Informationen aus Orthodontie & Kieferorthopädie 2016; 48(01): 23-28
DOI: 10.1055/s-0042-103024
© Georg Thieme Verlag KG Stuttgart · New York

Was tun bei gingivalen Rezessionen?[*]

What to Do in Case of Recessions?
I. Kapferer-Seebacher
1   Medizinische Universität, Universitätszahnklinik Innsbruck, Innsbruck, Österreich
› Author Affiliations
Further Information

Publication History

Publication Date:
14 April 2016 (online)


Ästhetik und Dentinhypersensitivität sind aus Patientensicht unangenehme Folgen gingivaler Rezessionen. Aus medizinischer Sicht ist die freiliegende Wurzel eine Prädilektionsstelle für Karies und Abrasionen. Nicht jede Rezession muss chirurgisch gedeckt werden. Ein Stoppen der Progression mit Karies- und Abrasionsprophylaxe kann ebenso eine erfolgreiche Therapie darstellen. Entscheidend für den Therapieerfolg, egal ob chirurgisch oder nicht-chirurgisch, ist die Behandlung ätiologischer Faktoren, deshalb werden die prädisponierenden und auslösenden Faktoren in diesem Artikel ausführlich dargestellt.


Aesthetics and dentine hypersensitivity are disagreeable consequences for patients with gingival recessions. From a medical point of view exposed roots are a preferred site for caries and abrasions. Not every recession has to be covered surgically. It can be equally successful to stop the progression of gingival recessions by caries and abrasion prophylaxis. Treatment of etiological factors is of utmost importance, regardless of surgical or non-surgical intervention. This is why the predisposing and triggering factors are described in detail in this article.

* Dieser Artikel ist im Original erschienen in der Zeitschrift Plaque n Care 3 (8) 2014, S. 112-118. Der Abdruck erfolgt mit freundlicher Genehmigung..

  • Literatur

  • 1 Periodontology AAo . Glossary of Periodontic Terms. Chicago, Illinois: American Academy of Periodontology; 2001
  • 2 Armitage GC. Development of a classification system for periodontal diseases and conditions. Annals of periodontology/the American Academy of Periodontology 1999; 4: 1-6
  • 3 Miller Jr PD. A classification of marginal tissue recession. The International journal of periodontics & restorative dentistry 1985; 5: 8-13
  • 4 Sculean A, Hofmaenner P. Therapie multipler gingivaler Rezessionen. ZWP online 2010
  • 5 Renkema AM, Fudalej PS, Renkema AA et al. Gingival labial recessions in orthodontically treated and untreated individuals: a case – control study. Journal of clinical periodontology 2013; 40: 631-637
  • 6 Renkema AM, Fudalej PS, Renkema A et al. Development of labial gingival recessions in orthodontically treated patients. American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 2013; 143: 206-212
  • 7 Tugnait A, Clerehugh V. Gingival recession – its significance and management. Journal of dentistry 2001; 29: 381-394
  • 8 Andlin-Sobocki A, Marcusson A, Persson M. 3-year observations on gingival recession in mandibular incisors in children. Journal of clinical periodontology 1991; 18: 155-159
  • 9 Martinez-Canut P, Lorca A, Magan R. Smoking and periodontal disease severity. Journal of clinical periodontology 1995; 22: 743-749
  • 10 Sarfati A, Bourgeois D, Katsahian S et al. Risk assessment for buccal gingival recession defects in an adult population. Journal of periodontology 2010; 81: 1419-1425
  • 11 Susin C, Haas AN, Oppermann RV et al. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. Journal of periodontology 2004; 75: 1377-1386
  • 12 Kozlowska M, Wawrzyn-Sobczak K, Karczewski JK et al. The oral cavity hygiene as the basic element of the gingival recession prophylaxis. Rocz Akad Med Bialymst 2005; 50 (Suppl. 01) 234-237
  • 13 Khocht A, Simon G, Person P et al. Gingival recession in relation to history of hard toothbrush use. Journal of periodontology 1993; 64: 900-905
  • 14 Checchi L, Daprile G, Gatto MR et al. Gingival recession and toothbrushing in an Italian School of Dentistry: a pilot study. Journal of clinical periodontology 1999; 26: 276-280
  • 15 Rajapakse PS, McCracken GI, Gwynnett E et al. Does tooth brushing influence the development and progression of non-inflammatory gingival recession? A systematic review. Journal of clinical periodontology 2007; 34: 1046-1061
  • 16 Sgan-Cohen HD. Oral hygiene: past history and future recommendations. International journal of dental hygiene 2005; 3: 54-58
  • 17 Kapferer I, Benesch T, Gregoric N et al. Lip piercing: prevalence of associated gingival recession and contributing factors. A cross-sectional study. Journal of periodontal research 2007; 42: 177-183
  • 18 Kapferer I, Beier US, Persson RG. Tongue piercing: the effect of material on microbiological findings. The Journal of adolescent health: official publication of the Society for Adolescent Medicine 2011; 49: 76-83
  • 19 Kapferer I, Beier US. Lateral lower lip piercing – prevalence of associated oral complications: a split-mouth cross-sectional study. Quintessence Int 2012; 43: 747-752
  • 20 Ziebolz D, Hildebrand A, Proff P et al. Long-term effects of tongue piercing–a case control study. Clinical oral investigations 2012; 16: 231-237
  • 21 Pama-Benfenati S, Fugazzotto PA, Ferreira PM et al. The effect of restorative margins on the postsurgical development and nature of the periodontium. Part II. Anatomical considerations. The International journal of periodontics & restorative dentistry 1986; 6: 64-75
  • 22 van Palenstein Helderman WH, Lembariti BS, van der Weijden GA et al Gingival recession and its association with calculus in subjects deprived of prophylactic dental care. Journal of clinical periodontology 1998; 25: 106-111
  • 23 Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review. Journal of clinical periodontology 2014; 41 (Suppl. 15) S44-S62
  • 24 Graziani F, Gennai S, Roldan S et al. Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions. Journal of clinical periodontology 2014; 41 (Suppl. 15) S63-S76
  • 25 Chambrone L, Chambrone D, Pustiglioni FE et al. The influence of tobacco smoking on the outcomes achieved by root-coverage procedures: a systematic review. J Am Dent Assoc 2009; 140: 294-306
  • 26 Cortellini P, Pini Prato G. Coronally advanced flap and combination therapy for root coverage. Clinical strategies based on scientific evidence and clinical experience. Periodontology 2000 2012; 59: 158-184
  • 27 Baldi C, Pini-Prato G, Pagliaro U et al. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. Journal of periodontology 1999; 70: 1077-1084
  • 28 Chambrone L, Pannuti CM, Tu YK et al. Evidence-based periodontal plastic surgery. II. An individual data meta-analysis for evaluating factors in achieving complete root coverage. Journal of periodontology 2012; 83: 477-490