Monday, April 20, 2009

Ask the Dentist: Gum Recession

Ask the Dental ExpertsOur philosophy is to help our patients achieve and maintain exceptional dental health. We work hard to make sure that our level of care is deserving of our patients’ respect and confidence. Our tradition of preventive dentistry is the basis for all service and care in our practice. We welcome all questions and comments regarding dentistry in the hope that we increase your dental "IQ" and help you make better dental health decisions.

What is the number scale that hygienists use to measure the amount of recession going on? Does it have a name and is it universally used in the USA?

Dentistry uses the metric system for measurement. In assessing periodontal bone and/or soft tissue loss, the measurements would be in millimeters. The most common measurement is the depth of the periodontal pocket, in which we use a periodontal probe to measure the distance from the base of the gingival pocket to the gingival crest. The norm is approximately 2-3 mm, and deeper than this basically reflects periodontal bone loss.

When there is also recession of tissue, the facial root surface is exposed. Measurement of tissue loss and recession would be from the cervical line (where the enamel ends) to the height of the exposed root.

Adding these 2 numbers together would show total loss – bone lost in pocket + facial soft tissue lost.

There are a variety of ways to gather records, but these are the parameters that we are trying to assess. Individual clinicians would have different techniques and methods.

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