K06.013 Localized gingival recession, severe

ICD10CM code

#### Name of the Condition
- Localized Gingival Recession, Severe 
- ICID code: K06.013

#### Summary
Localized gingival recession refers to the exposure of the roots of the teeth due to a significant loss of gum tissue along a particular area of the gum line. This condition can lead to aesthetic concerns and sensitivity in the affected teeth.

#### Causes
Localized gingival recession may be caused by aggressive tooth brushing, periodontal disease, trauma, or misaligned teeth. It can also result from changes in tooth position, hormonal changes, or oral piercings that affect gum integrity.

#### Risk Factors
- Genetics and family history of gum disease
- Poor oral hygiene practices
- Smoking or use of tobacco products
- Chronic periodontitis
- Hormonal changes, particularly in females

#### Symptoms
- Noticeable longer or extended teeth appearance
- Increased tooth sensitivity to temperature and pressure
- Visible notches or grooves near the gum line
- Bleeding gums or swollen reddish gums around the recession area

#### Diagnosis
Localized gingival recession is diagnosed through a thorough dental examination, which may include probing of gum pockets and review of dental history. Dental X-rays might be utilized to assess underlying bone and tooth structure.

#### Treatment Options
- **Scaling and Root Planing**: Deep cleaning procedure to remove plaque and tartar.
- **Gum Grafting Surgery**: Tissue is grafted to cover exposed roots.
- **Desensitizing Agents**: Applied to manage sensitivity.
- **Soft Tissue Graft**: Strengthens thinned gums and promotes regeneration.

#### Prognosis and Follow-Up
With early intervention, localized gingival recession can be effectively managed, improving tooth stability and health. Regular dental visits are crucial to monitor progress and prevent further recession.

#### Complications
If left untreated, localized gingival recession can lead to severe periodontal diseases, tooth decay on exposed roots, or even tooth loss.

#### Lifestyle & Prevention
- Maintain excellent oral hygiene practices.
- Use a soft-bristled toothbrush and avoid aggressive brushing.
- Quit smoking and manage stress.
- Regular dental check-ups for early detection and management.

#### When to Seek Professional Help
Consult a dentist if you notice persistent gum sensitivity, visible gum recession, or any changes in your teeth alignment or appearance.

#### Additional Resources
- American Academy of Periodontology: [https://www.perio.org](https://www.perio.org)
- Mouth Healthy by ADA: [http://www.mouthhealthy.org](http://www.mouthhealthy.org)

#### Tips for Medical Coders
- Ensure specificity by noting "severe" when coding this condition.
- Avoid confusion with generalized gingival recession; verify location and severity details in clinical notes.

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