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At least 73 records · Page 4Linked to original sources
PubMed1997

Root coverage of large localized gingival recession: a biometric study.

With the objective of obtaining root coverage in areas of large localized gingival recessions, 16 cases of localized gingival recessions varying from 3.5 to 10 mm (total recession) were treated with a coronally positioned gingival autograft in conjunction with mechanical (root planing) and chemical (saturated citric acid) treatment of the exposed root surfaces. Changes in sulcus depth, percentage of root coverage, and gain in attached gingiva were observed over the course of a 6-month period. The results showed no significant change in sulcus depth, coverage of 72.17% of the exposed root surfaces, and a gain of 3.0 +/- 1.4 mm in attached gingiva in areas where little or no attached gingiva had existed prior to treatment. A positive correlation between the bone level and total visible recession before treatment was also demonstrated. We conclude that the coronally positioned gingival autograft is a highly predictable surgical technique for the treatment of large localized gingival recessions.

Adult↗
PubMed2026

Comparison of conventional and micro-surgical techniques for gingival recession using collagen matrix: Randomised controlled split-mouth clinical trial.

BACKGROUND: The present study aimed to determine the effectiveness of the microsurgical approach in treating gingival recession with collagen matrix by comparing it with Conventional surgery in terms of clinical and patient-centered outcomes. METHODS: A total of 29 patients with bilateral gingival recession in the maxillary canine and/or premolar region were selected. After randomisation, bilateral recession sites were grouped into the test group (Microsurgery under 3.5 X magnification) and the control group (Conventional surgery). All the clinical and patient-reported parameters were recorded at baseline, 1, 3 and 6 months. RESULTS: Both groups showed statistically significant differences in terms of reduction in gingival recession height (GRH), gingival recession width (GRW), clinical attachment level gain (CAL gain), increase in keratinized tissue thickness (KTT) and keratinized tissue width (KTW) after 6 months. But intergroup comparison showed no significant difference in terms of clinical parameters. The only significant difference was noted in terms of patient-centred parameters (Patient satisfactory score, Hypersensitivity score, Root aesthetic scores), which favoured the microsurgical group. CONCLUSIONS: Both groups demonstrated comparable clinical improvement; However, Patient-centred parameters were significantly better with the Microsurgical approach. Selection of the surgical approach should balance patient needs with practical considerations like cost, time, and clinician proficiency.

Adult↗
PubMed2004

Double laterally-rotated bilayer flap operation for treatment of gingival recession.

BACKGROUND AND PURPOSE: Many root coverage techniques, such as lateral pedicle flap, double papilla flap, free gingival graft, connective tissue graft, and guided tissue regeneration (GTR) procedure have been widely applied in clinical dental practice. Although they all provide various degrees of successful root coverage, some procedures are technique-sensitive and others require a 2-stage operation. METHODS: In this study, we describe a new technique with a double laterally-rotated bilayer flap for root coverage. Briefly, 2 partial-thickness flaps were prepared, one on each side of the gingival recession, and then laterally repositioned (with mutual overlapping) to cover the root exposure. After thorough planing of the exposed root surfaces, root conditioning with saturated citric acid solution (pH = 1.0) was performed. One partial-thickness flap was de-epithelialized and then rotated to cover the citric acid-conditioned root surface. Another partial-thickness flap was further rotated to cover the de-epithelialized flap. Both flaps were sutured to the recipient periosteal bed. This new root coverage technique was used to treat 2 teeth with gingival recession. RESULTS: The results demonstrated that this new technique provides satisfactory root coverage of gingival recession and improves root dentin hypersensitivity of treated teeth. The main advantages of this technique are simple 1-stage surgery, esthetic color matching of the soft tissue, and a good blood supply of the reflected flap. CONCLUSIONS: We conclude that the double laterally-rotated bilayer flap operation may provide a new alternative for the treatment of gingival recession.

Adult↗
PubMed1982

Free gingival grafts for the treatment of gingival recession. A review of some techniques.

