crt 08x sell S832 SEAM TK ( Ideas and innovations ) OF Jia) 2 A HH EE xr BA SF Bg SE a HAY 30 SE FL A OF Ta AP A BF ESE Ba RAS AAA A A RAR AP > RS BOR oo OR ( marginal tissue recession ) + i *ksaMiksate T TAFSER RA FA WB TARA MRT MTR BARRO P RS. HERE RT REL Fi AO) RAR ° ME KOH FIRE, SFPD a AK © NAF a5 Ks PARR HE ED BE + RT ABLE IRIIUR 9 Sth + FR + Se + IE Oy PR RB AR OB] HARE ET ARO IAR © ALAS ALS ARR + MRAEIR REE SLA A FS 6 Wi 8g PRA ok > SLPURAR A BA RA ETE Seid I> EL RE AR Bie AR Key words: marginal tissue recession, classificatio MS, OR, FRE ES SRA RS OF FS SO, ‘Fie > 8 fSa84% MRR ae ( marginal tissue recession ) | FM/## 102 5 FALE AR © 2 eS AB AY BE RE FE SE CARA FR) > EP RLR ENE + RT FR DADS + 2 PP Ba Pe A 8) FJ] SS 98 A a OS Wa > RE A oH Be Sullivan $# Atkins $c Ak RAD IR / R/S R/S RR So Lesh AS MAL > RTE SRA aR SE FP RE AR FA TD — 188 Mn, root coverage. SASS ¢ Liu 82 Solt Rit a AES BS #8 ( visible ) s7° AJ ( hidden ) ite? ° 3) AR (SCR RATER + RTE PR. 8 ARORA Mo Smith 4 ae BSED FS ak 7 Be 3 La fe CR WR BR ERIC ARF ARERR Me ( mucogingival junction ) * © 5A 3 Hi RE) StH ek ae BOI > RNS EAI + PE i RSA Ae RI BE Sia | dh» ih AR BE HBAS © # # Sullivan #2 Atkins 4} #82 i > Miller 3:4 45 $e (3250 sb WR REE oat AB A PRR UE IRChinese Dental Journal > Miller #338 BV HM % Mw 1. EAR RR Be a Ro W > Miller #38 Rankin sao 1, WL, M1098 Cs PAAR MMOH |, , MSR > Classifications of marginal tissue recession. (A) Miller's classification, (B) the author's classification. HOR ROE (M1) Fo BT FA HG BR SARE AA © OF A Oh > ARR Bi ASE EEA REG + A SMR AEBS AR (DS BAF SE + (8 RSE A YR AO FAD SPAT AE AGATE > EAT — 189 —Marginal tissue recession AMT RRS Fe SMA o WIN SSR SEAR HG (LR ARITA IER» AL LS 7) hak AR WA OF a ( malpositon ) : ARH SAR ACERS 2 aE LAS > (AAS PARLE aT IY © SV A SERA SM LL SO ST GER + AL PB 9 AG 18) ha A A SE fl | RAY TAR A TLE © Miller #9 9852 6 aise 33 ABT + (LO-FI Ht — » tai Ua BE ORME + ATT SAAR EA LT SLANE AOS OLR + ALLER LA RH PARE (2) > Ho + BAUER AAT + Miller 9 | S857 11 #ROUBARE AUR ME > Coit RARLBERARI RKOERA LB SSE © EL fl 2 EMR RA + RRS HIE OPA MR (CI + FON LAR RE OF MELT BT > AUR LAS RAL EGF MR IS 39 A ZA 6M HM = + Miller PMRBV RL SSSI PUM A RS SUUU SAR CTA > PERCU UREA + Be Fa Re HUG PARR + Miller 25 IV # ek se #8 iB ZF ARE ap Eo AMEAAS RAMS > ARTE HE MB YL 2 OG A SETS FAL ap FARTS PRCT a HH SPRITE eM HES MEA ERULGMOMOARA RES HM SLSR ARH ZICH + ARLE» HEED» BARGE + DLR RA + TERE «BE SRE + HEL ARTA (BL + Z) © Ps | ABS AR AES A A TI SEAL PRAUMEA : EU Ok > ABER ALAR AR OPE, A 8 AL Re FF FY LAR (positive architecture ) + 514 : aks aeera te 6 a A 8) ESE (nega 2. Ae AO) Ep Pat Ay aR a OR BR ° SEAR He Fa 161 SE ONG SE EB FEC ASA ARR AR (LA) > 2 a HAE SR AB AS PPTL BE A Ba 8 A 4) UR (FM) © Miller HE Ak 40 BAR i PH AG OR Fic (APS 145 B ope Be ak we Rte)» A case with marginal tissue recession, but not classifiable by Miller's classifi- cation. This case exhibits narrow/shal- low recession of upper left central incisor with no invasion to the mucogingival junction (A), while radio- graphic examination reveals severe interproximal bone loss (B). clChinese Dental Journal tive architecture ) ° G@@ZiRMEL BH ‘BS ck BB TE LA eH EE © BAUR ATT S SR ARENA AS L PRBRE 2 File 2 BOR > As RE MGS GRAMS FR BHO MAR SRS + SER HY AREY fe wR BABS © FETAL AP ig a 9S A BY eR GS > PD a ae kA ATW RUUD AD +A Bg OA 43 SFE BP SB Bi. GRE ATAIE (A + ARAL + AEE 8 he EI 29 A eK» Miller ERR AS BF 1 oe I RAT BA BATA > SHS MRM > Seay FRRATEG + (RHPA Fe Ae FANBHRR + RR AE TR o AAR RAMA fs LE ee fel > TOC Hh BE aT: © BEexrm 1. Miller PD, Craddock RD. Surgical advances —191-— in the coverage of exposed roots. Curr Opi Periodontol, 3: 103-108, 1996. . Sullivan H, Atkins J. Free autogenous gingi- val grafts. 