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GINGIVAL RECESSION and orthodontics
Evaluating gingival recession especially in relation to orthodontic treatment
Oral hygiene
Gingival inflammation
Existing recession
Width of attached gingiva
Tooth malposition
Width of the alveolar bone
Arch discrepancy
Aesthetics
Projected tooth movement
Tissue thickness/periodontal tissue biotype
Mixed dentition/ Pre-ortho/during ortho/post ortho
Holding phase treatment may be provided to improve mucogingival health during eruption and growth before tooth malposition is corrected
If true recession is present it will not correct itself unless it is very small and oral hygiene is exemplary
Some cases need oral hygiene only and no intervention
Surgical intervention
Frenectomy may alleviate tension on tissues and facilitate plaque control
Rotated pedicle grafts
Free gingival grafts
Connective tissue grafts
GTR