Free gingival grafts can be utilized, alone or in combination with a coronally positioned flap, for the prevention and the treatment of gingival recession. The graft can be placed directly on the denuded root, as first described by Sullivan & Atkins (1968). This technique will provide adequate results, especially in cases with relatively little recession. After placing a free gingival graft in such an area, one can often observe bridging and/or creeping attachment. In the case of bridging, some of the grafted tissue will remain vital over the avascular zone, i.e. the root. Creeping attachment is the result of coronal migration of the grafted gingiva and will take place during the years following surgery. Bridging and creeping are most likely to occur in cases of narrow recession where the grafts had been placed directly over the denuded zone. In a second type of surgical procedure, an enlargement of the attached gingiva is first obtained through the graft. The area of recession is later covered by a coronally positioned flop. Several cases are presented which illustrate the results obtained with this procedure. In children, when there is insufficient attached gingiva, it is often desirable to place grafts before orthodonic therapy. In the prevention or treatment of gingival recessions, four possibilities may be considered: 1) no treatment, 2) placement of a graft to prevent recession, 3) stabilizing an existing recession, 4) attempt to cover the denuded root.

Adolescent↗
PubMed1994

The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene.

The aim of this study was to evaluate the prevalence and the development/progression of attachment loss and gingival recession at buccal tooth surfaces in a population sample with a high standard of oral hygiene. An additional aim was to study the relationship between attachment loss and gingival recession. The subject sample examined comprised 225 regular dental care attendants at 12 community dental clinics in Sweden. All subjects were subjected to a baseline examination in 1977-78 and were re-examined after 5 years and 12 years. The clinical examinations involved assessment of plaque, gingivitis, probing depth, probing attachment loss and gingival recession. A full-mouth set of intraoral radiographs was obtained at each examination and used for determination of the height of periodontal bone support. The results of the cross-sectional and longitudinal analyses performed showed that in subjects with a high standard of oral hygiene (i) buccal gingival recession was a frequent finding, (ii) the proportion of subjects with recession increased with age, (iii) the prevalence as well as the incidence of recessions within the dentition showed different patterns depending on age, (iv) sites with recession showed susceptibility for additional apical displacement of the gingival margin and (v) loss of approximal periodontal support was associated with gingival recession at the buccal surface.

Adolescent↗
PubMed2002

The management of gingival recession.

This, the second paper in a short series on gingival recession, discusses the various modalities of treatment for gingival recession and the indications for treatment. Special consideration is given to the surgical treatment techniques. Factors affecting the outcome of treatment and success rates of the treatment options are also discussed.

Connective Tissue↗
PubMedDate not supplied

Gingival recession at the University College Hospital, Ibadan--prevalence and effect of some aetiological factors.

Four hundred and ninety-one consecutive patients comprising 259 (52.7%) males and 232 (47.3%) females who attended the periodontology clinic of the University College Hospital Dental Centre between May 1995 and May 1996, were recruited into this study. One hundred and thirty-seven patients comprising 101 males and 36 females were found to have gingival recession of at least one tooth surface representing 27.7%. The age range of the patients investigated was 16 years to 82 years; mean age was 39.2 +/- 14.4 for males and 34.1 +/- 14.4 for females. The peak incidence of gingival recession was in the 46-55 year age group. The incidence of gingival recession increases with advancing age with 0.04% in the 16-25 year age groups as compared to 58.5% in the 56-65 year age group. The aetiologic factors which appeared to be related to gingival recession were found in the following order of frequency: malalignment; chewing stick trauma; toothbrush trauma; calculus. Eighty-eight percent (88.8%) of malaligned teeth in the age range 66 years and above had recession. A higher percentage of the subjects who used chewing stick had recession (29.4%) when compared to those who used toothbrush alone (22%) P < 0.05--this is statistically significant. Of great concern is the prevalence of recession (58%) among those subjects who used toothbrush and chewing stick together, with majority of them having generalized gingival recession. The possible reasons for these different prevalence rates of recession are discussed, measures by which incidence of gingival recession can be reduced are briefly summarized.

