Author: Marta Mor

Recession

Marta Mor

Gingival recession in its localized or generalized form is an undesirable condition resulting in root exposure (1).

An example of Gingival Recession

Prevalence is correlated to:

  • Vigorous tooth brushing
  • Malpositionned teeth
  • Inflammation or Periodontal disease
  • Tobacco consumption
  • Teeth grinding
  • Piercing of lip or tongue
  • Genetics

Main Syntoms:

  • Teeth appear longer than normal
  • Loose teeth
  • Teeth sensitivity
  • Tooth decay below the gum line
  • Increase in the gaps between teeth

It is of some importance a proper diagnosis and evaluation of the type of recession for the treatment predictability. Gingival recession is the process where there is a exposure of the root surface due to apical migration of the gingival margin (gum tissue). It affects a significant proportion of the adult population (1).

Several Surgical approaches have been proposed in the few years in respect to root coverage (2).

(1)  The  etiology  and  prevalence  of  gingival  recession.  MM  Kassab,  RE  Cohen  -­‐  The  Journal  of  the  American  Dental  …,  2003  -­‐  Am  Dental  Assoc
(2)  Treatment  of  multiple  recession-­‐type  defects  in  patients  with  esthetic  demands.  G  Zucchelli,  M  De  Sanctis  -­‐  Journal  of  Periodontology,  2000  -­‐  Wiley  Online   Library

Periodontal Disease

Marta Mor

Periodontal diseases have been classified as: Gingivitis or Periodontitis. Gingivitis, known as a reversible inflammation of the connective tissue around the tooth. Periodontitis, is a irreversible inflammation affecting the connective tissue and alveolar bone affecting supporting tissues of the tooth (1).

A carefully considered periodontal diagnosis is of major importance in the subsequent management of patients periodontal disease. An accurate diagnosis is the first step towards an appropriate treatment plan (1).

The treatment plan is focused on the elimination of the supra gingival and subgingval plaque or calculus. Subgingival mechanical instrumentation is essential to achieve periodontal health (2).

After the appropriate treatment supportive therapy oral hygiene instructions is a key factor for a long term stability on Periodontal Disease (3).

 

1. Periodontal diagnoses and classification of periodontal diseases GC Armitage – Periodontology 2000, 2004.
2.Periodontal Response to Mechanical Non-Surgical Therapy: A Review G Greenstein – Journal of periodontology, 1992.
3.Supportive care after active periodontal treatment JJ Echeverria, GC Manau… – … of clinical periodontology, 1996.