On the minimally invasive approach to the gingival recession
Journal name: Journal of Indian Society of Periodontology
Original article title: On the minimally invasive approach to the gingival recession
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Sergei V. Jargin
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: On the minimally invasive approach to the gingival recession
Year: 2013 | Doi: 10.4103/0972-124X.115655
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Gingival recession (GR) is an apical displacement of the gingival margin from the cemento-enamel junction, with its prevalence increasing with age—from 8% in children to nearly 100% in those over 50. GR can result in pain from exposed dentine, root caries, and esthetic concerns, and it has complex etiological factors including dental plaque, periodontal disease, mechanical injury, tooth position, and other anatomical considerations. It is crucial to differentiate GR from periodontal pocketing, although both can coexist in patients. Despite common beliefs, GR is not an inevitable consequence of aging and is primarily due to cumulative inflammation and trauma.
The Impact of Excessive Socket Curettage on Gingival Recession
One significant aspect discussed is the impact of excessive socket curettage during tooth extraction, which was illustrated through a case study of a 55-year-old man in Russia. In this case, aggressive curettage resulted in marked gingival recession and increased root sensitivity in neighboring teeth. The Russian practice of thorough granulation tissue removal contrasts with recommendations for gentler procedures in English-language guidelines. Such indiscriminate handling may exacerbate gingival recession and lead to a cascading effect of increased sensitivity and further dental issues.
Conclusion
The author argues that gingival recession should be recognized as a distinct clinical entity separate from inflammatory conditions like periodontitis, calling for a shift in therapeutic approaches. Emphasizing the importance of minimally invasive techniques, the findings suggest that excessive mechanical interventions should be avoided to preserve periodontal health, especially in older patients. Overall, practitioners are encouraged to update their methods in accordance with contemporary standards and research to effectively address gingival recession while minimizing trauma to surrounding tissues.
FAQ section (important questions/answers):
What is gingival recession and its common causes?
Gingival recession is the apical displacement of the gingival margin from the cemento-enamel junction, often caused by inflammation, trauma, dental plaque, and various anatomical factors. It can lead to root sensitivity and aesthetic concerns.
How does socket curettage impact gingival health?
Excessive socket curettage after tooth extraction can contribute to gingival recession by causing further trauma. This aggressive approach, especially in older patients, may lead to root sensitivity and necessitate additional extractions.
Is calculus removal necessary in older patients with gingival recession?
In elderly patients with marked gingival recession, calculus removal may not be indicated, especially if they have modest aesthetic demands, to avoid additional trauma and preserve gingival health.
What is the recommended approach for treating gingival recession?
The treatment for gingival recession should focus on minimally invasive periodontal therapy, emphasizing the preservation of soft tissues and avoiding traumatic procedures like aggressive curettage or root planning.
Is gingival recession linked to inflammation and periodontal disease?
Gingival recession can occur without inflammation and should be viewed separately from periodontal disease. While some studies show associations, not all cases exhibit inflammatory signs, necessitating a distinct treatment perspective.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “On the minimally invasive approach to the gingival recession�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Inflammation:
Inflammation is a key factor in gingival recession (GR), often causing tissue damage that exacerbates the condition. While it may appear in conjunction with plaque accumulation, GR can also occur without inflammation, highlighting the complexity of its etiology. Understanding this distinction is crucial for developing appropriate therapeutic approaches to manage GR effectively.
2) Pain:
Pain is a significant symptom experienced by patients with gingival recession. It arises from exposed dentine and sensitive roots, complicating daily activities and affecting quality of life. Addressing pain is vital in the management of GR, as it influences patient satisfaction and treatment adherence. Effective pain management can lead to improved patient outcomes.
3) Language:
Language plays an important role in communicating clinical findings and management strategies related to gingival recession. Precise terminology helps convey the nature of the condition, treatment options, and patient expectations. Moreover, language differences can affect understanding of dental practices and patient education, influencing treatment outcomes and patient compliance.
4) Hygiene (Hygienic):
Hygiene is a critical factor in oral health, directly impacting gingival recession. Good oral hygiene can help prevent plaque accumulation and gingival inflammation. However, the relationship between hygiene and GR can vary among populations, as those with poor hygiene may experience more severe recession. Promoting proper hygiene practices is essential for prevention.
5) Disease:
Disease is a broader term encompassing various conditions that can influence gingival recession, including periodontal disease. GR can be a result of multiple contributing factors, including chronic inflammation, trauma, and anatomical variations. An understanding of disease processes is vital for clinicians to differentiate between GR and other related conditions, informing appropriate treatment plans.
6) Surface:
Surface denotes the visible and accessible areas of dental tissues, including the gingival margin and exposed roots in the case of gingival recession. The condition leads to the denudation of tooth surfaces, causing sensitivity and aesthetic concerns. The management of these surfaces, including minimizing trauma during treatment, is crucial for patient comfort.
Other Science Concepts:
Discover the significance of concepts within the article: �On the minimally invasive approach to the gingival recession�. Further sources in the context of Science might help you critically compare this page with similair documents:
Oral hygiene, Cumulative effect, Mechanical trauma, Subgingival plaque, Gingival Recession, Tooth Extraction.