Adolescent↗
PubMed2006

Modified coronally advanced flap associated with a subepithelial connective tissue graft for the treatment of adjacent multiple gingival recessions.

BACKGROUND: The clinical choice of the appropriate surgical technique aiming at root coverage relies, among other factors, on the number of adjacent gingival recessions. This study aimed to clinically evaluate the effectiveness and the predictability of root coverage at adjacent multiple gingival recessions using a modified coronally positioned flap associated with the subepithelial connective tissue graft. METHODS: Ten non-smoking, healthy subjects (five men and five women; mean age, 28.7 years) presenting 29 Class I or II adjacent multiple gingival recessions were enrolled. Each patient was treated using a modified coronally advanced flap associated with the subepithelial connective tissue graft. Probing depth (PD), clinical attachment level (CAL), recession depth (RD), and width of keratinized tissue (KT) were measured at baseline and 6 months later. The Student t test was used to compare treatment outcomes through time. RESULTS: The results revealed significant CAL gain (mean gain +/- SD, 1.97 +/- 0.94 mm; P <0.0001), RD decrease (2.03 +/- 0.78 mm; P <0.0001), and KT increase (1.31 +/- 1.23 mm, P <0.0001). The average root coverage was 96.7%, and complete root coverage was found at 93.1% of the defects. Nine of the 10 patients (90% of the patients) experienced complete root coverage. CONCLUSIONS: The modified coronally advanced flap associated with the subepithelial connective tissue graft was effective and predictable to produce root coverage at multiple adjacent gingival recessions associated with gain in the CAL and in the width of KT.

Adult↗
PubMed1991

The effect of an anticalculus dentifrice on supragingival calculus formation and gingival recession in Thai adults: a one-year study.

A one-year, double-blind clinical study was conducted on a population of male and female adults to determine the effect of the twice daily use of an anticalculus dentifrice on supragingival calculus formation and gingival recession, as compared to the use of a placebo dentifrice. The subjects were initially evaluated for calculus using the Volpe-Manhold scoring procedure and for gingival recession using the Gingival Recession Total (GRT) scoring procedure of Volpe, Triratana and Rustogi. All subjects received an oral prophylaxis and were assigned to the use of either a placebo dentifrice containing 0.243% sodium fluoride in a silica base or an anticalculus dentifrice containing 1.3% soluble pyrophosphate and 1.5% Gantrez copolymer in a 0.243% sodium fluoride/silica base. After six months, the subjects using the anticalculus dentifrice had 24.14% significantly less supragingival calculus than the placebo dentifrice subjects. After one year, the subjects using the anticalculus dentifrice had 40.76% significantly less supragingival calculus than the placebo dentifrice subjects. Also, after one year, the subjects using the anticalculus dentifrice had 27.75% significantly less gingival recession than the placebo dentifrice subjects.

Adult↗
PubMed2006

Comparative 6-month clinical study of a semilunar coronally positioned flap and subepithelial connective tissue graft for the treatment of gingival recession.

BACKGROUND: The purpose of this randomized clinical trial was to compare the outcome of gingival recession therapy using the semilunar coronally positioned flap (SCPF) or the subepithelial connective tissue graft (SCTG). METHODS: Seventeen patients with bilateral Miller Class I buccal gingival recessions (<or=4 mm) in maxillary canines or premolars were selected. The recessions were randomly assigned to receive either the SCPF or the SCTG. 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 and 6 months post-surgery. Patient satisfaction with esthetics, root sensitivity, and postoperative pain was also evaluated. RESULTS: The average percentages of root coverage for SCPF and SCTG were 90.95% and 96.10% (P<0.05), respectively, and the complete root coverage observed was 52.94% and 76.47%, respectively. The SCTG showed a statistically significant increase in TKT (P<0.05). There were no significant differences between the two groups with regard to RH, RW, WKT, PD, and CAL. The esthetic condition after both treatments was considered satisfactory by the patients. CONCLUSION: The findings from this study indicate that SCPF and SCTG can be successfully used to treat Class I gingival recession.

