Gingival Recessions: Definition and Classification

  • Khadija Amine
  • Wafa El Kholti
  • Jamila Kissa


In the normal situation, the gingival margin draws a scalloped line located 1 or 2 mm coronally to the cementoenamel junction (CEJ) [1]. Gingival recession is a mucogingival defect referred to the buccal exposure of the root surface of the tooth as a consequence of an apical migration of the gingival margin up to the CEJ [2, 3]. This pathological process involves both gingiva and the underlying bone. Thus, bone dehiscence should be present for gingival recession to occur (intrinsic mechanism) [4]. In some situations, the gingival relapse could slightly expose underling bone. This situation could explain the extrinsic pathological mechanism of gingival recession [5].


  1. 1.
    Zucchelli G, Mounssif I. Periodontal plastic surgery. J Periodontol. 2015;68:333–68.CrossRefGoogle Scholar
  2. 2.
    Amine K, El Kholti W, Mortaziq A, Kissa J. Root coverage: prognostic factors and surgical techniques. Rev Stomatol Chir Maxillofac Chir Orale. 2016;117:403–10.PubMedGoogle Scholar
  3. 3.
    Chambrone L. Evidence based periodontal and peri-implant plastic surgery. A clinical roadmap from function to aesthetics. Cham: Springer; 2015.CrossRefGoogle Scholar
  4. 4.
    Zuhr O, Hurzeler M. Plastic-esthetic periodontal and implant surgery. A microsurgical approach. London: Quintessence; 2012.Google Scholar
  5. 5.
    Sato N. Periodontal surgery. A clinical atlas. Tokyo: Quintessence; 2000.Google Scholar
  6. 6.
    Albandar JM, Kingman A. Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988-1994. J Periodontol. 1999;70(1):30–43.CrossRefPubMedGoogle Scholar
  7. 7.
    Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134(2):220–5.CrossRefPubMedGoogle Scholar
  8. 8.
    Susin C, Haas AN, Oppermann RV, Hangerjirden O, Albanadar JM. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J peridontol. 2004;75(10):1377–86.CrossRefGoogle Scholar
  9. 9.
    Sullivan HC, Atkins JH. Free autogenous gingival grafts. 3. Utilization of grafts in the treatment of gingival recession. Periodontics. 1968;6:152–60.PubMedGoogle Scholar
  10. 10.
    Miller PD. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5(2):8–13.PubMedGoogle Scholar
  11. 11.
    Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol. 2011;38:661–6.CrossRefPubMedGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Khadija Amine
    • 1
  • Wafa El Kholti
    • 1
  • Jamila Kissa
    • 1
  1. 1.Periodontics DepartmentUniversity of Hassan IICasablancaMorocco

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