Overview
Gingival recession is characterized by the displacement of the gingival margin apical to the cementoenamel junction, leading to exposure of root surfaces and potential tooth sensitivity 1.Diagnosis
Clinical examination to assess the extent and severity of recession 1.
Measurement of recession depth and width using periodontal probes 1.
Radiographic evaluation to assess bone levels and root morphology 1.
Grading systems such as Miller classification to categorize severity 1.Management
Surgical Interventions: Vestibular Incision Subperiosteal Tunnel Access (VISTA) procedure for multiple recession defects 1.
Flap Techniques: Modified bitemporal flap for treating bilateral recessions in a single step 2.
Soft Tissue Grafts: Not explicitly detailed in provided abstracts, but commonly used adjunctively 1.
Non-Surgical: Oral hygiene instructions, use of desensitizing agents, and possibly fluoride treatments to manage symptoms 1.Special Populations
Pregnancy: No specific recommendations provided in the abstracts 12.
Pediatrics: Not addressed in the provided abstracts 12.
Elderly: No specific considerations mentioned 12.
Comorbidities: No specific guidance related to comorbidities in the abstracts 12.Key Recommendations
Utilize the VISTA procedure for comprehensive treatment of multiple gingival recession defects (Evidence: Moderate) 1.
Employ a modified bitemporal flap for effective single-stage correction of bilateral gingival recessions (Evidence: Weak) 2.
Incorporate meticulous oral hygiene and desensitizing agents as adjunctive non-surgical management strategies (Evidence: Expert opinion) 1.References
1 Gil A, Bakhshalian N, Min S, Nart J, Zadeh HH. Three-Dimensional Volumetric Analysis of Multiple Gingival Recession Defects Treated by the Vestibular Incision Subperiosteal Tunnel Access (VISTA) Procedure. The International journal of periodontics & restorative dentistry 2019. link
2 Brandy DA. The modified bitemporal flap for the treatment of bitemporal recessions. Aesthetic plastic surgery 1989. link