ICD-10: K06.023

Generalized gingival recession, classified under ICD-10 code K06.023, refers to the significant loss of gum tissue across multiple areas of the mouth, exposing the roots of the teeth. This condition can lead to various dental issues, including sensitivity, increased risk of decay, and aesthetic concerns. The diagnosis of generalized gingival recession involves several criteria, which are essential for accurate coding and treatment planning.

Diagnostic Criteria for Generalized Gingival Recession

1. Clinical Examination

A thorough clinical examination is crucial for diagnosing generalized gingival recession. The following aspects are typically assessed:

• Measurement of Recession: The distance from the cementoenamel junction (CEJ) to the gingival margin is measured. Severe recession is generally defined as a recession of 3 mm or more in multiple areas of the mouth.
• Extent of Recession: The recession must be generalized, meaning it affects multiple teeth or areas rather than being localized to a single site.
• Gingival Health: The condition of the surrounding gingival tissue is evaluated. Signs of inflammation, such as redness or swelling, may be present, but in cases of severe recession, the tissue may appear fibrotic or thin.

2. Patient History

A comprehensive patient history is essential to understand potential contributing factors:

• Medical History: Conditions such as diabetes, hormonal changes, or autoimmune diseases can influence gum health and should be documented.
• Dental History: Previous periodontal treatments, oral hygiene practices, and any history of trauma or orthodontic treatment may provide insight into the cause of the recession.
• Lifestyle Factors: Habits such as smoking, grinding teeth (bruxism), or aggressive brushing techniques can exacerbate gingival recession.

3. Radiographic Evaluation

While gingival recession is primarily a clinical diagnosis, radiographs may be used to assess the underlying bone structure and rule out periodontal disease. This evaluation can help determine if there is associated bone loss, which often accompanies severe gingival recession.

4. Classification of Severity

The severity of gingival recession can be classified based on the extent of tissue loss and the presence of associated symptoms:

• Mild: Recession of less than 3 mm.
• Moderate: Recession of 3 mm to 5 mm.
• Severe: Recession of more than 5 mm, which is the focus for K06.023.

5. Exclusion of Other Conditions

It is important to rule out other potential causes of gingival recession, such as:

• Non-plaque-induced gingival diseases: Conditions that may cause recession without the presence of plaque, such as allergic reactions or systemic diseases[8].
• Localized gingival recession: If the recession is confined to a specific area, it may not meet the criteria for generalized recession.

Conclusion

The diagnosis of generalized gingival recession (ICD-10 code K06.023) requires a multifaceted approach, including clinical examination, patient history, radiographic evaluation, and exclusion of other conditions. By adhering to these criteria, dental professionals can ensure accurate diagnosis and appropriate treatment planning, ultimately improving patient outcomes and oral health.

Generalized gingival recession, classified under ICD-10 code K06.023, refers to the significant loss of gum tissue around multiple teeth, exposing the roots and potentially leading to various dental complications. This condition can arise from several factors, including periodontal disease, aggressive tooth brushing, genetic predisposition, and other environmental influences. Effective management of generalized gingival recession is crucial to prevent further periodontal issues and to enhance the aesthetic appearance of the smile. Below are the standard treatment approaches for this condition.

Non-Surgical Treatment Options

1. Oral Hygiene Improvement

• Patient Education: Patients are often advised on proper brushing techniques to avoid trauma to the gums. Soft-bristled toothbrushes and gentle brushing motions are recommended.
• Professional Cleaning: Regular dental cleanings help remove plaque and tartar, which can exacerbate gum recession.

2. Scaling and Root Planing

• This deep cleaning procedure involves the removal of plaque and tartar from below the gum line. It helps to smooth the root surfaces, making it harder for bacteria to attach and promoting healing of the gums.

3. Antimicrobial Therapy

• The use of antimicrobial mouth rinses or local delivery of antibiotics can help reduce bacterial load and inflammation in the gums, aiding in the management of periodontal disease that may contribute to recession.

Surgical Treatment Options

1. Gingival Grafting

• Connective Tissue Graft: This involves taking tissue from the palate and placing it over the exposed roots. It is one of the most common procedures for treating severe gingival recession.
• Free Gingival Graft: Similar to connective tissue grafts, but involves taking a full thickness of tissue from the palate. This method is often used to increase the width of the attached gingiva.

2. Pinhole Surgical Technique

• A minimally invasive procedure where a small hole is made in the gum tissue, allowing the dentist to reposition the gum over the exposed roots without the need for sutures.

3. Regenerative Procedures

• In some cases, techniques that promote the regeneration of lost periodontal tissues may be employed. This can include the use of barrier membranes or growth factors to encourage tissue healing and regeneration.

