 215 696 467 1224 1309 195 149 69 1428 323 368 350 647 546 68 761 825 738 421 218 1078 738 395 604 44 921 1303 1397 1260 376 226 912 776 407 504