What is the typical treatment for gingival recession caused by high frenal attachments?

• A. Fluoride therapy
• B. Orthodontic correction
• C. Surgical correction
• D. Both B and C

Answer: (D)

The typical treatment for gingival recession caused by high frenal attachments often involves both orthodontic correction and surgical correction. High frenal attachments can create tension on the gingival tissue, contributing to recession and making orthodontic intervention beneficial in alleviating this tension. By adjusting the position of the teeth through orthodontics, the frenal pull can be minimized, thereby potentially reducing further recession.

In cases where the recession is significant, surgical correction may also be necessary. Procedures such as frenectomy or frenuloplasty can be performed to remove or modify the frenal attachment, allowing the gums to heal more favorably. In some instances, other surgical approaches like grafting may be indicated to restore the lost gingival tissue.

Combining these two approaches provides a comprehensive treatment plan aimed at addressing both the cause and the effect of the high frenal attachments on gingival health. This multifaceted treatment strategy is often the most effective way to manage gingival recession in these scenarios, making the combination of orthodontic correction and surgical intervention the preferred choice.