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Gingival recession affects more than half of the population and has a multifactorial aetiology. Despite this, the knowledge and awareness of the factors that predispose sites to recession remains limited, with most people associating it with poor oral hygiene. As patients retain their teeth for longer, the risk of recession is likely to grow, thus increasing the need to establish a greater understanding of this very common condition. This two-part series provides a contemporary overview of the condition with the first article discussing its prevalence, aetiology and classification, and the second covering the different management options.
CPD/Clinical Relevance: It is important to establish the aetiology of gingival recession to manage the condition effectively.
Article
Gingival recession affects more than 50% of the population, across all age groups, with almost all middle to older aged people exhibiting the condition.1–4 It has a multifactorial aetiology and is defined, in broad terms, as the migration of the gingival margin apical to the cemento-enamel junction (CEJ), with the distance between the two giving a measure of the recession. This definition was modified in 2017 by the World Workshop to ‘an apical shift of the gingival margin caused by different conditions/pathologies’ and can apply to any surface of the tooth.5 Gingival recession is often an incidental finding, rarely causes symptoms and can affect one or more teeth. Although considered a silent condition, it has been reported that gingival recession can negatively influence quality of life by causing physical pain and psychological discomfort.6 This is the first of two articles that address the prevalence and aetiology of gingival recession, along with the different classification systems used to define it.
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