Adult↗
PubMed1986

Improvement potential of isolated gingival recession in children.

Eighteen cases showing gingival recession of one mandibular central incisor at a mean age of 9.4 years were recalled 3.9 to 20 years (mean 10.2 years) later. No specific measures had been directed towards the defect except in one case. The gingival status of affected teeth was compared to unaffected adjacent central incisors on an intra-individual basis. No significant difference between groups of affected and control teeth could be shown at the follow-up examination with regard to marginal gingiva level, sulcus depth, bleeding, width of keratinized or attached gingiva, nor in alveolar bone height. Levelling of marginal gingiva in most cases, however, was found to have occurred by a more apical migration of the gingival margin of control teeth. The role of developmental changes in the dentition during growth are discussed, and the importance of recording such parameters in further studies of gingival health in children is underlined.

Adolescent↗
PubMed1998

Does orthodontic proclination of lower incisors in children and adolescents cause gingival recession?

In this investigation we sought to assess the effect of orthodontic proclination of lower incisors in children and adolescents with respect to the possible development of gingival recession. Ninety-eight children with a mean +/- SD start-of-treatment age of 12.8 +/- 1.4 years, treated with the Herbst appliance, were surveyed, for a total of 392 lower incisors. Lateral head films, dental casts and intraoral photographs were analyzed with respect to the degree of orthodontic proclination, crown height, and gingival recession. In all subjects, Herbst treatment resulted in varying degrees of lower-incisor proclination (mean = 8.9 degrees, range = 0.5 degrees to 19.5 degrees). In 380 of the surveyed teeth (97%), either no recession developed or preexisting recession remained unchanged during Herbst therapy. In only 12 teeth (3%) did recession develop or preexisting recession deteriorate during treatment. No interrelation was found between the amount of incisor proclination and the development of gingival recession. In conclusion, orthodontic proclination of lower incisors in children and adolescents seems not to result in gingival recession.

Adolescent↗
PubMed2002

Gingival recession in smokers and non-smokers with minimal periodontal disease.

BACKGROUND/AIMS: Smoking is a major risk factor for destructive periodontal disease. There is limited information with regard to effects of smoking in subjects with minimal periodontal destruction. The aim of the present investigation was to assess the development of gingival recession in young adult smokers and non-smokers. METHODS: 61 systemically healthy young adults, 19 to 30 years of age completed the final examination. 30 volunteers smoked at least 20 cigarettes per day, whereas 31 subjects were non-smokers. Clinical periodontal conditions were assessed 4x within a time period of 6 months. Site-specific analyses considering the correlated structure of data were performed. RESULTS: At the outset, 50% of subjects presented with gingival recession at 1 or more sites. There was no significant difference in the prevalence of gingival recession between non-smokers and smokers. Severe recession in excess of 2 mm affected about 23% non-smokers but only 7% smokers. Some further gingival recession developed during the 6-month observation period. In a multivariate logistic regression analysis, the risk for recession development appeared not to be influenced by smoking status after adjusting for periodontal probing depth, recession at baseline, tooth brushing frequency, gender, jaw, tooth type and site. CONCLUSIONS: Present data did not support the hypothesis that smokers are at an increased risk for the development of gingival recession.

Adult↗
PubMed1976

The possible pathogenesis of gingival recession. A histological study of induced recession in the rat.

Stages in the pathogenesis of gingival recession were observed in rats in which pocketing had been induced by replacement of natural incisors with dental implants. Suitable conditions were thus created on the palatal aspect of the implant sockets for recession to occur. The recession process was examined at intervals by taking transverse serial sections. In the epithelial and connective tissues deep to the receding margin, morphological changes were seen which apparently lead to cleft formation and recession. These appeared to be associated with mononuclear cell infiltration of the connective tissue. The study suggests that gingival recession involves a localized inflammatory process which causes breakdown of connective tissue and leads to proliferation of the epithelium into the site of connective tissue destruction. Proliferation of the epithelial cells into the connective tissue brings about a subsidence of the epithelial surface, which is manifest clinically as recession.

