DOI:

10.37988/1811-153X_2024_3_66

Analysis of the causes and features of the course of gum recession in various clinical conditions

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Authors

  • D.A. Moiseev 1, PhD in Medical Sciences, head of the Simulation technologies in dentistry Lab, assistant professor of the Therapeutic dentistry Department
    ORCID: 0000-0001-7811-7741
  • I.S. Kopetsky 1, Doctor of Science in Medicine, full professor of the Therapeutic dentistry Department, director of the Institute of Dentistry
    ORCID: 0000-0002-4723-6067
  • O.Yu. Guseva 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department, deputy director of the Institute of Dentistry
    ORCID: 0000-0002-9365-4040
  • E.E. Faustova 1, PhD in Medical sciences, associate professor of the Maxillofacial surgery and dentistry Department
    ORCID: 0000-0002-1038-1615
  • A.A. Ogloblin 1, assistant at the Therapeutic dentistry Department
    ORCID: 0009-0001-4662-6338
  • R.M. Kuliev 1, assistant at the Prosthodontics Department
    ORCID: 0009-0008-4646-0658
  • V.O. Vostrikov 1, assistant at the Prosthodontics Department
    ORCID: 0009-0002-7329-1876
  • D.V. Rakhmankulov 1, 5th year student at the Medical faculty
    ORCID: 0000-0002-3968-9664
  • 1 Pirogov Russian National Research Medical University, 119571, Moscow, Russia

Abstract

Dentist’s patients are increasingly making high aesthetic demands, striving for a successful and attractive image. One of the obstacles to a beautiful smile is the problem of gum recession, which in many cases is associated with diffraction defects, hypersensitivity of dentin, gingival inflammation and bruxism. The problem of predicting the course of gum recession and planning adequate comprehensive treatment remains an acute issue. The purpose of the study is to summarize the available data and analyze the causes and features of the course of gum recession in various clinical conditions.
Materials and methods.
A systematic review of the literature data was conducted, 7456 publications were found, presented in international electronic databases: PubMed, Google Search, Ebsco, Embase, Web of Science, ScienceDirect, SciELO and eLibrary from 2013 to 2023. Based on the selection criteria, 43 publications were selected, which included the results of studying the etiology, pathogenesis, prevalence, diagnosis, clinical course, features of treatment and prevention of gum recession. The methodology of this study meets the requirements for systematic reviews and meta-analyses of PRISMA.
Results.
The study analyzes the causes of gum recession: the role of traumatic and microbial factors is evaluated, the features of periodontal biotype, structure, position and function of teeth, features of jaw bone tissue, features of the anatomical structure of gum tissues and the influence of somatic pathology are described. The clinical conditions associated with gum recession are considered: smile aesthetics, dentin hypersensitivity, root caries, non-carious lesions of hard tissues of teeth, orthodontic treatment. Special attention is paid to the probability of progression of gum recession.
Conclusions.
The presented detailed systematic analysis showed that the problem of gum recession today has a high prevalence and has not been sufficiently studied. The authors agree that it is necessary to build a clear system of primary prevention of gum recession and the clinical conditions accompanying it. The periodontal status of the patient should be carefully studied already at the planning stage of orthodontic, therapeutic, orthopedic and surgical treatment. The data obtained during the study can help dental practitioners and researchers in rational planning and an integrated approach to the treatment and prevention of gum recession.

Key words:

gum recession, treatment of gum recession, etiology of gum recession, dentin hypersensitivity, orthodontic treatment, aesthetics of smile, lesions of hard tissues of teeth

For Citation

[1]
Moiseev D.A., Kopetsky I.S., Guseva O.Yu., Faustova E.E., Ogloblin A.A., Kuliev R.M., Vostrikov V.O., Rakhmankulov D.V. Analysis of the causes and features of the course of gum recession in various clinical conditions. Clinical Dentistry (Russia).  2024; 27 (3): 66—77. DOI: 10.37988/1811-153X_2024_3_66

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Received

January 16, 2024

Accepted

August 9, 2024

Published on

October 2, 2024