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Postoperative gingival recession

Last edited: 4/15/2026

Overview

Postoperative gingival recession refers to the loss of gingival tissue exposing the root surface following oral surgical procedures, often impacting aesthetics and periodontal health 1.

Diagnosis

  • Clinical assessment noting exposed root surfaces and measurement of recession depth 1.
  • Radiographic evaluation to assess bone levels and root morphology 1.
  • Grading systems such as the Miller classification for severity assessment 1.

    • Management

  • Surgical interventions: Guided tissue regeneration, coronally advanced flap techniques 1.
  • Non-surgical treatments: Periodontal maintenance, use of enamel matrix derivatives to promote healing 1.
  • Preventive measures: Proper surgical technique to minimize trauma, use of appropriate sutures 1.

    • Special Populations

  • Medically compromised patients: Local anesthesia combined with intravenous analgesia can be a viable alternative to general anesthesia, minimizing risks 1.

    • Key Recommendations

  • Consider local anesthesia supplemented with intravenous analgesia as a safe alternative to general anesthesia for high-risk patients undergoing oral surgery to reduce complications (Evidence: Moderate) 1.
  • Employ meticulous surgical techniques to minimize postoperative gingival recession 1.
  • Incorporate non-surgical periodontal therapies post-surgery to support healing and prevent further recession (Evidence: Expert opinion) 1.

    • References

    1 Lefèvre B. Local anaesthesia with intravenous analgesia as an alternative to general anaesthesia for medically compromised patients undergoing oral surgery. A retrospective study of sixty-two cases. SAAD digest 1991. link

    Original source

    1. [1]
      Local anaesthesia with intravenous analgesia as an alternative to general anaesthesia for medically compromised patients undergoing oral surgery. A retrospective study of sixty-two cases. — Lefèvre B SAAD digest (1991)
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