Gingival Recession Research Articles

A Modification of Fenestration Technique (MOFT) to Increase Vestibular Depth: A Case Series.

The most prevalent mucogingival issues include insufficient gingival width, decreased vestibular depth, abnormal frenal attachment, gingival recession, pockets that reach the mucogingival junction, excess gingival, inconsistent gingival margin, excessive gingival display and abnormal gingival colour. Numerous periodontal plastic operations have been used to treat these issues. However, each approach has its own drawbacks and is technique-dependent. Adequate depth of vestibule is necessary to maintain good oral health as shallow vestibule leads to accumulation of food and thus impedes oral hygiene maintenance. This case series describes a vestibular deepening procedure performed using modification of periosteal fenestration technique. This technique includes a series of eight cases of shallow vestibule where vestibular deepening was conducted by giving a full-thickness incision to expose the periosteum and create a window of fenestration followed by suturing the labial mucosa to the periosteum at the apical level. The results reported an excellent post-operative outcome showing increased depth of the vestibule.

Root Coverage in Miller's Class 3 Gingival Recession using a Laterally Positioned Flap with Advanced PRF: A Two-year Follow-up Case Report

Introduction: Gingival recession, marked by the apical migration of gingival tissue, presents aesthetic and functional challenges. The laterally positioned flap (LPF) technique, often used for localized root coverage, remains effective, particularly when combined with advanced platelet-rich fibrin (A-PRF). Case Report: A 23-year-old male presented with Miller Class III gingival recession on tooth 41, with clinical attachment loss of 4.5 mm and high frenum attachment. A treatment plan involved the revised LPF technique, A-PRF membrane application, and frenectomy. Surgical Procedure: Following patient consent and scaling, a sulcular incision was made, and flaps were elevated. A-PRF was prepared and placed over the exposed root, with the flap secured by sutures. Post-operative Care: The patient received antibiotics and analgesics, with follow-up at 2 years showing a 4 mm gain in clinical attachment level and complete root coverage. Results: The combination of the LPF technique and A-PRF effectively managed Miller Class III gingival recession, restoring both function and aesthetics. Conclusion: This case underscores the efficacy of using A-PRF with the LPF technique for treating gingival recession, offering a reliable approach for restoring the keratinized gingival zone.

Clear aligners for patients with severe gingival recession: A case report

Fixed appliances are an excellent treatment approach for mild to severe malocclusions. Increasingly, aligner-based treatments are being provided as a treatment option. The latter may be preferable to fixed appliances in selected cases. A young adult with severe gingival recession is presented who was treated successfully with aligner-based treatment with minimal deterioration of the gingival tissue levels. However, limits should be applied to the buccal and labial movement of teeth to reduce the risk of worsening of the gingival recession. CPD/Clinical Relevance: Aligner-based treatment may be preferable for orthodontic patients with severe gingival recession.

Home treatment protocol for dentin hypersensitivity with hydroxyapatite-based biodynamic toothpaste and lactoferrin: a pilot study.

In recent years, there has been a gradual increase in cases of dentin hypersensitivity, often related to gingival recession, enamel abrasion from brushing, and wear of root cementum. This condition can affect patients of all ages but is more common between 20 and 40 years of age, especially in females and individuals with periodontal disease. The study aimed to evaluate and compare the efficacy over time of a product for at-home treatment of dentin hypersensitivity. One hundred five patients aged between 28 and 65 years were recruited, each with at least two hypersensitive teeth due to erosions, abrasions, gingival recessions, and/or periodontal diseases. Participants were selected through the Schiff Test and anamnestic evaluations, with compilation of periodontal records. Patients are instructed to use the product three times a day, to be applied with a soft-bristled toothbrush and/or topically as a gel on teeth with strong sensitivity and deep cervical lesions and gingival recessions. There were no statistically significant differences between measurements at baseline and after scaling. However, significant differences were observed in follow-ups from the 1st to the 8th week, with a progressive decrease in values. The average trend of product efficacy increases over time according to the Schiff Test, with a significant improvement observed at follow-ups conducted after four and eight weeks. The results indicate that the product enriched with biomimetic hydroxyapatite and lactoferrin is effective in reducing the painful symptoms of dentin hypersensitivity and in counteracting the inflammatory state of the supporting tissues.

Partial-Full-Thickness Tunnel Technique and Supra-Crestal Sling Suture for Treatment of RT2 and RT3 Gingival Recessions: Technical Report with Two Cases.

The purpose of this technical report is to describe a modified tunnel surgical approach and connective tissue graft (CTG) stabilization technique for the treatment of gingival recessions with interproximal clinical attachment loss (ICAL). The partial-full-thickness (PFT) tunnel technique utilizes multiple vestibular incisions to facilitate creation of a split-mucoperiosteal tunnel that enhances tissue passivity and allows for coronal advancement of soft tissue with minimal tension. The supra-crestal sling (SCS) suture engages only the CTG, independent of the overlying tissue and stabilizes the CTG around the buccal and proximal root surfaces. The treatment approach of PFT tunnel preparation and CTG stabilization with the SCS suture was designed to optimize blood supply and maximize wound stability, resulting in complete root coverage with satisfactory clinical outcomes in RT2 and RT3 gingival recession. It is suggested that the PFT tunnel preparation with graft stabilization via the SCS suture has the potential to treat recessions with anatomical limitations associated with ICAL.

