Treatment of Patient with Gingival Recession

Authors

  • Noppamas Wiwatcharagoses Watsing Hospital

Keywords:

Gingival recession, Root coverage techniques, Connective tissue graft

Abstract

      Gingival recession compromises tooth strength, esthetics, causes hypersensitivity or abraded teeth by reducing their resistance to various forces. This condition is often the result of multiple factors, including orthodontic treatment, which can lead to gingival recession. This is a case report of the patient who had gingival recession after undergoing orthodontic treatment. The mandibular right second premolar had moderate to severe gingival recession with tooth hypersensitivity. To correct the gingival recession and gain the esthetic outcome, connective tissue grafting was performed. The treatment was successful in gingival root coverage, tooth desensitizing and esthetic improvement.

Keywords: Gingival recession, Root coverage techniques, Connective tissue graft

References

Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. Journal of the American Dental Association. 2003; 134(2): 220-225.

Hosanguan C, et al. The extent and correlates of gingival recession in non-institutionalised Thai elderly. Journal of International Academy of Periodontology. 2002; 4(4): 143-148.

Souza JD, Machado G, Falabella MEV. Prevalence of gingival recession in dental students from the Federal University of Juiz de Fora–Brazil. International Journal of Odontostomatology. 2019; 13(3): 299-304.

Slutzkey S, Levin L. Gingival recession in young adults: occurrence, severity and relationship to past orthodontic treatment and oral piercing. American Journal of Orthodontics and Dentofacial Orthopedics. 2008; 134(5): 652-656.

Bollen AM, et al. The effects of orthodontic therapy on periodontal health: a systematic review of controlled evidence. The Journal of the American Dental Association. 2008; 139(4): 413-422.

วราภรณ์ สุวรรณรงค์. การรักษาทางปริทันต์ร่วมกับทันตกรรมจัดฟัน. แขนงวิชาปริทันตวิทยา สาขาวิชาเวชศาสตร์ช่องปาก คณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น. 2563; พิมพ์ครั้งที่ 1: 13-20, 101-133.

Sawan NM, et al. Risk factors contributing to gingival recession among patients undergoing different orthodontic treatment modalities. Interv Med Appl Sci. 2018; 10(1): 19-26.

Vasconcelos G, et al. Prevalence and severity of vestibular recession in mandibular incisors after orthodontic treatment: A case-control retrospective study. Angle Orthod. 2012; 82(1): 42-47.

Miller PD Jr. A classification of marginal tissue recession. International Journal of Periodontics & Restorative Dentistry. 1985; 5(2): 8-13.

Saletta D, et al. Coronally advanced flap procedure: is the interdental papilla a prognostic factor for root coverage? Journal of Periodontology. 2001; 72(6): 760-766.

Tavedhikul K, Kungsadalpipob K. Decision making for root coverage surgical techniques. Journal of the dental association of Thailand. 2016; 66(4): 268-284.

Sedon CL, et al. The subepithelial connective tissue graft: Part 1. Patient selection and surgical techniques. The journal of contemporary dental practice. 2005; 6(1): 146-162.

Bhusari BM, Baghele ON, Joshi N. Sub-epithelial connective tissue graft–Bruno ‘s technique–A report of 3 cases. Journal of the Indian Dental Association. 2011; 5(7): 820-821.

Reiser GM, et al. The subepithelial connective tissue graft palatal donor site: anatomic considerations for surgeons. International Journal of Periodontics & Restorative Dentistry. 1996; 16(2): 130-137.

Windisch P, Molnar B. Recession coverage using autogenous grafts: A clinical manual. Springer International Publishing AG. 2018; 19(8): 97-119.

Harris RJ, et al. A comparison of three techniques to obtain root covearage on mandibular incisors. Journal of Periodontology. 2005; 76(10): 1758-1767.

Thaiger Medical. การปลูกถ่ายเหงือก (Gum Tissue Graft) คืออะไร? [อินเทอร์เน็ต]. [เข้าถึงเมื่อ 22 สิงหาคม 2565]. เข้าถึงได้จาก: https://thethaiger.com/th/news/550356/

Bertl K, et al. Root coverage stability: A systematic overview of controlled clinical trials with at least 5 years of follow-up. Clin Exp Dent Res. 2021; 7(5): 692-710.

Tozum TF, et al. Treatment of gingival recession: Comparison of two techniques of subepithelial connective tissue graft. Journal of Periodontology. 2005; 76(11): 1842-1848.

Wennstrom J, Lindhe J, Nyman S. Role of keratinized gingiva for gingival health. Clinical and histologic study of normal and regenerated gingiva tissue in dogs. Journal of Clinical Periodontology. 1981; 8(4): 311-328.

Lang NP, Loe H. The relationship between the width of keratinized gingiva and gingival health. Journal of Periodontology. 1972; 43(10): 623-627.

Halder S, et al. Normal anatomy and clinical significance of attached gingiva: A review. International Journal of Dental Science and Innovative Research. 2021; 4(1): 74-79.

Jati AS, Furquim LZ, Consolaro A. Gingival recession: Its causes and types, and the importance of orthodontic treatment. Dental Press Journal of Orthodontics. 2016; 21(3): 18-29.

Monnet-Corti V, et al. Connective tissue graft for gingival recession treatment: assessment of the maximum graft dimensions at the palatal vault as a donor site. Journal of Periodontology. 2006; 77(5): 899-902.

Soileau KM, Brannon RB. A Histologic evaluation of various stages of palatal healing following subepithelial connective tissue grafting procedures : A comparison of eight cases. Journal of Periodontology. 2006; 77(7): 1267-1273.

Soheilifar S, et al. Effect of periodontal dressing on wound healing and patient satisfaction following periodontal flap surgery. The Journal of Dentistry. 2015; 12(2): 151-156.

Matter J. Creeping attachment of free gingival grafts. A five-year follow-up study. Journal of periodontology. 2005; 51(12): 681-685.

Harris RJ. Creeping attachment associated with the connective tissue with partial-thickness double pedicle graft. Journal of Periodontology. 1997; 68(9): 890-899.

Harris RJ. The connective tissue and partial thickness double pedicles graft: A predictable method of obtaining root coverage. Journal of Periodontology. 1992; 63(5): 477-486.

Hwang D, Wang HL. Flap thickness as a predictor of root coverage : A systematic review. Journal of Periodontology. 2006; 77(10): 1625-1634.

Published

2024-08-02

How to Cite

วิวัชรโกเศศ นพมาศ. 2024. “Treatment of Patient With Gingival Recession”. Region 3 Medical and Public Health Journal - วารสารวิชาการแพทย์และสาธารณสุข เขตสุขภาพที่ 3 21 (3). Nakhonsawan Thailand:239-48. https://thaidj.org/index.php/smj/article/view/15385.

Issue

Section

รายงานผู้ป่วย (Case Report)