Scientific Online Resource System

Varna Medical Forum

Classification of gingival recessions - a review

Irena Georgieva

Abstract

Gingival recession is a mucogingival condition, associated with retraction of marginal gingival tissues apically to CEJ of the tooth, that leads to an aesthetic defect, often a consequence of periodontal disease or mechanical trauma.

Classification of gingival recessions is an important factor for correct understanding and determining of diagnosis, prognosis, and treatment planning for root coverage of the exposed root surface.

For decades different classification systems of different authors have been presented (Sullivan & Atkins, Mlinek, Benque. Miller, Smith, Mahajan, Cairo, etc.). They were based on the morphology of the lesions, their etiology, prognosis or the possibilities for root coverage. Miller's classification is one of the most widely used gingival classifications in practice but it has some drawbacks.


Keywords

gingival recessions; classification; prognosis; mucogingival junction; clinical attachment loss

Full Text


References

Aroca S, Keglevich T, Nikolidakis D, Gera I, Nagy K, Azzi R, et al..Treatment of class III multiple gingival recessions: a randomized-clinical trial. - J Clin Periodontol. 2010 Jan; 37(1): 88-97

Baldi C, Pini-Prato G, Pagliaro U, Nieri M, Saletta D, Muzzi L, et al.. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. - J Periodontol 1999; 70:1077-84.

Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study - J Clin Periodontol., 2011 Jul; 38(7): 661-6

Cairo F, Pini-Prato GP. A technique to identify and reconstruct the cementoenamel junction level using combined periodontal and restorative treatment of gingival recession. A prospective clinical study. Int J Periodontics Restorative Dent. 2010; 30: 573-581.

Camargo PM, Melnick PR, Kenney EB. The use of free gingival grafts for aesthetic purposes - Periodontol 2000, 2001;27:72-96

Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrativereview, case deïnitions, and diagnostic considerations. J Periodontol. 2018; doi: 10.1002/JPER.16-0671

Guttiganur N, Aspalli S, Sanikop MV, Desai A, Gaddale R, Devanoorkar A. Classification systems for gingival recession and suggestion of a new classification system. - Indian J Dent Res., 2018;29:233-7

Jati AS, Furquim LZ, Consolaro A. Gingival recession: its causes and types, and the importance of orthodontic treatment. - Dent. Pr. Jour. Orthod., 2016 May-Jun; 21(3): 18-29

Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP regeneration workshop. - J Periodontol. 2015;86(S2):S56-S72.

Kumar A, Masamatti SS. A new classification system for gingival and palatal recession. - J Indian Soc Periodontol, 2013 Mar-Apr;17(2):175-81.

Mahajan A. Mahajan's modification of the Miller's classification for gingival recession. Dent Hypotheses, 2010;1:45-50

Mahajan A, Kashyap D, Kumar A, Mahajan P. Reliability study of Mahajan's classification of gingival recession: A pioneer clinical study - J Ind Soc Periodont. 2014; 18(1): 38-42

Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5:8-13.

Mlinek A, Smukler H, Buchner A. The use of free gingival grafts for the coverage of denuded roots. - J Periodontol., 1973;44:248-54.

Nagaraj KR, Savadi RC, Savadi AR, Prashanth RGT, Srilakshmi J, Dayalan M, et al. Gingival biotype - prosthodontic perspective - Jour. Ind. Pros. So., 2010 Mar.; 10(1): 27-30

Paolantonio M, di Murro C, Cattabriga A, Cattabriga M. Subpedicle connective tissue graft versus free gingival graft in the coverage of exposed root surfaces. A 5-year clinical study. - J Clin Periodontol., 1997 Jan; 24(1): 51-6.

Pini-Prato G. The Miller classification of gingival recession: limits and drawbacks. - J Clin. Periodontol., 2011 Mar; 38(3): 243-5

Pradeep K, Rajababu P, Satyanarayana D, Sagar V. Gingival recession: Review and strategies in treatment of recession. Case Rep Dent 2012;2012:563421.

Prashant B., Nitin A., Shivam U, Shiras V, Amiyavardhan J,Shraddha J. Classification & Prevalence of Dental Surface Defects in Areas of Gingival Recession - A Clinical Study. J Clin Diagn Res., 2014 Jul; 8(7): ZF01-ZF04.

Reddy S, Kaul S, Prasad MGS, Agnihotri J, Amudha D, Kambali S. Gingival recession: A proposal for a new classification. - Int J Dent Clinics, 2012; 4:32-6

Rotundo R, Mori M, Bonaccini D, Baldi C. Intra- and inter-rater agreement of a new classification system of gingival recession defects. - Eur J Oral Implntol., 2011; 4(2): 127-33

Sangnes G, Gjermo P. Prevalence of oral soft and hard tissue lesions related to mechanical tooth cleaning procedures. - Community Dent Oral Epidemiol. 1976;4:77-83.

Smith RG. Gingival recession. Reappraisal of an enigmatic condition and a new index for monitoring. - J Clin Periodontol., 1997; 24: 201-5.

Sullivan HC, Atkins JH. Free autogenous gingival grafts. I. Principles of successful grafting. Periodontics, 1968; 6:121-9.

Zucchelli D, Gori G, Mele M, et al. Non–carious cervical lesions associated with gingival recessions: a decision‐making process. J Periodontol. 2011;82:1713–1724.


Refbacks

Font Size


|