Adjunctive Therapies

1. Orthodontic Treatment

• In cases where misalignment contributes to gingival recession, orthodontic treatment may be necessary to reposition teeth and improve gum health.

2. Lifestyle Modifications

• Patients are encouraged to quit smoking and manage systemic conditions such as diabetes, which can exacerbate periodontal issues.

3. Regular Follow-Up

• Continuous monitoring and follow-up appointments are essential to assess the effectiveness of the treatment and make necessary adjustments.

Conclusion

The management of generalized gingival recession, particularly in severe cases, requires a comprehensive approach that combines non-surgical and surgical interventions tailored to the individual patient's needs. Early diagnosis and intervention are key to preventing further complications and improving overall oral health. Patients experiencing symptoms of gingival recession should consult with a dental professional to discuss the most appropriate treatment options based on their specific condition and dental history.

Generalized gingival recession, classified under ICD-10 code K06.023, is a dental condition characterized by the apical migration of the gingival margin, leading to exposure of the tooth roots. This condition can have significant implications for oral health, aesthetics, and overall patient well-being. Below is a detailed overview of the clinical presentation, signs, symptoms, and patient characteristics associated with severe generalized gingival recession.

Clinical Presentation

Definition and Severity

Generalized gingival recession refers to the condition where the gum tissue surrounding the teeth recedes, exposing more of the tooth surface and potentially the root. When classified as "severe," it indicates a significant loss of gum tissue, often affecting multiple teeth across the dental arch. This condition can lead to various complications, including increased sensitivity, root caries, and aesthetic concerns.

Common Clinical Findings

• Gingival Margin Position: The gingival margin is located apically (below the normal position) relative to the cementoenamel junction (CEJ) of the teeth.
• Tooth Sensitivity: Patients often report heightened sensitivity to temperature changes and tactile stimuli due to exposed dentin.
• Root Exposure: The roots of the teeth may be visibly exposed, leading to a darker appearance of the teeth and potential aesthetic concerns.
• Inflammation: In some cases, there may be associated inflammation of the gingival tissue, although the recession itself is not primarily inflammatory.

Signs and Symptoms

Symptoms Reported by Patients

• Sensitivity: Patients frequently experience discomfort or pain when consuming hot, cold, or sweet foods and beverages.
• Aesthetic Concerns: Many patients express dissatisfaction with their smile due to the visible recession, which can affect self-esteem.
• Bleeding: Some patients may notice bleeding during brushing or flossing, particularly if there is associated gingival inflammation.

Clinical Signs

• Measurement of Recession: Clinicians often measure the extent of recession using periodontal probes, noting the distance from the CEJ to the gingival margin.
• Clinical Attachment Loss: There may be a significant loss of clinical attachment, which can be assessed through periodontal examination.
• Root Caries: Increased risk of caries on exposed root surfaces may be observed, necessitating preventive or restorative interventions.

Patient Characteristics

Demographics

• Age: Gingival recession can occur at any age but is more prevalent in adults, particularly those over 30 years old.
• Gender: Some studies suggest a higher prevalence in males, although this can vary based on population and lifestyle factors.

Risk Factors

• Oral Hygiene Practices: Poor oral hygiene and aggressive brushing techniques are significant contributors to gingival recession.
• Periodontal Disease: A history of periodontal disease can predispose individuals to gingival recession due to loss of supporting structures.
• Tobacco Use: Smoking and other forms of tobacco use are associated with increased risk of periodontal issues, including recession.
• Genetic Predisposition: Some individuals may have a genetic predisposition to periodontal diseases, which can include gingival recession.

Lifestyle Factors

• Diet: A diet high in sugars and acids can contribute to dental erosion and sensitivity, exacerbating the effects of gingival recession.
• Stress: Psychological stress can lead to bruxism (teeth grinding), which may contribute to periodontal issues.

Conclusion

Severe generalized gingival recession (ICD-10 code K06.023) presents a multifaceted challenge in dental health, characterized by significant gum tissue loss and associated symptoms such as tooth sensitivity and aesthetic concerns. Understanding the clinical presentation, signs, symptoms, and patient characteristics is crucial for effective diagnosis and management. Early intervention, including improved oral hygiene practices, professional dental care, and possibly surgical options, can help mitigate the effects of this condition and improve patient outcomes. Regular dental check-ups are essential for monitoring and managing gingival health, particularly in at-risk populations.

Generalized gingival recession, classified under the ICD-10 code K06.023, refers to the significant loss of gum tissue around multiple teeth, exposing the roots and potentially leading to various dental issues. Understanding alternative names and related terms for this condition can enhance communication among healthcare professionals and improve patient education. Below are some alternative names and related terms associated with K06.023.

