GINGIVAL RECESSION & GRAFTS
Caused by tooth brush trauma or plaque deposits
Stages – MILLER’S CLASSIFICATION
CLASS I
Marginal gingival recession (MGR), that does not extend up to mucogingival junction (MGJ)
Rx : coronally / laterally displaced flap or Free gingival graft
CLASS II
MGR that extends up to mucogingival junction with no loss of interdental soft tissue and bone
Rx : CONNECTIVE TISSUE FLAP/GRAFT WITH PARTIAL SPLIT****
NB: difference between I & II GR is width of attached gingiva
CLASS III
o MGR extended up to MGJ with mild to moderate interdental soft tissue + bone loss
o Rx : regenerative or resective osseous surgery
NB: difference between II & III GR is interdental bone loss
CLASS IV
o Severe interdental soft tissue + bone loss
o Poor prognosis
o Rx : extraction
o DEPTH OF ATTACHEMENT LOSS = GINGIVAL RECESSION + SULCULS DEPTH
