Evidence map›Paper›PMID 41627028›Full record

ArticleJournal of periodontology2026

Digital and tomographic identification of risk indicators for gingival recession in the mandibular anterior region: A cross-sectional study.

Gonzalo Blasi, Lise Maury, Lory Abrahamian, Youssra Abarchan, Behnam Taghavi, Jose Nart

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Article in Journal of periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

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6 authors.

Gonzalo BlasiDepartment of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
Lise MauryDepartment of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
Lory AbrahamianDepartment of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
Youssra AbarchanDepartment of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
Behnam TaghaviDigital Dentistry Department, Escuela Superior de Implantología y Rehabilitación Oral (ESIRO), Barcelona, Spain.
Jose NartDepartment of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess clinical and anatomical risk indicators for mid-buccal gingival recessions (GRs) in the mandibular anterior region using digital and tomographic tools.

methodsA cross-sectional study was conducted on 103 patients (618 teeth). Clinical examination, intraoral scanning, and cone-beam computed tomography (CBCT) were combined to record the keratinized tissue width (KTW), gingival phenotype, GR type (RT), probing pocket depth, clinical attachment level, recession depth (RD), tooth-ridge angulation, tooth malpositioning (TM), buccal bone thickness (BBT), buccal bone dehiscence (BBD), root prominence (RP), gingival thickness (GT), and papilla height (PH). Associations with GR were analyzed using multilevel regression with generalized estimation equations.

resultsGingival recession was observed in 70.9% of patients and 38.3% of teeth, most often RT2. Central incisors were most affected. Univariate analysis associated GR to age, tooth type, TM, reduced KTW, decreased BBT, increased BBD, and RT, while thicker phenotypes showed protective effects. Multivariable analysis confirmed five independent predictors: age, tooth type, TM (OR = 3.11), reduced KTW (OR = 0.64), and greater BBD (OR = 1.64). RD increased with age (+0.03 mm/year) and BBD (+0.21 mm).

conclusionsTooth malposition, inadequate KTW, and BBD are key risk indicators for gingival recession in the mandibular anterior region. Their identification is essential for preventive and therapeutic strategies. PLAIN LANGUAGE SUMMARY: Gingival recession, the apical migration of the gingival margin, is a common condition with implications for dental sensitivity, esthetics, and long-term periodontal health. The lower anterior region is particularly susceptible, yet the anatomical and clinical factors contributing to this vulnerability are not fully defined using digital tools. In this cross-sectional study of 103 patients (618 teeth), we integrated clinical examination, digital intraoral scanning, and CBCT to quantify soft and hard tissue characteristics. Recession was present in 70.9% of patients and 38.3% of teeth, predominantly affecting the central incisors. Multivariable analysis identified five independent risk indicators: older age, tooth type, tooth malposition, reduced keratinized tissue width, and buccal bone dehiscence. Recession depth increased with age and dehiscence severity. These findings underscore the critical role of both soft and hard tissue anatomy in determining susceptibility to gingival recession, providing a framework for risk assessment, preventive strategies, and individualized treatment planning in clinical practice.

Indexed as

Cone-Beam Computed TomographyGingival RecessionMandibleRadiography, Dental, DigitalAdolescentAdultAgedAge FactorsAlveolar ProcessCross-Sectional StudiesDental PapillaFemaleGingivaHumansIncisorMalecross‐sectional studygingival recessionmandiblerisk indicators

Identifiers

PMID41627028
PMCPMC13502449

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