PDF: Diagnosing and Treating Gingival Recession: What To Do, and What Treatments are Available

The management of gingival recession defects using root coverage procedures is an important aspect of periodontal regenerative therapy.

Although it seldom results in tooth loss, tissue recession is associated with thermal and tactile sensitivity, esthetic complaints, and a tendency toward root caries.

The outcome of root coverage procedures is predictable, esthetic, and, together with the use of guided tissue regeneration, at the forefront of regenerative procedures. 

The Etiology of Gingival Recession 

The anatomical factor most commonly correlated with gingival recession is a narrow band of keratinized gingiva.

Other correlated anatomical features are a preexisting lack of alveolar buccal bone, high frenum pull, tooth malposition, and gingival dimension. 

Occlusal trauma and plaqueinduced gingival inflammation may also contribute to gingival recession.

Iatrogenic factors include labial orthodontic movement which may result in the loss of the alveolar buccal plate and subsequent gingival recession; crown preparations which extend too far subgingivally, impression techniques involving gingival retraction, and poorly designed partial dentures causing gingival recession around abutment teeth. 

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