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Nikolaos A Chrysanthakopoulos - One of the best experts on this subject based on the ideXlab platform.
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Gingival Recession: prevalence and risk indicators among young greek adults.
Journal of clinical and experimental dentistry, 2014Co-Authors: Nikolaos A ChrysanthakopoulosAbstract:The aim of the current research was to assess the prevalence of Gingival Recession and to investigate possible associations among this condition, periodontal and epidemiological variables in a sample of young Greek adults in a general dental practice. A total of 1,430 young adults was examined clinically and interviewed regarding several periodontal and epidemiological variables. Collected data included demographic variables, oral hygiene habits and smoking status. Clinical examination included the recording of dental plaque, supraGingival calculus presence, Gingival status and buccal Gingival Recession. Multivariate logistic regression analysis model was performed to access the possible association between Gingival Recession and several periodontal and epidemiological variables as potential risk factors. The overall prevalence of Gingival Recession was 63.9%. The statistical analysis indicated that higher educational level [OR= 2.12, 95% CI= 0.53-8.51], cigarette smoking [OR= 1.97, 95% CI= 1.48-7.91], frequent tooth brushing [OR= 0.98, 95% CI= 0.56-1.96], presence of oral piercing [OR= 0.92, 95% CI= 0.38-1.58], presence of Gingival inflammation [OR= 4.54, 95% CI= 1.68-7.16], presence of dental plaque [OR= 1.67, 95% CI= 0.68-2.83] and presence of supraGingival calculus [OR=1.34, 95% CI= 0.59-1.88], were the most important associated factors of Gingival Recession. The observations of the current research supported the results from previous authors that several periodontal factors, educational level and smoking were significantly associated with the presence of Gingival Recession, while presence of oral piercing was a new factor that was found to be associated with Gingival Recession. Key words:Gingival Recession, prevalence, risk factors, young adults.
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Gingival Recession: prevalence and risk indicators among young greek adults.
Journal of Clinical and Experimental Dentistry, 2014Co-Authors: Nikolaos A ChrysanthakopoulosAbstract:Objectives: The aim of the current research was to assess the prevalence of Gingival Recession and to investigate possible associations among this condition, periodontal and epidemiological variables in a sample of young Greek adults in a general dental practice. Material and Methods: A total of 1,430 young adults was examined clinically and interviewed regarding several periodontal and epidemiological variables. Collected data included demographic variables, oral hygiene habits and smoking status. Clinical examination included the recording of dental plaque, supraGingival calculus presence, Gingival status and buccal Gingival Recession. Multivariate logistic regression analysis model was performed to access the possible association between Gingival Recession and several periodontal and epidemiological variables as potential risk factors. Results: The overall prevalence of Gingival Recession was 63.9%. The statistical analysis indicated that higher educational level [OR= 2.12, 95% CI= 0.53-8.51], cigarette smoking [OR= 1.97, 95% CI= 1.48-7.91], frequent tooth brushing [OR= 0.98, 95% CI= 0.56-1.96], presence of oral piercing [OR= 0.92, 95% CI= 0.38-1.58], presence of Gingival inflammation [OR= 4.54, 95% CI= 1.68-7.16], presence of dental plaque [OR= 1.67, 95% CI= 0.68-2.83] and presence of supraGingival calculus [OR=1.34, 95% CI= 0.59-1.88], were the most important associated factors of Gingival Recession. Conclusions: The observations of the current research supported the results from previous authors that several periodontal factors, educational level and smoking were significantly associated with the presence of Gingival Recession, while presence of oral piercing was a new factor that was found to be associated with Gingival Recession. Key words:Gingival Recession, prevalence, risk factors, young adults.
