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Gingival Recession (Gum Recession)

Apical migration of gum margin exposing the root surface

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ağız ve Diş Sağlığı department. Book Appointment →

What is Gingival Recession (Gum Recession)?

The Cairo 2011 classification groups recessions as RT1 (no interdental loss), RT2 (interdental loss ≤ buccal loss) and RT3 (interdental loss > buccal loss).

Thin gingival biotype, high frenal attachment, tooth malposition and traumatic brushing are major local factors.

Periodontitis causes multi-surface generalized recession; mechanical factors often cause localized buccal recession.

Consequences include dentin hypersensitivity, cervical caries and abrasion, aesthetic concerns and risk of continued attachment loss.

Symptoms

Visible exposure of the tooth root or 'long teeth'
Sensitivity to cold, heat or sweets at the cervical area
V-shaped notches (cervical abrasion) at the gumline
Bleeding or tender gums around receded areas
Unaesthetic smile with uneven gum contour
Root caries on exposed surfaces

Risk Factors

Traumatic brushing with hard-bristled brush
Thin periodontal biotype, bony dehiscence
Tooth crowding or labial protrusion
High frenal attachment pulling gingiva
Periodontitis with attachment loss
Oral piercings, parafunctional habits

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Progressive root exposure or new sensitivity
  • Aesthetic concerns with visible receded gums
  • Bleeding, pain or caries at the cervical area

Treatment Methods

01
Eliminate contributing factors: proper soft brush, correct technique, orthodontic/occlusal management
02
Manage dentin hypersensitivity: desensitizing toothpaste, fluoride varnish or in-office agents
03
Non-surgical periodontal therapy if periodontitis coexists
04
Root coverage surgery (connective tissue graft, coronally advanced flap) for suitable RT1/RT2 defects
05
Restoration of cervical caries/abrasion with composite or glass-ionomer
06
Long-term maintenance visits and periodontal monitoring

Which Department to Visit?

You can visit our Ağız ve Diş Sağlığı department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ağız ve Diş Sağlığı Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.