Root coverage with coronally positioned flap in gingival recession

Root coverage with coronally positioned flap in gingival recession

Tunneled coronally advanced flap for RT1 isolated gingival recessions

Tunneled coronally advanced flap for RT1 isolated gingival recessions

The Papilla Base CTG: A Novel Approach for Interdental Soft Tissue Reconstruction.

Impairment or loss of interdental papilla is a common issue in patients with periodontal disease, leading to phonetic, functional, and aesthetic concerns. Numerous techniques have been explored to reconstruct and regenerate interdental papillae, but consistent success remains challenging. This article presents a novel surgical approach that applies the principles of the Connective Tissue Graft (CTG) wall technique to enhance papilla volume when interdental clinical attachment loss is present in the aesthetic zone. The case of a 35-year-old woman with an RT3 recession defect associated with loss of interdental hard and soft tissues is discussed. The patient underwent a procedure involving palatal incisions, application of amelogenins, and a trapezoidal shape CTG fixed at the base of the papilla under a coronally advanced flap. This approach aimed to stabilize the blood clot and prevent soft tissue collapse into the defect area, enhancing the position and volume of the interdental papilla. Results at 6- and 12-months follow-up indicated significant improvement in papilla appearance and complete root coverage. This case suggests that the modified CTG wall technique can effectively treat buccal and interdental gingival recessions associated with horizontal or infrabony defects. Further clinical trials are necessary to confirm these findings and establish the most effective approach for interdental papilla reconstruction.

YouTube videos on gingival grafting procedures: Content and quality analysis

BackgroundPeriodontal surgery for gingival defects is widely recognized by dental care professionals and researchers for its effectiveness in treating gingival recession and improving oral health outcomes. YouTube (Google LLC) is 1 of the health information sources patients and clinicians use, and assessing its content quality is crucial. The authors aimed to examine the content and quality of YouTube videos on gingival graft procedures. MethodsThe online video streaming platform YouTube was searched using the key word gingival graft. Two independent examiners analyzed a total of 120 videos; a third examiner assessed interrater reliability. Fifty videos that met the inclusion criteria were included in the study. The assessed content topics for these YouTube videos consisted of 13 different categories, and their overall quality was evaluated using the Video Information and Quality Index (VIQI). Statistical analyses were performed using SAS software, Version 9.4 (SAS Institute). ResultsThere were 23 videos in the high-quality content groups and 27 videos in the low-quality content group. Hospitals and universities uploaded most of the included videos. The most commonly discussed topics in the included videos were the patient’s condition (36 [72%]) and area of tissue graft (34 [68%]). The total VIQI score and flow had a significant impact on the overall content score (P < .05). ConclusionsThere was a direct correlation between total VIQI scores and total content scores and an inverse relationship between viewing rate and total content scores. Practical ImplicationsTo ensure patients receive accurate and up-to-date information about treatment, the authors recommend guiding them toward reliable resources by means of providing direct links to trustworthy websites, creating and sharing playlists of reliable educational videos, and offering printed materials with quick-response codes linking to verified sources. These actions will help patients easily access and trust the information they need for their treatment decisions.

Treatment of Gingival Recession in Smokeless Tobacco User

Treatment of Gingival Recession in Smokeless Tobacco User

Treatment of localized gingival recession: one year follow-up

Treatment of localized gingival recession: one year follow-up

Two different approaches in gingival recession treatment

Two different approaches in gingival recession treatment

Effect of horizontal toothbrushing on developing gingival recessions

Effect of horizontal toothbrushing on developing gingival recessions

Gingival unit grafts for treating gingival recessions: case series

Gingival unit grafts for treating gingival recessions: case series

Rehabilitation of Gingival Recession with FGG Harvested From Edentulous-Crest

Rehabilitation of Gingival Recession with FGG Harvested From Edentulous-Crest

Treatment of localized gingival recession with coronally advanced flap

Treatment of localized gingival recession with coronally advanced flap

Treatment of gingival recession in full crown by TUN

Treatment of gingival recession in full crown by TUN

Tunnel Technique at Isolated Gingival Recession: A Case Report

Tunnel Technique at Isolated Gingival Recession: A Case Report

Treatment Of Multiple Gingival Recessions With Coronally Advanced Flap

Treatment Of Multiple Gingival Recessions With Coronally Advanced Flap

Factors associated with gingival recession prevalence in undergraduate students of the Faculty of Dentistry of the Universidad de los Andes in the year 2022.

To determine the prevalence of gingival recessions in students of the faculty of odontology at Universidad de Los Andes and the factor associated with its presence. In this cross-sectional study, a randomized stratified sampling was used to select the students. The sample included 311 undergraduate students evaluated between March and December 2022. The year spectrum was from 17 to 29 years old. Two calibrated examiners intra e interoperator completed a clinical evaluation with a periodontal probe, where the purpose was to diagnose gingival recessions and identify if there were any related factors such as smoking, braces, bruxism, marginal insertion frenulum, fine phenotype, and malposition. The total prevalence was described with each trust interval of 95%. The association between categorical variables was analyzed with the chi-square test, and the t-student test of the Mann-Whitney test analyzed the difference between continuous variables and recession prevalence. 93,56% of the students presented at least one gingival recession. The highest prevalence related to teeth occurred in pieces 1.6, 3.4, 2.6, and 4.1, and the most severe were 3.3, 4.3, and 1.3. The most associated factor related to recessions was orthodontics, with a prevalence of 75,2%. Bruxism showed a positive association with the number of recessions, with a prevalence of 60,7%. Buccal gingival recessions were very prevalent in undergraduate students at the dental school of Universidad de los Andes during 2022, and they were strongly associated with the history of orthodontics.