Progress in clinical treatment and etiology of gingival recession
Journal Title: 口腔疾病防治 - Year 2019, Vol 27, Issue 5
Abstract
Gingival recession is one of the common oral symptoms. Periodontal soft tissue defects caused by gingival recession and problems related to aesthetics, prosthetics and orthodontic treatment have garnered increasing attention. This article reviews the etiology, classification and treatment of gingival recession to provide a reference for the diagnosis and treatment of gingival recession. Anatomical characteristics of teeth, bacterial and viral infection, Occlusion trauma, Improperbrushing methods and other daily behaviors and iatrogenic factors may lead to gingival recession. Miller classification is the most commonly used classification standard. It is divided into 4 degrees according to the relationship between gingival recession and the association between the gingival membrane and the loss of adjacent alveolar bone or interdental papilla. Gingival surgeries, such as coronally advanced flap, laterally positioned flap, subepithelial connective tissue graft for Miller Ⅰ degrees and Ⅱ gingival recession retreat, obtain a more satisfactory success rate. Regarding the Ⅲ degree gingival recession, the postoperative curative effect is poor and can only cover part of the root. Regarding Ⅳ degrees gingival recession, surgery cannot reach the root surface coverage. For patients with Miller Ⅳgingival recession caused by severe periodontitis, the surgical treatment is poor, and repair methods, such as sputum, can also be considered. In recent years, a variety of biological materials have been jointly applied to gingival surgery, such as tooth enamel matrix derivative (EMD), allograft acellular dermal matrix (ADM), porcine collagen matrix (PCM) and platelet-rich fibrin (PRF). The use of these biomaterials can improve root coverage, increase gingival thickness and keratinized gingival width, avoid the requirement of palatal flap removal, reduce the surgical risk and increase patient compliance.
Authors and Affiliations
LU Lizhu, QIU Hongtian, CAI Qiuyun, ZHOU Wei
Keywords
Related Articles
- EP ID EP624912
- DOI 10.12016/j.issn.2096-1456.2019.05.012
- Views 175
- Downloads 0
Clinical study of the treatment effects of direct current iontophoresis of triamcinolone acetonide on oral submucous fibrosis
Objective To observe the clinical effects of direct current iontophoresis (DCI) of triamcinolone acetonide (TA) on treatment of oral submucous fibrosis. Methods Fifty-one patients were randomly divided in group A (n=25),...
IgG4-related Mikulicz disease: a case report and literature review
Objective To explore the etiology, clinical manifestations, diagnosis and treatment of IgG4-related Mikulicz disease and to provide a reference for clinical diagnosis and treatment. Methods Case data from a patient with...
Research progress of IL-33/ST2 signaling pathway in bone metabolism
Interleukin-33(IL-33) is a new member of the interleukin-1 (IL-1) cytokine superfamily. It can activate mast cells, lymphocytes and macrophages to produce Th2 cytokines and plays a very important role in inflammation, in...
Research progress on the pathogenesis and treatment of Enterococcus faecalis in pulp periapical disease
Enterococcus faecalis is an important pathogen in pulp periapical disease that has been widely studied in recent years. A large number of studies have shown that the high detection rate of Enterococcus faecalis in root c...
Clinical analysis of vitamin B12 deficiency mainly manifested by recurrent aphthous ulcers
Objective To analyze the clinical characteristics and treatment experience of Vitamin B12 (VB12) deficient patients with recurrent aphthous ulcers (RAU) to improve the clinical efficacy. Methods A retrospective analysis...