Etiology of gingival recessions - a literature review

Georgieva, Irena

doi:10.14748/ssmd.v5i2.5970

Cited by 8 publications

(10 citation statements)

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“…The progression of gingival recessions can be associated with dental hypersensitivity, plaque retention, aesthetic complaints, and carious or non-carious lesions (11,23). Different techniques are proposed for root coverage treatment -free gingival grafts (24), connective tissue grafts (25), acellular dermal grafts (26), pedicle flaps (27), combination of pedicle flaps and graft techniques (21), and guided tissue regeneration (28).…”

Section: Discussionmentioning

confidence: 99%

“…Over the years, different surgical techniques (pedicle and free soft-tissue grafting, guided tissue regeneration -GTR, bilaminar technique) have been proposed for treatment of mucogingival defects. The choice of the most suitable surgical technique with the best outcome depends on one hand on the dimensions of the defect (size and form), the width of the attached keratinized tissues adjacent to the recession defect (3), the height of interdental papilla, and respectively, the loss of interproximal clinical attachment level to the neighboring teeth, the presence of abnormal frenulum attachments, and on the other hand -on some factors related to the patient (personal oral hygiene (4,5), smoking (6), and traumatic brushing (7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

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Bilaminar technique for treatment of multiple Miller’s class III recession defects in the mandibular frontal area. A case report

Georgieva

2020

Scripta Scientifica Medicinae Dentalis

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INTRODUCTION: Gingival recessions at anterior teeth can be an aesthetic problem for the patients who complain of crown lengthening and can be accompanied by lack of attached gingiva and tooth hypersensitivity. Different surgical techniques (pedicle and free soft-tissue grafting) are proposed for treatment of the exposed root surfaces in the aesthetic zone of dentition. The objective of mucogingival periodontal surgery in the treatment of recession type defects is a complete root coverage and fulfilment of the patient's aesthetic demands. A bilaminar technique is a suitable technique that can be used for root coverage in the treatment of gingival recessions of a single tooth as well as for root coverage in multiple teeth. The literature survey reports that this technique shows good results in the treatment of Miller's class I, class II and class III gingival recessions with adequate thickness and height of apical keratinized tissues to the exposed root surface and has high predictability for root coverage. AIM: The aim of this case report is to present the satisfactory aesthetic outcome of bilaminar technique for multiple recession defects of Miller's class III in the frontal segment of the mandibula. MATERIALS AND METHODS: Miller's class III gingival recessions, affecting tooth 41 and tooth 31, were established. A bilaminar technique (connective tissue graft and coronally advanced flap) was used for root coverage of established recessions. RESULTS: The bilaminar technique resulted in complete root coverage and gain of clinical attachment level and keratinized width of gingival tissues. CONCLUSION: The proposed bilaminar technique presents satisfactory aesthetic outcome in case of thin gingival tissues, interproximal attachment loss, and loss of interdental bone height in the zone between lower central incisors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bilaminar technique for treatment of multiple Miller’s class III recession defects in the mandibular frontal area. A case report

Georgieva

2020

Scripta Scientifica Medicinae Dentalis

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“…16 A study showed that 78% of all microorganisms cultured in necrotic lesions of NUG patients were Gram anaerobic (-) bacteria. 17 Spirochetes and most gram-negative bacteria, including Bacteroides intermedius, and fusiform sp.…”

Section: Casementioning

confidence: 99%

Diagnosing an Acute Leukemia From a Necrotizing Ulcerative Gingivitis in The Oral Cavity: a Case Report

Andriani,

Hermawan

2023

Odonto: Dental Journal

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Background: Necrotizing ulcerative gingivitis (NUG) is an acute onset of gingival disease, that presents as an acute, painful, and destructive ulceration and inflammation of gingival tissue. This condition is one of the oral manifestations of leukemia in addition to gingival enlargement and spontaneous bleeding, oral ulceration, petechiae, hematoma, and pale mucosa. Case Report: We reported A 50-year-old woman presented with gum swelling, pain, and easy bleeding in the lower jaw gums. The patient often experiences fatigue, spontaneous bruising, dry skin, and hair loss. Extraoral examination revealed bruises on the hand. Intraoral examination revealed swelling, erythematous and ulcerative lesion, tartar, bleeding on probing in the lingual gingiva of lower central incisor teeth, mucosa pallor, and minor petechiae were observed at the buccal mucosa region 47-48. The provisional diagnosis was NUG with suspicion of systemic disorder. Result: A complete blood count was performed which showed anemia, leukopenia, neutropenia, lymphocytosis, and thrombocytopenia. We diagnosed NUG in acute leukemia patients. Conclusion: This case demonstrates the detection of leukemia and its oral manifestations in acute leukemia patient. The patient was referred to the hematologist oncology.

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“…If a horizontal force is applied to the axial axis of the tooth, the tooth will not tilt, but it will move completely, and alveolar resorption is observed in the zone of pressure and apposition of bone-in the zone of tension. When moving the tooth in the vestibular direction this will lead to dehiscence of the vestibular bone wall and subsequent apical proliferation of the covering soft tissues and the formation of gingival recession on the vestibular surface in the direction of movement of the tooth (29, 30,31).…”

Section: Orthodontic Forcesmentioning

confidence: 99%

Trauma from occlusion—types, clinical signs and clinical significance. A review

Georgieva¹

2021

Scripta Scientifica Medicinae Dentalis

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Traumatic occlusal forces lead to occlusal trauma of teeth with intact or reduced periodontium. Traumatic occlusion can be classified according to the type of traumatic forces (acute and chronic) and according to the capacity of the periodontal tissues (primary and secondary). The main clinical sign of occlusal trauma is the increased tooth mobility due to the destruction of the periodontal fibers and enlargement of the periodontal ligament space. Other signs are also fremitus, tooth drifting, tooth abrasion, occlusal discrepancies, tooth fracture, root resorption. Occlusal trauma is reversible. Тhe tissues of the periodontium are restored when the excessive occlusal forces are eliminated.

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Etiology of gingival recessions - a literature review

Cited by 8 publications

References 0 publications

Bilaminar technique for treatment of multiple Miller’s class III recession defects in the mandibular frontal area. A case report

Bilaminar technique for treatment of multiple Miller’s class III recession defects in the mandibular frontal area. A case report

Diagnosing an Acute Leukemia From a Necrotizing Ulcerative Gingivitis in The Oral Cavity: a Case Report

Trauma from occlusion—types, clinical signs and clinical significance. A review

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