Part 1 in this series discussed the aetiology of gingival recession and the nonsurgical management. Gingival recession classifications linkedin slideshare. 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. Gingival recession can lead to root exposure and increased tooth sensitivity. Treatment of miller class iii gingival recessions with tunnel. Oct 02, 2012 gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. Treatment of millers class i gingival recession defects using coronally advanced flap. The patients main complaint often relates to poor aesthetics and occasionally it is related to sensitivity. Therefore, the present study aimed at assessing the aetiology and severity of different grades of gingival recession among adult population. Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the united states, 19881994.
Gingival recession can be localized or generalized and be associated with one or more surfaces. Recesion gingival especialidades medicas bienestar. Short term results in the treatment of shallow marginal tissue recession. Take your hr comms to the next level with prezi video. 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. Various classifications of gingival recessions have been put forward since decades starting from sullivan and atkins in 1968, 5 mlinek et al.
Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the united states. Gingival recession or receding gums is a condition where the gum tissue that covers the coronal portion of the tooth is reduced or lost. Treating gingival recession over the last few years dentistry has. 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.
The natural history of perio dontal disease in man. Objective criteria should be included to differentiate between the severity of bone soft tissue loss in class iii. Treatment of miller class iii gingival recessions with. Mahajans modification of millers classification 2010 modifications suggested. Miller6 clasifico las recesiones gingivales en cuatro clases. Recommended treatment plan was to achieve root coverage by means of subepithelial connective tissue. This classification is useful when deciding on treatment options maynard, 2004. Las recesiones gingivales, son clasificadas por miller en cuatro clases. Gingival recession presents when the gingival margin is located apical to the cementoenamel junction cej, resulting in exposure of the root surface. Gingival recession is represented by atrophic periodontal changes. 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. Diagnosis and treatment of gingival recession decisions. 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. The extent of gingival recession defect in relation to mgj should be separated from the criteria of bonesoft tissue loss in interdental areas.
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. Gingival recession is associated with oral exposure of the root surface due to a displacement of the gingival margin apical to the cementoenamel junction. 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.
May 28, 2017 mahajans modification of millers classification 2010 modifications suggested. Exposed root surfaces may result in increased tooth sensitivity. Most of these conditions are uncommon and patients should be referred for specialist management, rather than. Ajay mahajan modified the millers classification as following. The literature, however, contains little information on periodontal treatment of gingival recessions associated with cervical dental lesions. Gingival recession defects not extending to mucogingival junction.
Sep 14, 2012 classification of gingival recession accroding to miller. 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 is defined as the displacement of marginal gingiva apical to the cementoenamel junction 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. Jan 08, 2012 gingival recession slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The prevalence of gingival recession was 61% 178 tooth affected, of which 48% presented gingival recession miller. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. Treatment of a miller class ii gingival recession defect. Goldstein et al, 2002 that make it possible to achieve excellent clinical results both in terms of root coverage and cosmetic effects. To use depending on the type presented piercing for labret 57. This chapter aims to outline the principal causes of localised gingival recession, including those associated with underlying systemic disease.
Hence, there appears to be a need for further study of possible causative factors and severity of gingival recession based on millers classification. 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. Diagnosis and treatment of gingival recession decisions in. Miller classification of marginal tissue recession revisited. Treating gingival recession over the last few years. It is based on the morphological evaluation of the defect and the likelihood of achieving full or at least partial root coverage following surgery. In clinical dentistry, gingival recession is a common annoying problem. The original article on classification of marginal tissue recession, published more than 30 years ago, described four classes of recession. Treatment of multiple miller class i and iii gingival. 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 increases susceptibility to the development of caries on root surfaces kocjananzic and skaleric, 1989. The dental group most affected was premolars with 36%, 31% molars, incisors and canines 19% and 14% respectively. Gingival recession is defined as the displacement of the marginal tissue apical to the cementoenamel junction. 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.
Gingival recession is defined as an apical shift of the gingival margin, causing exposure of the root surface of a tooth fig. It is the most common and undesirable condition of the gingiva. Treatment of gingival recession using coronally advanced. 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. Miller 1985 useful in predicting the final amount of root coverage following a free gingival graft procedure. 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. Pdf mahajans modification of the millers classification. If you continue browsing the site, you agree to the use of cookies on this website. The treatment of gingival recession associated with deep.
Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity. This can lead to exposure of the roots of the teeth and increased tooth sensitivity. Miller classification of gingival recession mark granger, dds. The dental group most affected was premolars with 36%, 31% molars, incisors and. 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. 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.
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