GINGIVAL PAPILLARY RECESSION CLASSIFICATION AND TREATMENT NEEDS: A PROPOSED CLASSIFICATION SYSTEM FOR PAPILLARY RECESSION

Objective: Development of classification system for interdental papilla recession that encompasses the morphology, etiology and treatment options. Methods: Literature search for the existing classification systems on papillary recession was performed. Two classification systems including the widely accepted Norland and Tarnow classification and the classification given by Chang et al., were included in the preparation of the proposed classification. The etiologies of papillary recession and treatment options for the same were identified after extensive literature search and were also included in the classification. Content validity was tested using the Content Validity Index (CVI). Results and Conclusion: A valid classification system encompassing the different morphological, etiological and treatment aspects of Papilla recession was developed. The proposed classification would serve to identify the treatment options for gingival papillary recession after considering the various aspects of the cause of recession. Clinical significance: This classification system would enable a clinician derive an appropriate treatment option with predictable treatment outcomes for gingival papillary recession with ease.