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. Short term results in the treatment of shallow marginal tissue recession. If you continue browsing the site, you agree to the use of cookies on this website. Most of these conditions are uncommon and patients should be referred for specialist management, rather than. May 28, 2017 mahajans modification of millers classification 2010 modifications suggested. The dental group most affected was premolars with 36%, 31% molars, incisors and. 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. 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. Therefore, the present study aimed at assessing the aetiology and severity of different grades of gingival recession among adult population. Objective criteria should be included to differentiate between the severity of bone soft tissue loss in class iii. Gingival recession is defined as an apical shift of the gingival margin, causing exposure of the root surface of a tooth fig.
Take your hr comms to the next level with prezi video. Treatment of miller class iii gingival recessions with. Oct 02, 2012 gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. Miller6 clasifico las recesiones gingivales en cuatro clases. The original article on classification of marginal tissue recession, published more than 30 years ago, described four classes of recession. Recommended treatment plan was to achieve root coverage by means of subepithelial connective tissue. 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. The prevalence of gingival recession was 61% 178 tooth affected, of which 48% presented gingival recession miller. Goldstein et al, 2002 that make it possible to achieve excellent clinical results both in terms of root coverage and cosmetic effects. Gingival recession classifications linkedin slideshare. This classification is useful when deciding on treatment options maynard, 2004. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. The natural history of perio dontal disease in man.
Gingival recession can lead to root exposure and increased tooth sensitivity. Part 1 in this series discussed the aetiology of gingival recession and the nonsurgical management. Various classifications of gingival recessions have been put forward since decades starting from sullivan and atkins in 1968, 5 mlinek et al. Gingival recession is defined as the displacement of marginal gingiva apical to the cementoenamel junction cej. Diagnosis and treatment of gingival recession decisions in. Gingival recession defects not extending to mucogingival junction. Gingival recession an overview sciencedirect topics. Periapical xrays were taken in order to determine bone crest height. Gingival recession presents when the gingival margin is located apical to the cementoenamel junction cej, resulting in exposure of the root surface. Recesion gingival especialidades medicas bienestar. Miller 1985 useful in predicting the final amount of root coverage following a free gingival graft procedure. In a previous 3year longitudinal study, reversal of gingival recession in mandibular incisors was observed for 16 out of 28 participating children aged 6 years andlinsobocki et al. Treatment of a miller class ii gingival recession defect.
Mahajans modification of millers classification 2010 modifications suggested. Gingival recession can be localized or generalized and be associated with one or more surfaces. Miller classification of marginal tissue recession revisited. Sep 14, 2012 classification of gingival recession accroding to miller. Jan 08, 2012 gingival recession slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Miller 1985 proposed a useful recession defect classification based on the height of the interproximal papillae and interdental bone adjacent to the defect area, and the relation of the gingival margin to the mucogingival junction miller, 1985. This can lead to exposure of the roots of the teeth and increased tooth sensitivity.
Las recesiones gingivales, son clasificadas por miller en cuatro clases. Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the united states. It is based on the morphological evaluation of the defect and the likelihood of achieving full or at least partial root coverage following surgery. The literature, however, contains little information on periodontal treatment of gingival recessions associated with cervical dental lesions. 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. The dental group most affected was premolars with 36%, 31% molars, incisors and canines 19% and 14% respectively. It is the most common and undesirable condition of the gingiva. Gingival recession is represented by atrophic periodontal changes. The treatment of gingival recession associated with deep. Gingival recession or receding gums is a condition where the gum tissue that covers the coronal portion of the tooth is reduced or lost. Miller classification of gingival recession mark granger, dds. Pdf mahajans modification of the millers classification. Table 101 lists the most common causes of generalised gingival recession, but this chapter will limit discussion to recession associated with underlying systemic diseases.
Treatment of gingival recession using coronally advanced flap. Treating gingival recession over the last few years dentistry has. Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the united states, 19881994. Treatment of millers class i gingival recession defects using coronally advanced flap. Treating gingival recession over the last few years. Diagnosis and treatment of gingival recession decisions. This chapter aims to outline the principal causes of localised gingival recession, including those associated with underlying systemic disease. To use depending on the type presented piercing for labret 57. Treatment of multiple miller class i and iii gingival. Gingival recession is associated with oral exposure of the root surface due to a displacement of the gingival margin apical to the cementoenamel junction. In clinical dentistry, gingival recession is a common annoying problem.
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. Severity and scoring of gingival recession scoring of the gingival recessions at the buccal aspect according to the classification of miller 1985 revealed that class i recessions were the most prevalent, yet its frequency was gradually decreased as age increased. Ajay mahajan modified the millers classification as following. Treatment of gingival recession using coronally advanced. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity. The extent of gingival recession defect in relation to mgj should be separated from the criteria of bonesoft tissue loss in interdental areas. 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. 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. One of the most common esthetic concerns associated with the periodontal tissues is gingival recession.
Treatment of miller class iii gingival recessions with tunnel. Hence, there appears to be a need for further study of possible causative factors and severity of gingival recession based on millers classification. The patients main complaint often relates to poor aesthetics and occasionally it is related to sensitivity. Gingival recession is defined as the displacement of the marginal tissue apical to the cementoenamel junction.
Recession that does not extend to the mucogingival junction with no periodontal bone loss in the interdental areas. 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. Gingival recession also increases susceptibility to the development of caries on root surfaces kocjananzic and skaleric, 1989. Apr 04, 2016 gingival recession is represented by atrophic periodontal changes. Gingival recession is defined as the apical displacement of the gingival margin from the cementoenamel junction cej. 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. Exposed root surfaces may result in increased tooth sensitivity. 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. 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. Gingival recession can be categorized using miller s classification fig.
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