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The main agents causing gingival recession that have been described in the literature are dental plaque, (1) destructive periodontal disease, (2,3) mechanical trauma, (4,5) areas with absence or a narrow zone (width) of attached gingiva, (6) muscular inserts near the gingival margin, (7) reduced thickness of the alveolar bone in the buccolingual side, (8,9) root prominence, (10) irregular tooth alignment in the dental arch, (11) margins of gingival restorations (12,13) and viruses. As a result, users have a better chance of removing bacterial plaque adjacent to and beneath the gingival margin as the bristles are positioned partly on the teeth and gums at a 45-degree angle. Bleeding at the gingival margin or sulcus is often the first indicator of gingivitis. |
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