Changing Concepts in Mucogingival Problems
Mucogingival problems are developmental or acquired deformities in the morphology, position, and/or amount of the gingiva surrounding teeth. This presentation will provide an overview on the anatomic and morphological characteristics of mucogingival deformities with a special emphasis on gingival recession defined as the displacement of marginal tissue apical to the cementoenamel junction. Gingival recession results in the exposure of root surface leading to dentinal hypersensitivity, esthetic concern, carious and non-carious cervical lesions. With a wide variety of clinical cases and alternative treatment modalities in clinical practice, a need has been emerged to modify the mucogingival conditions classification system proposed and used previously. Thus, the 1999 classification system will be defined with the help of clinical cases, its limitations will be discussed followed by proposal of the new system designed by the leading scientific researchers in the field of Periodontology. In depth, concepts will be also provided regarding the details on the recession severity, vertical and horizontal dimensions of gingiva, caries lesions and esthetic concern and demand of the patient.