K06.013

Clinical Causes: Aggressive tooth brushing or improper brushing techniques Periodontal (gum) disease, such as periodontitis Trauma from dental procedures or injury Genetic predisposition to gum recession Poor oral hygiene leading to plaque buildup Tobacco use Bruxism (teeth grinding or clenching) Misaligned teeth or bite issues Continuous friction from dental appliances, like ill-fitting dentures

Key Symptoms: Receding gum line in a specific area Tooth sensitivity to hot, cold, or sweet stimuli Visible root surfaces on the affected tooth Increased exposure of the tooth's root surface Uneven or notched gum margins Possible inflammation or redness of the gum tissue Pockets between the gum and tooth Possible loose teeth in advanced cases

Diagnosis Path: Dentists diagnose localized severe gingival recession through a clinical oral examination. They assess the extent of gum loss, measure pocket depths, and check for signs of gum disease or infection. Dental X-rays may be used to evaluate bone loss around the affected teeth and determine the extent of root exposure.

Treatment Protocols: Treatment options vary depending on the severity and cause of the recession. Common approaches include: - **Non-surgical methods:** - Improved oral hygiene practices - Scaling and root planing (deep cleaning) - Use of desensitizing agents for tooth hypersensitivity - **Surgical procedures:** - Gum grafting procedures to cover exposed roots and restore gum tissue - Pinhole surgical technique for less invasive gum tissue repositioning - Guided tissue regeneration to promote new tissue growth - **Preventive measures:** - Correcting faulty brushing techniques - Managing teeth grinding with mouth guards - Addressing misaligned teeth with orthodontics - Eliminating habits that cause trauma to the gums Regular dental visits and maintaining good oral hygiene are crucial to prevent progression and additional complications.