Positive relationship between the dimensions of clinical gingival recessions and associated alveolar bone dehiscences: a biometric study

Objectives: To analyze the relationships between the dimension of clinical gingival recession and of the actual bone dehiscence. Method and materials: Data included measurements taken before and during root coverage surgical procedures. General health, smoking status, previous orthodontic treatment, probing depth, clinical measurements taken on gingival recessions, and the exposed alveolar bone dehiscences were recorded. Data were analyzed using descriptive statistics and linear regression model. Results: Twenty-three patient files were available. The mean age was 31.3 ± 12.1 years (range 13 to 51 years). Eight patients had previous orthodontic treatment. Incisor, canine, and premolar recessions amounted to 9, 8, and 6 teeth, respectively. The deepest recession per patient was recorded. The mean alveolar bone dehiscence depth was 6.78 ± 1.2 mm (range 5 to 9 mm). Patient-related or systemic findings, preceding orthodontic treatment, and tooth type were not correlated with alveolar bone dehiscence dimensions. A significant association was found between clinical recession and the alveolar bone dehiscence depths (P < .001, Fisher exact test). On average, each 1 mm increase in clinical recession depth involved an increase of 1.45 mm in alveolar bone dehiscence depth (P < .001, linear regression). The ratio between the clinical recession depth and width was significantly associated with the depth of the bone dehiscence (P = .007, Fisher exact test). Conclusion: Within the limitations of the size of this study, clinical recession depth and width dimensions may help to predict the underling bone dehiscence magnitude. Gingival recession is associated with deformities of the underlying alveolar bone; this may be revealed during mucogingival procedures associated with full-thickness flaps. The association between the two may be of particular value to the operator as it may significantly affect the outcome of treatment. Furthermore, this relationship is of utmost importance in minimally invasive procedures that avoid flap elevation. A significant association was found between the depth of the clinical gingival recession and that of alveolar bone dehiscence. In addition, the ratio between the clinical recession depth and width was significantly associated with the depth of the bone dehiscence. Clinical recession depth and width dimensions may serve as an assessment predictor for the underling bone dehiscence magnitude.