Animals↗
PubMed1976

Gingival recession. The condition, process, and treatment.

The condition of gingival recession with its attendant patient complaints and additional professional concerns has been distinguished from the process of recession of the gingiva which has an obscure etiology. It has been suggested that the complaints and concerns regarding gingival recession be treated directly when they occur. Deviation from the expected anatomical form is not considered to be an excuse for therapy. The importance of the anatomical factors of alveolar bone dehiscence (long gingival fiber attachment) and lack of attached gingiva (absence of the fiber barrier) is not known. However, the current modailties of treatment have been examined in light of these hypotheses. Clearly, the effects of these anatomical factors on the process of recession of the gingiva need to be investigated.

Alveolar Process↗
PubMed2000

Coronally advanced flap for the treatment of buccal gingival recessions with and without enamel matrix derivative. A split-mouth study.

BACKGROUND: The coronally advanced flap (CAF) is a predictable method for achieving root coverage in buccal gingival recessions. The use of enamel matrix derivative (EMD) has already been tested in treating intrabony defects. No clinical comparative study has been published evaluating the CAF in combination with EMD in treating buccal gingival recessions. METHODS: This split-mouth study was performed to assess the efficacy of EMD to improve the results of a root coverage procedure. Fourteen pairs of Miller Class I and II bilateral comparable defects were selected in 12 patients. In each patient, one site was randomly assigned to the test group and the contralateral site to the control group. The treatment consisted of a CAF procedure with (test) or without (control) EMD. Gingival recession (REC), clinical attachment level (CAL), probing depth (PD), and extension of keratinized tissue (KT) were recorded at baseline and 6 months postsurgery. RESULTS: The average initial REC was 3.71 mm (SD +/- 1.68) for the test group, and 3.50 mm (SD +/- 1.56) for the control group. The 2 groups were statistically homogeneous. The mean root coverage was 3.36 mm (SD +/- 1.55), corresponding to a value of 91.2% for the test group, and 2.71 mm (SD +/- 1.20), equal to 80.9% for the control group. The differences between the 2 groups were not statistically significant. The mean CAL gain was 3.57 mm (SD +/- 1.55) for the test group and 2.79 mm (SD +/- 1.19) for the control group. No changes of PD and KT were found. CONCLUSIONS: This study suggests that EMD does not seem to significantly improve the clinical outcomes of gingival recession treated by means of CAF, even though the test group showed slightly better results in terms of root coverage and CAL. Further studies with a larger number of teeth and higher statistical power are needed to support this conclusion.

Adult↗
PubMed2005

The oral cavity hygiene as the basic element of the gingival recession prophylaxis.

The purpose of the study was the evaluation of the dental plaque and the influence of determined hygienic factors on gingival recession occurrence in 455 students of The Medical University of Bialystok. All the subjects were examined in artificial light, with the use of the probe, mirror, and parodontometer. The distribution of stained dental deposits were estimated with the use of the plaque index according to Quigley and Hein. Moreover, the students were to fill a survey of their own project concerning hygienic habits. The results underwent statistical analysis. The dental plaque was not present in 71 people. Gingival recession was revealed in 134 out of 455 subjects. The majority of medical students brushed their teeth twice a day, using medium hard toothbrush or electric toothbrush with appropriate movements and medium strength while brushing. The frequency of brushing the teeth, hardness of the toothbrush, the use of electric toothbrush, the movements during brushing the teeth, the strength of brushing, the frequency of toothbrush change, the age, and sex have significant influence on the number of recession. The increase in the gingival recession in students is connected with: large pressure on the brush while toothbrushing, too frequent brushing and toothbrush change, the use of hard toothbrush and additional hygienic items, movements while brushing, the age (the number of recession elevates with the age), and sex (women showed more recession than men).

Adolescent↗