Definition of Gingival Recession and Anatomical Considerations

The gingiva is an integral part of the periodontium that covers the cervical portions of the teeth and the alveolar processes of the jaws. In health, the closely adapted gingival tissues provide effective protection against mechanical trauma and bacterial invasion and also play a critical role in aesthetics. Therefore, a recession of the gingival margin not only affects the aesthetic appearance but may cause several adverse consequences due to exposure of the root surface. This chapter provides a definition of gingival recession and gives a basic overview of the anatomical characteristics of the gingiva. A basic understanding of the macroscopic and microscopic features of healthy gingiva is a precondition for accurate evaluation and treatment of gingival recession defects.