Tugnait A, Clerehugh V
Department of Periodontology, Division of Restorative Dentistry, Leeds Dental Institute, Clarendon Way, LS2 9LU, Leeds, UK.
J Dent. 2001 Aug;29(6):381-94. doi: 10.1016/s0300-5712(01)00035-5.
To review the prevalence and current concepts of the mechanisms and aetiology of gingival recession and present the principles of assessment and management of the patient with gingival recession.
The literature was searched for review and original research papers relating prevalence, mechanisms, aetiology, assessment, and treatment of gingival recession using Medline and manual tracing of references cited in key papers otherwise not elicited.
Studies with gingival recession as focus and pertinent to key aspects of review.
Gingival recession is a common condition and its extent and prevalence increase with age. Many factors including trauma and periodontal disease have a role in its aetiology. The patient may develop signs and symptoms including pain from exposed dentine, root caries and aesthetic concerns. Management of gingival recession requires thorough patient assessment, identification of aetiological factors, and recording and monitoring of the extent and severity of the condition. Treatment should be directed at prevention of further progression and the control of symptoms and disease. The patient's aesthetic concerns should be appreciated. Surgical treatment of recession may be indicated to cover exposed root surfaces. Many surgical techniques have been described with varied reported clinical effectiveness.
Gingival recession should be thoroughly assessed and evaluated in order to offer the most suitable management.
回顾牙龈退缩的患病率以及当前关于其机制和病因的概念，并阐述牙龈退缩患者的评估和管理原则。
通过Medline检索有关牙龈退缩患病率、机制、病因、评估和治疗的综述及原创研究论文，并手动追溯关键论文中引用的参考文献（否则无法获取）。
以牙龈退缩为重点且与综述关键方面相关的研究。
牙龈退缩是一种常见病症，其程度和患病率随年龄增长而增加。包括创伤和牙周疾病在内的许多因素在其病因中起作用。患者可能出现包括暴露牙本质疼痛、根面龋和美观问题等症状和体征。牙龈退缩的管理需要对患者进行全面评估，确定病因因素，并记录和监测病情的程度和严重程度。治疗应旨在预防病情进一步发展以及控制症状和疾病。应重视患者的美观问题。对于退缩可能需要进行手术治疗以覆盖暴露的根面。已描述了多种手术技术，其临床效果报道各异。
应全面评估和评价牙龈退缩，以便提供最合适的管理方法。
