The Miller classification of gingival recession: limits and drawbacks

2010 ◽  
Vol 38 (3) ◽  
pp. 243-245 ◽  
Author(s):  
Giovanpaolo Pini-Prato
Keyword(s):  
Gingival Recession ◽  
Miller Classification

scholarly journals A Novel Treatment of Gingival Recession using a Botanical Topical Gingival Patch and Mouthrinse

2013 ◽  
Vol 14 (5) ◽  
pp. 948-953 ◽  
Author(s):  
William Z Levine ◽  
Noah Samuels ◽  
Meytal Elia Bar Sheshet ◽  
John T Grbic
Keyword(s):  
Treatment Period ◽  
Conservative Therapy ◽  
Case Series ◽  
Gingival Recession ◽  
Current Treatment ◽  
Scaling And Root Planing ◽  
Gingival Thickness ◽  
Novel Treatment ◽  
Oral Hygiene Instruction ◽  
Miller Classification

ABSTRACT Background and aim Current treatment of gingival recession (GR) is limited to surgical procedures. We describe a case series of 18 patients with GR who were treated with a botanical patch and rinse following standard conservative therapy. Case series description A total of 22 sites with GR > 1 mm were studied. Following scaling and root planing (SRP) and oral hygiene instruction, patients received two courses of patch treatment (3 days each) and botanical rinse administered twice daily throughout the treatment period. Outcome measures (GR, gingival index (GI) and gingival thickness (GT) were taken at baseline; at 1 to 2 weeks; 2 to 4 weeks; and at 6 to 8 weeks. Miller classification and plaque index (PI) were measured at baseline and at 6 to 8 weeks. At the end of the treatment period, mean GR decreased from 4.18 ± 1.74 mm to 3.31 ± 1.51 mm (20.8%); Miller grade from 1.86 ± 0.56 to 1.06 ± 0.43; GI scores from 1.45 ± 0.63 to 0.17 ± 0.38 (88.3%); and PI scores from 1.33 ± 0.59 to 0.78 ± 0.94. GT increased from 0.74 mm ± 0.40 to 1.21 ± 0.39 (63.5%). No adverse effects were reported with either the patch or rinse treatments Conclusion We observed a decrease in GR and GI scores in 18 patients (22 sites) treated with the study patch and rinse, with increased GT. How to cite this article Levine WZ, Samuels N, Sheshet MEB, Grbic JT. A Novel Treatment of Gingival Recession using a Botanical Topical Gingival Patch and Mouthrinse. J Contemp Dent Pract 2013;14(5):948-953.

scholarly journals Knowledge and Interest in Treating Gingival Recession among Dental Practitioners in Saudi Arabia

2019 ◽  
Vol 7 (1) ◽  
pp. 139-142
Author(s):  
Mohammad Bhat ◽  
Nabeeh AlQahtani ◽  
Mohasin Khader ◽  
Mukhatar Javali ◽  
Ali AlQahtani
Keyword(s):  
Gingival Recession ◽  
Treatment Modalities ◽  
Root Coverage ◽  
Common Indication ◽  
Dental Practitioners ◽  
Per Se ◽  
General Dentists ◽  
Study Participants ◽  
Structured Questionnaire

BACKGROUND: Gingival recession is an enigma among clinicians due to multiple etiological factors and various treatment modalities. AIM: Objective of this study was to evaluate the knowledge and interest among dental practitioners regarding the treatment of gingival recession. MATERIAL AND METHODS: A survey was conducted to assess knowledge of gingival recession and interest and satisfaction of dental practitioners in periodontics. This survey was circulated among 250 dental practitioners throughout four months. The structured questionnaire consisted of 9 questions assessing the knowledge and interest of dental practitioners in periodontics; gingival recession per se. RESULTS: Majority of the participants were general dentists. Among them, 46.23% had a habit of reading dental journals. Most of the participants had an opinion that improper tooth brushing (42.71%) is an important cause of the gingival recession. Only 34.17% had information about Miller's classification of gingival recession. Regarding general indication of root coverage procedures, 28.64% answered aesthetics was the most common indication. 39.7% mentioned that traumatic occlusion was a risk factor for gingival recession. A group of 29.65% mentioned that accidental toothbrush trauma leads to gingival recession. CONCLUSION: The knowledge of gingival recession among the study participants was adequate. More specifically, the interest of participants in periodontics was 5.39 and satisfaction in treating periodontal cases was 5.47.

scholarly journals Prevalence and severity of vestibular recession in mandibular incisors after orthodontic treatment

2011 ◽  
Vol 82 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Gisela Vasconcelos ◽  
Kristian Kjellsen ◽  
Hans Preus ◽  
Vaska Vandevska-Radunovic ◽  
Bjørn Frode Hansen
Keyword(s):  
Orthodontic Treatment ◽  
Gingival Recession ◽  
Control Group ◽  
Gingival Inflammation ◽  
Inclusion Criteria ◽  
Contributing Factors ◽  
University Of Oslo ◽  
Miller Classification ◽  
Lower Incisors ◽  
Mandibular Incisors

