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This is the second article in a two-part series on gingival recession. The first article covered the aetiology and prevalence of gingival recession, while this article focuses on the factors affecting decision making and the management, including treatment of gingival recession alongside the evidence base. With more than half of the population suffering from gingival recession, the clinician should be aware of the different options and treatment modalities available to manage gingival recession. This will enable them to engage with the patient, giving them the necessary and required information to make a patient-centred decision about the most suitable treatment option that will address their concerns.
CPD/Clinical Relevance: The clinician should be aware of the different options and treatment modalities available to manage gingival recession.
Article
The first article of this two-part series discussed the prevalence, aetiology and classification of gingival recession. In this article, the different treatment options for managing gingival recession are discussed with an option appraisal of the different treatment modalities and when intervention should be considered.
Gingival recession usually affects the buccal surfaces of teeth, with recession of 1 mm or more involving at least one or more sites in more than half the population.1 Gingival recession per se tends to remain asymptomatic; however, some patients may complain of compromised aesthetics and hypersensitivity, usually exacerbated by an associated habit, such as traumatic tooth brushing. The recession may also contribute to compromised plaque control especially when there are high muscle attachments (Figure 1). However, it has been reported that irrespective of good patient motivation and plaque control, untreated gingival recession does have the tendency for further apical displacement over time.2
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