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Gingival Recession and Smoking in Young Adults: A Cross- sectional Survey
Journal of Periodontology & Implant Dentistry, 2011Co-Authors: Nikolaos A ChrysanthakopoulosAbstract:Background and aims. The aim of the present cross-sectional study was to evaluate the effect of smoking on Gingival Recession in smoking and non-smoking young adults. Materials and methods. The subjects consisted of 158 adults (75 males and 83 females), including 85 smokers and 73 non-smokers, with an age range of 18-33 years. All the subjects were clinically examined and answered questions regarding their smoking habits. The clinical examination involved assessment of plaque, calculus, buccal probing depth and buccal Gingival Recession. In addition, the association between Gingival Recession and the following variables was assessed: age, plaque index, duration of smoking and the number of cigarettes smoked daily, educational status and plaque control methods. Data were analyzed using Student’s t-test and the coefficient correlation test. Results. Statistical analysis of data showed a significantly higher mean of Recession in smokers compared to non-smokers (P
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Aetiology and Severity of Gingival Recession in an Adult Population Sample in Greece
Dental research journal, 2011Co-Authors: Nikolaos A ChrysanthakopoulosAbstract:Background: Gingival Recession is the most common and undesirable condition of the gingiva. The aim of study was to investigate the aetiology and severity of Gingival Recession in a Greek adult population sample. Methods: The study was performed on 165 males and 179 females, 18-68 years old who sought dental treatment in a private dental practice and showed Gingival Recession. All subjects were clinically examined and answered questions regarding their oral hygiene habits such as the type of toothbrush, frequency of brushing and method of brushing. The association between Gingival Recession and the following parameters was assessed: plaque score, Gingival score and tooth position. Statistical analysis of the results was accomplished using chi-square test (α = 0.05). Results: The majority (79.4%) of the patients showed grade I Gingival Recession and 15.3% showed grade II Gingival Recession. The maxillary 1 st and 2 nd molars (35.3%) and the mandibular 1 st and 2 nd molars (28.7%) were the teeth most frequently affected by root surface exposure. Patients with subGingival calculus, bacterial plaque and Gingival inflammation (P < 0.05), malpositioned teeth (P < 0.001), horizontal brushing method, medium type of toothbrush (P < 0.001) and brushing once daily (P < 0.001) appeared to be the most common precipitating aetiological factor for Gingival Recession. Conclusion: According to the results of the present study, Gingival Recession was the result of more than one factor acting together. Horizontal brushing method, usage of medium type toothbrush and tooth brushing once daily were found to be more associated with Gingival Recession.
Moawia M. Kassab - One of the best experts on this subject based on the ideXlab platform.
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Treatment of Gingival Recession.
Dental clinics of North America, 2010Co-Authors: Moawia M. Kassab, Hala Badawi, Andrew R. DentinoAbstract:Gingival Recession is an intriguing and complex phenomenon. Recession frequently disturbs patients because of sensitivity and esthetics. Many surgical techniques have been introduced to treat Gingival Recession, including those involving autogenous tissue grafting, various flap designs, orthodontics, and guided tissue regeneration. This article describes different clinical approaches to treat Gingival Recession with emphasis on techniques that show promising results and root coverage.
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The etiology and prevalence of Gingival Recession
Journal of the American Dental Association (1939), 2003Co-Authors: Moawia M. Kassab, Robert E. CohenAbstract:ABSTRACT Background Gingival Recession in its localized or generalized form is an undesirable condition resulting in root exposure. The result often is not esthetic and may lead to sensitivity and root caries. Exposed root surfaces also are prone to abrasion. The purpose of this article is to describe the prevalence, etiology and factors associated with Gingival Recession. Types of Studies Reviewed The authors reviewed cross-sectional epidemiologic studies of Gingival Recession and found that they correlated the prevalence of Recession to trauma, sex, malpositioned teeth, inflammation and tobacco consumption. The recent surveys they reviewed revealed that 88 percent of people 65 years of age and older and 50 percent of people 18 to 64 years of age have one or more sites with Recession. The presence and extent of Gingival Recession also increased with age. Results More than 50 percent of the population has one or more sites with Gingival Recession of 1 mm or more. The prevalence of Gingival Recession was found in patients with both good and poor oral hygiene. It has been proposed that Recession is multifactorial, with one type being associated with anatomical factors and another type with physiological or pathological factors. Recession has been found more frequently on buccal surfaces than on other aspects of the teeth. Clinical Implications Dentists should be knowledgeable about the etiology, prevalence and associating factors of Gingival Recession, as well as treatment options, so that appropriate treatment modalities can be offered to patients. Treatments for Gingival Recession include Gingival grafting, guided tissue regeneration and orthodontic therapy. Such treatments typically result in esthetic improvement, elimination of sensitivity and a decreased risk of developing root caries.
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Treatment of Gingival Recession
Journal of the American Dental Association (1939), 2002Co-Authors: Moawia M. Kassab, Robert E. CohenAbstract:ABSTRACT Background Gingival Recession is an intriguing and complex phenomenon. Patients frequently are disturbed by Recession owing to sensitivity and esthetics. Many techniques have been introduced to treat Gingival Recession, including connective tissue grafting, or CTG; various flap designs; orthodontics; and guided tissue regeneration, or GTR. The authors reviewed human clinical studies to assess which techniques provided optimal results. Types of Studies Reviewed The authors reviewed controlled clinical trials to assess the outcome of Gingival grafting. They also included histological studies in this article to elucidate the type of healing after those procedures were performed. Results The studies showed that the combination of CTG and coronally positioned flaps yielded a higher percentage of root coverage compared with other techniques. When GTR using bioabsorbable or nonbioabsorbable membranes was compared with CTG, the studies were inconclusive. Some studies found that GTR was as effective as CTG, while the others found that CTG was superior. Clinical Implications Gingival grafting to treat Recession is a predictable and reliable periodontal procedure.
