Decision-making in classifying gingival recession defects – A systematic review

Mahajan, Anshu; Asi, Kanwarjit Singh; Rayast, Deepa; Negi, Mayum

doi:10.4103/njms.njms_71_18

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…The classification of gingival recessions is determined by the coronoapical extension (with or without involvement of the mucogingival junction) and the level of interproximal periodontal support 6 . In our case, as the interproximal support was intact and the coronoapical extension involved the mucogingival junction, the gingival recession at the mandibular left central incisor was classified as Miller Class II and Cairo Recession Type 1 (RT1).…”

Section: Discussionmentioning

confidence: 89%

Successful management of gingival recession with creeping attachment: A case report

Assimi,

Ismaili,

Dghoughi

2024

Clinical Case Reports

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Key Clinical MessageA successful management of a mandibular recession with creeping attachment using free gingival graft. This case highlights the “wait‐and‐see” approach in the treatment plan, emphasizing the root coverage.AbstractThis clinical report describes the case of a 23‐year‐old female patient with gingival recession of the mandibular left central incisor. The patient's symptoms included hypersensitivity and cosmetic improvements. After thorough examination, the patient was diagnosed with plaque‐induced gingivitis on a reduced periodontium with acquired mucogingival deformities. Gingival recession was classified as Miller class II or Cairo Recession Type 1. The treatment plan consisted of a nonsurgical phase, followed by a surgical phase using a free gingival graft. The surgical procedure involved harvesting the graft from the palatal mucosa and placing it in the recipient site. Post‐operative care and instructions were provided and a comprehensive follow‐up schedule was established. At the 12‐month evaluation, the patient exhibited healthy periodontal conditions with creeping attachment and complete root coverage. The success of the treatment approach demonstrates its effectiveness in addressing hypersensitivity and cosmetic concerns, while improving periodontal health. Factors influencing the achievement of creeping attachment are discussed, including recession width, graft position, bone support, tooth position, patient hygiene, graft thickness, and root surface treatment.

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Section: Discussionmentioning

confidence: 89%

Successful management of gingival recession with creeping attachment: A case report

Assimi,

Ismaili,

Dghoughi

2024

Clinical Case Reports

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“…[ 1 , 2 ] There are many classifications of GR defects. [ 3 ] The most widely used classification was proposed by Miller et al . [ 4 ] However, the workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases recommended the classification of Cairo et al .…”

Section: Introductionmentioning

confidence: 99%

Current state about root coverage using soft-tissue substitutes in the presence of noncarious cervical lesions: A literature review

Huamán-Mendoza,

Reis,

Ganhito

et al. 2023

Journal of Indian Society of Periodontology

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About half of the cases of gingival recession are associated with the noncarious cervical lesion (NCCL), resulting in combined defects (CDs). NCCL negatively affects the root coverage outcomes. In addition, considering the morbidity associated with graft harvesting, soft-tissue substitutes (STSs) appeared as a suitable option for connective tissue grafts for surgical root coverage. Currently, the literature addressing the therapy of CDs employing STSs is scarce. Thus, the present review aimed to update the literature and outline the future perspectives about root coverage of CDs using STSs. A detailed literature search was conducted on MEDLINE, Web of Science, EMBASE, LILACS, Scopus, and Google Scholar databases using keywords and Boolean operators. Randomized clinical trials (2) and case reports (6) were included. None of the selected studies reported any adverse effect using STSs. Based on the limited evidence available, we cannot state that STSs may benefit the periodontal clinical and patient-centered outcomes. Randomized controlled trials are needed to assess the long-term outcomes, surgical approaches, and restorative protocols.

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Formation of the Gingival Recession in Patients With Bruxism

Saleeva

Saleev

Mustakimova

et al. 2020

Actual Problems in Dentistry

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Subject. Despite the data on the polyetiology of gum recession, the role of some factors in its formation remains unknown, which does not allow to adequately develop methods for the prevention of this disease. The aim of this study was to assess the effect of bruxism on the formation of gingival margin recession. Methodology. The study was based on data, obtained during the examination of 65 patients aged 20 to 40 years with a of bruxism, established by a neurologist. The control group consisted of 65 conditionally healthy patients of the same age without neurological pathology and with intact periodontal disease. The study excluded individuals with other etiological factors that can lead to gingival recession. Result. According to the results of the study, a 1 year later, the occurrence of gingival recession was determined in 44.7 % of cases, after 2 years, the number of recessions was determined in 64.7 %, and after 36 months in 77 % of cases. At the same time, the periodontal condition in relation to the formation of recessions remained unchanged in the patients of the comparison group. In all cases, recession was determined by the oral surface of the lower incisors, in 80 % of patients, on the vestibular surface of the canines and bicuspid of both jaws. Conclusions: In patients with bruxism, there is a gradual formation of gingival recession with a predominant localization in the area of the oral surface of the incisors in the lower jaw, and on the vestibular surface of the canines and the buccal surface of the bicuspid.

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Decision-making in classifying gingival recession defects – A systematic review

Cited by 4 publications

References 18 publications

Successful management of gingival recession with creeping attachment: A case report

Successful management of gingival recession with creeping attachment: A case report

Current state about root coverage using soft-tissue substitutes in the presence of noncarious cervical lesions: A literature review

Formation of the Gingival Recession in Patients With Bruxism

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