K06.023 Generalized gingival recession, severe

Name of the Condition

• Generalized Gingival Recession, Severe
• Also known as severe gum recession.

Summary

Generalized gingival recession refers to the loss of gum tissue along the gumline, exposing the roots of multiple teeth. In severe cases, this condition can lead to increased tooth sensitivity, aesthetic concerns, and higher susceptibility to tooth decay and periodontal disease.

Causes

• Aggressive tooth brushing techniques
• Periodontal disease caused by plaque buildup
• Poor oral hygiene
• Genetic predisposition
• Hormonal changes, such as those occurring during pregnancy or menopause
• Tobacco use

Risk Factors

• Age: More common in adults over 40
• Family history of periodontal disease
• High levels of oral bacteria
• Use of tobacco products
• Conditions like diabetes that affect gum health

Symptoms

• Teeth appearing longer
• Visible roots of teeth
• Increased tooth sensitivity, especially to cold or hot stimuli
• Bleeding or swollen gums
• Bad breath

Diagnosis

• Clinical examination by a dentist or periodontist
• Measurement of gum recession depth using a periodontal probe
• Assessment of dental and medical history

Treatment Options

• Scaling and root planing to clean below the gumline
• Gum grafting surgery to cover exposed roots
• Use of desensitizing agents or fluoride treatments to manage sensitivity
• Adjustments to brushing techniques and improved oral hygiene practices

Prognosis and Follow-Up

With proper treatment and ongoing oral care, progression of gum recession can be halted, and symptoms managed. Regular dental check-ups are crucial to monitor gum health.

Complications

• Increased risk of tooth decay and root caries
• Higher chance of tooth loss due to weakened support structure
• Aesthetic concerns affecting self-esteem

Lifestyle & Prevention

• Practicing good oral hygiene, including gentle brushing and flossing
• Using a soft-bristled toothbrush
• Regular dental cleanings and check-ups
• Quitting smoking or tobacco use
• Ensuring a balanced diet to support oral health

When to Seek Professional Help

• Experiencing persistent gum sensitivity or recession
• Noticing loose teeth or changes in bite
• Severe gum pain or swelling

Additional Resources

• American Dental Association (ADA): www.ada.org
• Gum Disease Information Bureau: www.gbcd.gum-recession.org

Tips for Medical Coders

• Ensure to specify the severity as "severe" in documentation to align with code K06.023 accurately.
• Avoid confusing this condition with localized gingival recession, which has a separate ICD code.