Advances in Clinical and Experimental Medicine

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Advances in Clinical and Experimental Medicine

2014, vol. 23, nr 6, November-December, p. 857–863

Publication type: editorial article

Language: English

New Perspectives in the Diagnostic of Gingival Recession

Marzena Dominiak1,A,D, Tomasz Gedrange1,E,F, Tomasz Gedrange2,E,F

1 Department of Oral Surgery, Wroclaw Medical University, Poland

2 Department of Orthodontics, Technical University of Dresden, Germany


Gingival recession (GR) is a common clinical situation observed in patient populations regardless of their age and ethnicity. It has been estimated that over 60% of the human population has gingival recession. It is the final effect of the interaction of multiple etiological factors. Identification and definition of the range of influence is often not possible, with the result that new methods for testing and elimination of potential etiological factors are still being sought. The aim of this study is to present the etiopathogenesis of gingival recessions with regard to the analysis of morphological and functional factors. For the assessment of the bone factors, we will describe the new cephalometric method for measuring sagital width of the bone in the central incisors area, places when GR are most commonly observed. Also, a review will be presented of modern methods of treatment; in particular classes recessions; usage substitute of autogenous tissue will be emphasized – collagen matrix, and primary culture fibroblasts on collagen net.

Key words

gingival recession, aetiology, diagnostic, cephalometric analyses, incisors area.

References (33)

  1. Dodwad V: Aetiology and severity of gingival recession among young individuals in belgaum district in India. Annal Dent Univ Malaya 2001, 8, 1–6.
  2. Leo H: Natural history of periodontal disease in man. J Periodontol 1992, 63, 489–495.
  3. Camargo PM, Melnick PR, Kenney EB: The use of free gingival grafts for aesthetic purposes. Periodontol 2000 2001, 27, 72–96.
  4. Wang HL, Modarressi M, Fu JH: Utilizing collagen membranes for guided tissue regeneration-based root coverage. Periodontol 2000 2012, 59, 140–157.
  5. Pradeep K, Rajababu P, Satyanarayana D, Sagar V: Gingival recession: review and strategies in treatment of recession. Case Rep Dent 2012, 563421.
  6. Dominiak M, Lula-Czarnecka K, Gedrange T: Interdisciplinary treatment in aesthetic zone in implantology. In: New indications in aesthetic implantology. Eds.: Dominiak M, Gedrange T, BF Remigiusz Dyńka, Wrocław 2012, 21–41.
  7. Dominiak M: Own method of estimation of prognostic gingival recession. Monography of habilitation, AM, Wroclaw 2010.
  8. Allen R: Treating gingival recession. Irish Dentist 2011, 20–26.
  9. Lauer G, Mai R, Pradel W, Proff P, Gedrange T, Beyer J: Influence of Cyclosporin A on human gingival keratinocytes in vitro. J Craniomaxillofac Surg 2006, 34, Suppl 2, 116–122.
  10. Marini MG, Greghi SL, Passanezi E, Sant’ana AC: Gingival recession: prevalence, extension and severity in adults. J Appl Oral Sci 2004, 12, 250–255.
  11. Dominiak M, Kalecińska E, Krzysztoń E, Dominiak P, Mierzwa-Dudek D, Sulka A: Correlation between temporomandibular dysfunction, disturbances of occlusion and gingival recession in a group of youth students. Bull Group Int Rech Sci Stomatol Odontol 2006, 47, 40–46.
  12. Holtfreter B, Schwahn C, Biffar R, Kocher T: Epidemiology of periodontal diseases in the Study of Health in Pomerania. J Clin Periodontol 2009, 36, 114–123.
  13. Muller HP, Stadermann S, Heinecke A: Gingival recession in smokers and non-smokers with minimal periodontal disease. J Clin Periodontol 2002, 29, 129–136.
  14. Sullivan HC, Atkins JH: Free autogenous gingival grafts. 3. Utilization of grafts in the treatment of gingival recession. Periodontics 1968, 6, 152–160.
  15. Miller PD Jr: A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985, 5, 8–13.
  16. Camargo PM, Melnick PR, Kenney EB: The use of free gingival grafts for aesthetic purposes. Periodontol 2000 2001, 27, 72–96.
  17. Dominiak M, Konopka T, Lompart H, Kubasiewicz P: Comparative research concerning clinical efficiency of three surgical methods of periodontium recessions treatment in five-year observations. Adv Med Sci 2006, 51, Suppl 1, 18–25.
  18. Oates TW, Robinson M, Gunsolley JC: Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol 2003, 8, 303–320.
  19. Thoma DS, Benić GI, Zwahlen M, Hämmerle CH, Jung RE: A systematic review assessing soft tissue augmentation techniques. Clin Oral Implants Res 2009, 20, Suppl 4, 146–165.
  20. Dym H, Tagliareni JM: Surgical management of cosmetic mucogingival defects. Dent Clin North Am 2012, 56, 267–279.
  21. Camelo M, Nevins M, Nevins ML, Schupbach P, Kim DM: Treatment of gingival recession defects with xenogenic collagen matrix: a histologic report. Int J Periodontics Restorative Dent 2012, 32, 167–173.
  22. Pini Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C: Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol 1992, 63, 919–928.
  23. Saczko J, Dominiak M, Kulbacka J, Chwiłkowska A, Krawczykowska H: A simple and established method of tissue culture of human gingival fibroblasts for gingival augmentation. Folia Histochem Cytobiol 2008, 46, 117–119.
  24. Dominiak M, Saczko J, Gerber H, Rybak Z, Gredes T: Use of primary culture of human fibroblasts in gingiva augmentation procedure. Biomed Tech 2010, 55, 331–334.
  25. Dominiak M, Łysiak-Drwal K, Saczko J, Kunert-Keil C, Gedrange T: The clinical efficacy of primary culture of human fibroblasts in gingival augmentation procedures – A preliminary report. Ann Anat 2012, 194, 502–507.
  26. Mohammadi M, Shokrgozar MA, Mofid R: Culture of human gingival fibroblasts on a biodegradable scaffold and evaluation of its effect on attached gingiva: a randomized, controlled pilot study. J Periodontol 2007, 78, 1897–1903.
  27. Dominiak M, Mierzwa D, Puzio M, Gedrange T: Clinical evaluation of the effectiveness of using a collagen matrix (Mucograft prototype) in gingival recession coverage – pilot study. J Stomatol 2012, 65, 184–197.
  28. Geiser EJ, Kleisner J, Marinello CP: Gingival recession. A review of its prevalence, etiology and classification. Schweiz Monatsschr Zahnmed 1993, 103, 1278–1287.
  29. Nauert K, Berg R: Evaluation of labio-lingual bony support of lower incisors in orthodontically untreated adults with the help of computed tomography. J Orofac Orthop 1999, 60, 321–334.
  30. Fuhrmann R: Three-dimensional interpretation of alveolar bone dehiscences. An anatomical-radiological study – Part I. J Orofac Orthop 1996, 57, 62–74.
  31. Handelman CS: The anterior alveolus: its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae. Angle Orthod 1996, 66, 95–110.
  32. Artun J, Grobety D: Periodontal status of mandibular incisors after pronounced orthodontic advancement during adolescence: a follow-up evaluation. Am J Orthod Dentofacial Orthop 2001, 119, 2–10.
  33. Gedrange T, Mai R, Weingaertner J, Hietschold V, Bourauel C, Pradel W, Lauer G, Proff P: Finite element representation of bone substitute remodelling in the jaw bone. Biomed Tech 2008, 53, 220–223.