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Assessment of Negative Gingival Recession: A Critical Component of Periodontal Diagnosis
Journal article   Open access   Peer reviewed

Assessment of Negative Gingival Recession: A Critical Component of Periodontal Diagnosis

I-Ching Wang, Hsun-Liang Chan, Georgia K. Johnson and Satheesh Elangovan
Applied sciences, Vol.12(14), p.7015
07/01/2022
DOI: 10.3390/app12147015
url
https://doi.org/10.3390/app12147015View
Published (Version of record) Open Access

Abstract

Accurate measurement of negative gingival recession (GR) is essential to accurately determine the clinical attachment loss, which leads to an accurate diagnosis and optimal therapy of periodontal disease. However, the accuracy of measuring the negative GR has been shown to be low and highly variable between examiners. The position of the gingiva margin in relation to the cemento-enamel junction (CEJ) varies among different stages of passive eruption. The amount of negative GR is about 2 mm on average at the mid-facial sites and ranges from 2 to 3.5 mm at interproximal sites in periodontally healthy patients. Some other clinical conditions may change the gingival dimension coronal to the CEJ, such as altered passive eruption and gingival enlargement. In addition to the traditional approach using a periodontal probe to assess the negative GR, nowadays dental ultrasound imaging may be able to assist in accurately measuring the amount of negative GR. This narrative review will discuss the existing evidence of the dimension of dentogingival tissue and the clinical assessment of negative GR using different clinical tools.
Engineering Materials Science Physical Sciences Physics Technology Chemistry Chemistry, Multidisciplinary Engineering, Multidisciplinary Materials Science, Multidisciplinary Physics, Applied Science & Technology

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