G. Serino et al., THE PREVALENCE AND DISTRIBUTION OF GINGIVAL RECESSION IN SUBJECTS WITH A HIGH STANDARD OF ORAL HYGIENE, Journal of clinical periodontology, 21(1), 1994, pp. 57-63
The aim of this study was to evaluate the prevalence and the developme
nt/progression of attachment loss and gingival recession at buccal too
th surfaces in a population sample with a high standard of oral hygien
e. An additional aim was to study the relationship between attachment
loss and gingival recession. The subject sample examined comprised 225
regular dental care attendants at 12 community dental clinics in Swed
en. All subjects were subjected to a baseline examination in 1977-78 a
nd were re-examined after 5 years and 12 years. The clinical examinati
ons involved assessment of plaque, gingivitis, probing depth, probing
attachment loss and gingival recession. A full-mouth set of intraoral
radiographs was obtained at each examination and used for determinatio
n of the height of periodontal bone support. The results of the cross-
sectional and longitudinal analyses performed showed that in subjects
with a high standard of oral hygiene (i) buccal gingival recession was
a frequent finding, (ii) the proportion of subjects with recession in
creased with age, (iii) the prevalence as well as the incidence of rec
essions within the dentition showed different patterns depending on ag
e, (iv) sites with recession showed susceptibility for additional apic
al displacement of the gingival margin and (v) loss of approximal peri
odontal support was associated with gingival recession at the buccal s
urface.