Robert E. Cohen - One of the best experts on this subject based on the ideXlab platform.
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Toothbrushing and Gingival Recession.
International dental journal, 2003Co-Authors: Luis A. Litonjua, Sebastiano Andreana, Peter J. Bush, Robert E. CohenAbstract:Aim: To review the hypothesis that toothbrushing leads to Gingival Recession. Gingival Recession develops due to anatomical and pathological factors. The prevalence of Recession is dependent on the age and characteristic of the population because it usually presents in individuals with periodontal disease or those who practise zealous or improper oral hygiene methods. Gingival trauma and Gingival abrasion from toothbrushing is thought to progress directly to Gingival Recession. Case studies documenting Recession from toothbrush trauma are speculative. Short-term studies suggest that Gingival trauma and Gingival abrasion may result from toothbrushing, but the direct relationship between traumatic home care and Gingival Recession is inconclusive. Long-term studies remain elusive or do not support the development of Recession following toothbrushing. Nevertheless, tooth abrasion may be an integral part in the aetiology of Recession. Toothbrush abrasion also may cause wear at the cemento-enamel junction resulting in the destruction of the supporting periodontium leading to Recession.
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The etiology and prevalence of Gingival Recession
Journal of the American Dental Association (1939), 2003Co-Authors: Moawia M. Kassab, Robert E. CohenAbstract:ABSTRACT Background Gingival Recession in its localized or generalized form is an undesirable condition resulting in root exposure. The result often is not esthetic and may lead to sensitivity and root caries. Exposed root surfaces also are prone to abrasion. The purpose of this article is to describe the prevalence, etiology and factors associated with Gingival Recession. Types of Studies Reviewed The authors reviewed cross-sectional epidemiologic studies of Gingival Recession and found that they correlated the prevalence of Recession to trauma, sex, malpositioned teeth, inflammation and tobacco consumption. The recent surveys they reviewed revealed that 88 percent of people 65 years of age and older and 50 percent of people 18 to 64 years of age have one or more sites with Recession. The presence and extent of Gingival Recession also increased with age. Results More than 50 percent of the population has one or more sites with Gingival Recession of 1 mm or more. The prevalence of Gingival Recession was found in patients with both good and poor oral hygiene. It has been proposed that Recession is multifactorial, with one type being associated with anatomical factors and another type with physiological or pathological factors. Recession has been found more frequently on buccal surfaces than on other aspects of the teeth. Clinical Implications Dentists should be knowledgeable about the etiology, prevalence and associating factors of Gingival Recession, as well as treatment options, so that appropriate treatment modalities can be offered to patients. Treatments for Gingival Recession include Gingival grafting, guided tissue regeneration and orthodontic therapy. Such treatments typically result in esthetic improvement, elimination of sensitivity and a decreased risk of developing root caries.
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Treatment of Gingival Recession
Journal of the American Dental Association (1939), 2002Co-Authors: Moawia M. Kassab, Robert E. CohenAbstract:ABSTRACT Background Gingival Recession is an intriguing and complex phenomenon. Patients frequently are disturbed by Recession owing to sensitivity and esthetics. Many techniques have been introduced to treat Gingival Recession, including connective tissue grafting, or CTG; various flap designs; orthodontics; and guided tissue regeneration, or GTR. The authors reviewed human clinical studies to assess which techniques provided optimal results. Types of Studies Reviewed The authors reviewed controlled clinical trials to assess the outcome of Gingival grafting. They also included histological studies in this article to elucidate the type of healing after those procedures were performed. Results The studies showed that the combination of CTG and coronally positioned flaps yielded a higher percentage of root coverage compared with other techniques. When GTR using bioabsorbable or nonbioabsorbable membranes was compared with CTG, the studies were inconclusive. Some studies found that GTR was as effective as CTG, while the others found that CTG was superior. Clinical Implications Gingival grafting to treat Recession is a predictable and reliable periodontal procedure.
Adrian Kasaj - One of the best experts on this subject based on the ideXlab platform.
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Treatment of Gingival Recession: when and how?