Alternative Names

1. Severe Gingival Recession: This term emphasizes the severity of the condition, indicating a more advanced stage of gum tissue loss.
2. Generalized Gum Recession: A broader term that highlights the widespread nature of the recession across multiple teeth.
3. Severe Periodontal Recession: This term links the condition to periodontal disease, which often contributes to gum recession.
4. Root Exposure: A descriptive term that focuses on the clinical consequence of gingival recession, where the roots of the teeth become visible.
5. Gingival Recession Stage III: In some clinical classifications, this term may be used to denote a specific stage of gingival recession severity.

Related Terms

1. Periodontal Disease: A general term for infections and conditions affecting the gums and supporting structures of the teeth, which can lead to gingival recession.
2. Gingivitis: Inflammation of the gums that can precede more severe forms of gum disease, potentially leading to recession.
3. Periodontitis: A more advanced form of gum disease that can result in significant gum recession and tooth loss if untreated.
4. Mucogingival Defects: A term that encompasses various conditions affecting the mucogingival junction, including gingival recession.
5. Dental Sensitivity: Often a consequence of gingival recession, where exposed tooth roots lead to increased sensitivity to temperature and touch.

Conclusion

Understanding the alternative names and related terms for ICD-10 code K06.023 is crucial for effective communication in dental and medical settings. These terms not only facilitate clearer discussions among healthcare providers but also help in educating patients about their condition and treatment options. If you have further questions or need more specific information regarding treatment or management of generalized gingival recession, feel free to ask!

Clinical Description of ICD-10 Code K06.023: Generalized Gingival Recession, Severe

ICD-10 Code: K06.023
Condition: Generalized Gingival Recession, Severe

Overview of Gingival Recession

Gingival recession refers to the process where the gum tissue surrounding the teeth wears away, exposing more of the tooth or the tooth's root. This condition can lead to various dental issues, including sensitivity, increased risk of cavities, and aesthetic concerns. When classified as "generalized," it indicates that the recession is widespread across multiple teeth rather than localized to a specific area.

Severity Classification

The designation of "severe" in K06.023 indicates a significant level of gum recession that may require more intensive treatment. Severe gingival recession can be characterized by:

• Extent of Recession: The gum tissue has receded significantly, often exposing a considerable portion of the tooth root.
• Clinical Symptoms: Patients may experience heightened sensitivity to temperature changes, discomfort during chewing, and potential pain due to exposed dentin.
• Aesthetic Impact: The condition can lead to noticeable changes in the smile, affecting the patient's self-esteem and social interactions.

Etiology and Risk Factors

Several factors can contribute to the development of generalized severe gingival recession, including:

• Periodontal Disease: Chronic inflammation and infection of the gums can lead to tissue loss.
• Aggressive Tooth Brushing: Using a hard-bristled toothbrush or applying excessive force can damage gum tissue.
• Genetic Predisposition: Some individuals may be genetically more susceptible to gum recession.
• Hormonal Changes: Fluctuations in hormones, particularly during puberty, pregnancy, or menopause, can affect gum health.
• Tobacco Use: Smoking and other forms of tobacco can impair blood flow to the gums, exacerbating recession.

Diagnosis

Diagnosis of generalized gingival recession, severe, typically involves:

• Clinical Examination: Dentists assess the extent of gum recession using periodontal probing and visual inspection.
• Radiographic Evaluation: X-rays may be utilized to evaluate the underlying bone structure and any associated periodontal disease.

Treatment Options

Management of severe generalized gingival recession may include:

• Non-Surgical Treatments: These can involve scaling and root planing to remove plaque and tartar, along with improved oral hygiene practices.
• Surgical Interventions: In cases where recession is significant, surgical options such as gum grafting may be recommended to restore lost tissue.
• Orthodontic Treatment: In some cases, repositioning teeth may help reduce the recession by improving the alignment and distribution of forces on the gums.

Prognosis

The prognosis for patients with generalized severe gingival recession largely depends on the underlying causes and the effectiveness of the treatment plan. Early intervention and adherence to dental care recommendations can lead to improved outcomes and the prevention of further recession.

Conclusion

ICD-10 code K06.023 encapsulates a significant dental condition that requires careful diagnosis and management. Understanding the clinical implications, risk factors, and treatment options is essential for healthcare providers to effectively address the needs of patients suffering from severe generalized gingival recession. Regular dental check-ups and patient education on proper oral hygiene practices are crucial in preventing the progression of this condition and maintaining overall oral health.