A long-term longitudinal study of gingival recession in dentists: A 15-year follow-up.

OBJECTIVES: To assess the prevalence, distribution pattern, and development/progression of gingival recession in a population of dentists, followed up over an additional 15 years, after an initial and previously published follow-up of 10 years. METHODS: This 25-year longitudinal gingival recession investigation started in 1994 at the Dental School with 60 final-year dental students; among them, 40 were re-examined in 2004, and 27 of those 40 were further examined in 2019 by the same examiner. A questionnaire session provided information on toothbrushing habits at each appointment. RESULTS: In this study, 27 individuals aged 31-44 years (724 teeth) were followed up. The prevalence of gingival recession was 100% after 15 years. A total of 204 and 317 recessions found in 2004 and 2019, respectively, were valid for the longitudinal evaluation. The highest recession incidence was observed in the molars during both examinations (p < 0.0001). The mean recession heights were 1.66 ± 0.87 mm and 1.85 ± 1.08 mm, respectively (p = 0.024). The difference between the means was 0.19 mm after 15 years. The mean probing depth and bleeding on probing at the point of the maximum recession decreased (p < 0.0001). A multiple regression analysis on the tooth level was performed and indicated that the keratinized gingival width was negatively associated with the severity of the buccal recession height. CONCLUSIONS: Fifteen years after the initial follow-up, the mean number of gingival recessions per dentist and the mean recession height increased, while toothbrushing habits remained nearly unchanged.

Ten-year longitudinal study of gingival recession in dentists.

AIM: To assess the prevalence and progression/regression of gingival recession in a population sample with a high standard of oral hygiene and broad knowledge of the role of traumatic tooth brushing in the aetiology of gingival recession. MATERIAL & METHODS: Forty dental students in their final year at Dental School were examined for gingival recession in 1994 and 10 years later by the same examiner. Tooth brushing habits were ascertained in a questionnaire. Clinical parameters recorded for each recession were: recession height, probing depth, width of keratinized gingiva and bleeding on probing. Full-mouth plaque index was recorded using the modified Quigley & Hein index. RESULTS: The prevalence of gingival recession was 85% and did not change after 10 years. A total of 210 recessions found at the initial examination and 299 at the second were valid for longitudinal evaluation. Statistical differences between recessions at both examinations were found in several clinical parameters. Subjects had a significant increase in the plaque index at the second examination despite very few changes in their oral hygiene habits (p < 0.0001). CONCLUSIONS: In dentists, after 10 years, mean number of gingival recession per person and mean recession height increased while plaque control decreased.