1. Principles of successful graft- ing. Periodontics, 6: 121, 1968. Liu WJ, Solt CW. A surgical procedure for treatment of localized gingival recession in conjuction with root surface cit acid conditioning. J Periodontol, 51: 505, 1980. . Smith RG. Gingival reccesion. Reappraisal of an enigmatic conditon and a new index for monitoring. J Clin Periodontol, 24: 201- 205, 1997. Miller PD. A classification of marginal tissue recession. Int J Periodont Rest Dent, 5: 9-13, 1985, Wennstrom JL, Zucchelli G. Increased gingi- val dimesion. A significant factor for successful outcome of root coverage proce- dures? A 2-year prospective clinical study J Clin Periodontol, 23: 770-777, 1996. Shih SD, Allen EP. Use of guided tissue regeneration to treat a mucogingival defect associated with interdental bone loss: A case report. Int J Periodont Rest Dent, 14: 553-561, 1994, Han T, Takei HH. Progress in gingival papilla reconstruction. Periodontology 2000, 11: 65-68, 1997,Marginal tissue recession Classification of marginal tissue recession Tony SHING- ZENG DUNG Division of Periodontology, Institute of Clinical Dentistry, National Yang-Ming University, Taipei, ROC Marginal tissue recession is defined as the marginal periodontal tissues locate apical to the cementoenamel junction. In addition to dentin hypersensitvity, root caries, inadequate attached gingiva, and psychological concerns, marginal tissue recession in the anterior region also causes serious cosmetic problems. As a result of increasing need for esthetics from the general public, periodontal plastic surgery has gain tremendous advances to meet patients’ satisfaction. An ideal clas: fication system is expected to provide enough information to differen ate discase severity, to provide treatment modalities, and to reflect prog- nosis. Furthermore, a simple, accurate, and practical classification is important for the clinicians to communicate with each other and with the patients. In light of the inadequacies in current classification systems for marginal tissue recession, the author proposes a new system in order to eliminate the ambiguities encountered frequently by clini- cians. Received: June 25, 1997 Accepted: August 29, 1997 Reprint requests (0: Dr. Tony Shing-Zeng Dung, Division of Periodontology, Institute of Clinical Dentistry, National Yang-Ming University, No. 155, Sec 2, Li-Long Street, Shih-Pai, Taipei, Taiwan 112, ROC. — 192 —Marginal tissue recession BUT OS RF Roe EAR © AK: ih iK AR We (i A PE 4 BL PR FD FF) PAL AO OF TL ( malpositon ) 2 i i HAR Be Se ES LAG > (LE REAB ED PARAL OT HMA © SIV: ahh A AE a HER (2 ih AR BL En) FD EB A I OF te + RBA oF A TE © Miller 01953398 6 RULE RSPB» (EL Oa Avie: SE — + Sb SM OE BRUISE OR + ELF & ALAR LE ACE BEART MB AFB] A + RH RE AR USERS (M2) + HE + LAB RUE AAT > Miller 3% 1 9038 1 any Beh il@ikaa » HG PAALRP RARE + AUPE AE LASS oj RF A a See IE OR SRAM BRK > BIER PUMIE SH ASCP AR ERY (RE > FR Lak fH IS LE ARTHUR Me SE © + CRUE DLR BARU T RRR eS Me Mb aag C= + Miller MSN RZ Fp RL A AC AB + EEO = A HH AL sak SAP + PTA + BAA ZR, fARA REBT OC mK A a Miller 35 IV #9: 328 #8 #81 R38 ah 2 F BE MEARE AS OT CAME ARRAS » 1S RRA “ AR STR) Phe SAP OATH STV TSE HY RE OB 6 FLAY Fo PIER A AL STB HY HE AE SE © ERULSAGR MARK > PESEM FMA ARE ZAR + RE > TARA St + RARE» AS AR AE > TERE + CA Ws Hear RIK CHL Zo PS RAE OR PP BO i egP BRASS 5 TDS BRA A PR PE AUG Pal We ALR BC PA FY EC positive architecture ) ; lll : abstinent 61 i 90 Fe) a a HEC nega 2. AONE PLM AT 3 fo Ag 9 RR e SiR BI SNE EZ AAC ALISA MRIR (EBL) + Hy HA OR He BPP OT LAE A — 190 — 7 9 IK (FH) © Miller HEAR AL RAR BT fe KG IE Bio (aD H Ee BAR peat Ait] ) © A case with marginal tissue recession, but not classifiable by Miller's classifi- cation. This case exhibits narrow/shal- low recession of upper left central incisor with no invasion to the mucogingival junction (A), while radio- graphic examination reveals severe interproximal bone loss (B).