Abstract Objective: To assess the prevalence and severity of vestibular gingival recession of mandibular incisors after orthodontic treatment and to evaluate possible contributing factors. Materials and Methods: From the record pool of patients who completed orthodontic treatment from 1999–2006 at the Department of Orthodontics, University of Oslo, Norway, 588 patients fulfilled the inclusion criteria. Intraoral color slides were used for the evaluation of gingival recessions (based on Miller classification), presence of visible plaque, and gingival inflammation. Cephalometric radiographs were used to assess the sagittal intermaxillary relation, mandibular and intermaxillary angles, and the position of the lower incisors. A control group was drawn from the same pool of 588 patients. All statistical analyses were performed using SPSS. Results: The prevalence of gingival recessions after orthodontic treatment was 10.3%. Most (8.6%) were classified as Miller Class I, and 1.7% were classified as Miller Class II. Gingival recession was predominantly found on central incisors. Reduction of the sagittal intermaxillary angle and retroclination of the lower incisors was correlated with the development of a more severe gingival recession. Conclusions: The present study indicates that vestibular gingival recession of mandibular incisors after orthodontic treatment is of minor prevalence and severity. The presence of gingival recession or retroclination of the incisors with mesial basal relations increases the risk of more severe gingival recession.

scholarly journals Classification of Dental Surface Defects in Areas of Gingival Recession

2010 ◽  
Vol 81 (6) ◽  
pp. 885-890 ◽  
Author(s):  
Giovanpaolo Pini-Prato ◽  
Debora Franceschi ◽  
Francesco Cairo ◽  
Michele Nieri ◽  
Roberto Rotundo
Keyword(s):  
Surface Defects ◽  
Gingival Recession ◽  
Dental Surface

scholarly journals Assessment of gingival recession among adolescent of Jamshoro city.

2019 ◽  
Vol 26 (09) ◽  
pp. 1427-1433
Author(s):  
Munir Ahmed Banglani ◽  
Maryam Panhwar ◽  
Suneel Kumar Punjabi ◽  
Komal Memon
Keyword(s):  
Educational Program ◽  
Preventive Measures ◽  
Gingival Recession ◽  
Class Iii ◽  
Cross Sectional ◽  
Common Cause ◽  
Medical Health ◽  
Oral Hygiene Instructions ◽  
Class Iv

Objectives: The aim of study to determine the occurrence of gingival recession in younger population of Jamshoro, also to identify its common cause, so that we can able to establish preventive measures. Study Design: Cross-sectional. Setting: Dental OPD at Liaquat University of Medical Health Sciences Jamshoro. Period: 4 months from May, 2017 to October 2017. Methodology: Study was done on (300) patients, between 18 to 30 years, before selection, they were examined, only those selected, who have gingival recession, this was done by Miller’s Classification, data was obtained by a questionnaire along with the clinical examination. Perform was consists of detailed information of habits and brushing method, scores were given for presence of gingival recession, using Miller's classification. Identification of faulty brushing technique was done by clinical examining. After the completion, all of them were also given suitable treatments also oral hygiene instructions. Results: Mean age of the was 21.09±6.178. Scores of recessions was done according to the classification of Miller, revealed that Class I were the commonest showed 78%, followed by Class II 16%, Class III 4.6% and Class IV 1.4%.Regarding brushing method (horizontal method, medium tooth brush) Statistical analysis revealed that the correlation between both toothbrush type and brushing method and gingival recession were statistically significant (P < 0.001). Conclusion: The accumulation of plaque and wrong brushing method were the commonest causes of recession, educational program for oral health care should be done at community level to reduce its risk. The information from study would help us to made to prevent strategies and therapeutic methods. 

scholarly journals Reliability study of Mahajan′s classification of gingival recession: A pioneer clinical study

2014 ◽  
Vol 18 (1) ◽  
pp. 38 ◽  
Author(s):  
Ajay Mahajan ◽  
Divya Kashyap ◽  
Amit Kumar ◽  
Poonam Mahajan
Keyword(s):  
Clinical Study ◽  
Gingival Recession ◽  
Reliability Study

Note on the spectral classification of carbon stars in the photographic infrared region

1966 ◽  
Vol 24 ◽  
pp. 21-23
Author(s):  
Y. Fujita
Keyword(s):  
Infrared Region ◽  
Spectral Classification ◽  
Carbon Stars

We have investigated the spectrograms (dispersion: 8Å/mm) in the photographic infrared region fromλ7500 toλ9000 of some carbon stars obtained by the coudé spectrograph of the 74-inch reflector attached to the Okayama Astrophysical Observatory. The names of the stars investigated are listed in Table 1.

Diagnostic Value of Electron Microscopy in Soft Tissue Tumors

1970 ◽  
Vol 28 ◽  
pp. 220-221
Author(s):  
Gerald Fine ◽  
Azorides R. Morales
Keyword(s):  
Cardiac Myxoma ◽  
Osteogenic Sarcoma ◽  
Diagnostic Value ◽  
Soft Tissue Tumors ◽  
Amelanotic Melanoma ◽  
Growth Patterns ◽  
Light Microscopic Level ◽  
Mesenchymal Tumors ◽  
Good Agreement

For years the separation of carcinoma and sarcoma and the subclassification of sarcomas has been based on the appearance of the tumor cells and their microscopic growth pattern and information derived from certain histochemical and special stains. Although this method of study has produced good agreement among pathologists in the separation of carcinoma from sarcoma, it has given less uniform results in the subclassification of sarcomas. There remain examples of neoplasms of different histogenesis, the classification of which is questionable because of similar cytologic and growth patterns at the light microscopic level; i.e. amelanotic melanoma versus carcinoma and occasionally sarcoma, sarcomas with an epithelial pattern of growth simulating carcinoma, histologically similar mesenchymal tumors of different histogenesis (histiocytoma versus rhabdomyosarcoma, lytic osteogenic sarcoma versus rhabdomyosarcoma), and myxomatous mesenchymal tumors of diverse histogenesis (myxoid rhabdo and liposarcomas, cardiac myxoma, myxoid neurofibroma, etc.)

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