International dental journal, 2020Co-Authors: Jean-claude Imber, Adrian KasajAbstract:Gingival Recession is a common finding in daily clinical practice. Several issues may be associated with the apical shift of the Gingival margin such as dentine hypersensitivity, root caries, non-carious cervical lesions (NCCLs), and compromised aesthetics. The first step in an effective management and prevention program is to identify susceptibility factors and modifiable conditions associated with Gingival Recession. Non-surgical treatment options for Gingival Recession defects include establishment of optimal plaque control, removal of overhanging subGingival restorations, behaviour change interventions, and use of desensitising agents. In cases where a surgical approach is indicated, coronally advanced flap and tunnelling procedures combined with a connective tissue graft are considered the most predictable treatment options for single and multiple Recession defects. If there is a contraindication for harvesting a connective tissue graft from the palate or the patient wants to avoid a donor site surgery, adjunctive use of acellular dermal matrices, collagen matrices, and/or enamel matrix derivatives can be a valuable treatment alternative. For Gingival Recession defects associated with NCCLs a combined restorative-surgical approach can provide favourable clinical outcomes. If a patient refuses a surgical intervention or there are other contraindications for an invasive approach, Gingival conditions should be maintained with preventive measures. This paper gives a concise review on when and how to treat Gingival Recession defects.
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Gingival Recession coverage using soft tissue substitutes
Clinical Dentistry Reviewed, 2019Co-Authors: Adrian KasajAbstract:Various surgical procedures are used for the management of Gingival Recession defects. The gold standard approach for Gingival Recession coverage is the use of autogenous ‘connective tissue grafts (CTG) in combination with a coronally advanced flap. To prevent the complications associated with the use of CTG, several treatment alternatives using soft tissue substitutes are now available for the coverage of Gingival Recession defects.
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Etiology and Prevalence of Gingival Recession
Gingival Recession Management, 2018Co-Authors: Adrian KasajAbstract:Gingival Recession is a highly prevalent problem affecting individuals of all ages worldwide. Before considering any therapeutic strategies for Gingival Recession defects, it is important to identify the underlying etiological factors that contributed to the development of the clinical condition. The main etiological factors for Gingival Recession are plaque-induced periodontal inflammation and mechanical trauma caused by improper toothbrushing habits. Several other predisposing and precipitating factors have also been implicated in the etiology of Gingival Recession. The aim of this chapter is to summarize the different etiological factors contributing to the development of Gingival Recession. Furthermore, the prevalence of Gingival Recession among different populations will be described.
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Classification of Gingival Recession
Gingival Recession Management, 2018Co-Authors: Adrian KasajAbstract:Gingival Recession is a common finding in many patients and is clinically manifested by an apical displacement of the Gingival margin in relation to the cemento-enamel junction (CEJ). Various classification systems have been proposed to classify Gingival Recession defects and to predict final root coverage outcomes. Among them, the Miller classification is still the most commonly used among dental practitioners and researchers. This chapter reviews the different classification systems available for Gingival Recession defects and explores the strengths and limitations of them.
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Definition of Gingival Recession and Anatomical Considerations
Gingival Recession Management, 2018Co-Authors: Adrian KasajAbstract:The gingiva is an integral part of the periodontium that covers the cervical portions of the teeth and the alveolar processes of the jaws. In health, the closely adapted Gingival tissues provide effective protection against mechanical trauma and bacterial invasion and also play a critical role in aesthetics. Therefore, a Recession of the Gingival margin not only affects the aesthetic appearance but may cause several adverse consequences due to exposure of the root surface. This chapter provides a definition of Gingival Recession and gives a basic overview of the anatomical characteristics of the gingiva. A basic understanding of the macroscopic and microscopic features of healthy gingiva is a precondition for accurate evaluation and treatment of Gingival Recession defects.
Tugba Aydin - One of the best experts on this subject based on the ideXlab platform.
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Gingival Recession Associated with Orthodontic Treatment and Root Coverage
Journal of Clinical and Experimental Dentistry, 2010Co-Authors: Alparslan Dilsiz, Tugba AydinAbstract:Many patients seek to pursue orthodontic treatment for esthetic improvement. These patients present with malalignment of the anterior teeth. There was strong correlation between the severity and extent of Gingival Recessions and past orthodontic treatment, it was suggested that orthodontic tooth movement may lead to Gingival Recession. The principal objective in the treatment of Gingival Recession is to cover the exposed root surfaces to improve esthetics and to reduce hypersensitivity. Different soft tissue grafting procedures have been proposed in the treatment of Gingival Recessions. Free Gingival grafts (FGG) are a reliable method for treatment of Gingival Recessions: An autograft is taken from the palate as replacement for the lost keratinized gingiva. The purpose of this case report was to illustrate the relationship between orthodontic therapy and Gingival Recession, and to describe the successful treatment of this case. A 24-year-old girl with Gingival Recession and hypersensitivity in the anterior mandibulary region was admitted to periodontology clinic. Treatment consisted of oral hygiene instruction, mechanical debridement and surgical periodontal treatment. Root coverage is performed with a FGG in a one step method. The patient and clinicians were satisfied with the result. FGG can a viable alternative in the treatment of Gingival Recession. Surgical periodontal treatments result in esthetic improvement, elimination of sensitivity, and less risk of developing root caries.
