ICD-10: K06.01

Gingival recession, particularly localized gingival recession as classified under ICD-10 code K06.01, is a dental condition characterized by the apical migration of the gingival margin, leading to exposure of the root surface of the teeth. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is crucial for effective diagnosis and management.

Clinical Presentation

Localized gingival recession typically presents as a specific area of gum tissue that has receded from the tooth surface. This condition can be identified through clinical examination and is often associated with several key features:

• Visible Root Surface: The most apparent sign is the exposure of the tooth root, which may appear discolored or sensitive due to the lack of protective gum tissue.
• Gingival Margin Position: The gingival margin is positioned apically (lower) than the normal anatomical position, which can be assessed visually or through periodontal probing.
• Attachment Loss: There may be a measurable loss of periodontal attachment, which can be evaluated using periodontal probing techniques.

Signs and Symptoms

Patients with localized gingival recession may exhibit a range of signs and symptoms, including:

• Sensitivity: Increased sensitivity to temperature changes (hot or cold) and certain foods, particularly acidic or sweet items, due to exposed dentin.
• Discomfort or Pain: Some patients may experience discomfort or pain in the affected area, especially when brushing or consuming certain foods.
• Aesthetic Concerns: Many patients are concerned about the aesthetic implications of gingival recession, as it can lead to an unsightly appearance of the teeth.
• Plaque Accumulation: The exposed root surface may be more prone to plaque accumulation, leading to potential periodontal issues if not managed properly.

Patient Characteristics

Certain patient characteristics may predispose individuals to localized gingival recession, including:

• Age: Gingival recession is more common in older adults, although it can occur at any age.
• Oral Hygiene Practices: Poor oral hygiene or aggressive brushing techniques can contribute to the development of gingival recession.
• Periodontal Disease History: A history of periodontal disease or other dental issues can increase the risk of gingival recession.
• Anatomical Factors: Patients with thin gingival biotypes or those with prominent roots may be more susceptible to recession.
• Habits: Habits such as tobacco use, teeth grinding (bruxism), or lip and cheek biting can also contribute to the condition.

Conclusion

Localized gingival recession (ICD-10 code K06.01) is a significant dental condition that requires careful assessment and management. Recognizing the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is essential for dental professionals to provide appropriate treatment and improve patient outcomes. Regular dental check-ups and proper oral hygiene practices are vital in preventing and managing gingival recession effectively.

Gingival recession, localized, is classified under the ICD-10-CM code K06.01. This condition is characterized by the apical migration of the gingival margin, leading to exposure of the root surface of the teeth. Understanding the clinical description and details surrounding this diagnosis is essential for accurate coding and effective treatment planning.

Clinical Description

Definition

Localized gingival recession refers to the specific area of the gum tissue that has receded, exposing the root of one or more teeth. This condition can occur due to various factors, including periodontal disease, aggressive tooth brushing, anatomical factors, or trauma.

Symptoms

Patients with localized gingival recession may experience:
- Sensitivity: Increased sensitivity to temperature changes or certain foods due to exposed dentin.
- Aesthetic Concerns: Visible tooth roots can lead to cosmetic issues, particularly in the anterior region.
- Root Caries: Increased risk of decay on the exposed root surfaces.
- Periodontal Issues: Potential for further periodontal disease if not managed properly.

Etiology

The causes of localized gingival recession can include:
- Periodontal Disease: Inflammation and infection of the supporting structures of the teeth can lead to tissue loss.
- Mechanical Factors: Aggressive brushing techniques or the use of hard-bristled toothbrushes can contribute to gum recession.
- Anatomical Factors: Thin gingival biotype or high frenum attachment can predispose individuals to recession.
- Environmental Factors: Tobacco use and poor oral hygiene can exacerbate the condition.

Diagnosis and Coding

Diagnostic Criteria

Diagnosis of localized gingival recession typically involves:
- Clinical Examination: Assessment of the gingival margin and measurement of the recession using a periodontal probe.
- Radiographic Evaluation: X-rays may be used to assess the underlying bone structure and rule out periodontal disease.

ICD-10-CM Code K06.01

The ICD-10-CM code K06.01 specifically denotes localized gingival recession. This code is essential for:
- Insurance Billing: Accurate coding is necessary for reimbursement and insurance claims.
- Patient Records: Maintaining precise medical records for treatment planning and follow-up.

Related Codes

• K06.0: Gingival recession, unspecified, which may be used when the specific location of the recession is not documented.
• K06.010: Localized gingival recession, unspecified, which can be relevant in cases where the exact nature of the recession is not clearly defined.

Treatment Options

Management Strategies

Treatment for localized gingival recession may include:
- Non-Surgical Approaches: Improved oral hygiene practices, desensitizing agents, and fluoride treatments.
- Surgical Interventions: Gum grafting procedures to cover exposed roots and restore the gingival margin.
- Behavioral Modifications: Educating patients on proper brushing techniques to prevent further recession.

Prognosis

The prognosis for localized gingival recession largely depends on the underlying cause and the effectiveness of the treatment. Early intervention can lead to improved outcomes and prevent further tissue loss.

In summary, the ICD-10 code K06.01 for localized gingival recession is crucial for accurate diagnosis and treatment planning. Understanding the clinical aspects, potential causes, and management strategies is essential for dental professionals in providing effective care for patients experiencing this condition.

ICD-10 code K06.01 refers specifically to "Gingival recession, localized." This condition is characterized by the loss of gum tissue around the teeth, leading to exposure of the tooth roots. Understanding alternative names and related terms can be beneficial for healthcare professionals, researchers, and patients alike. Below are some alternative names and related terms associated with this diagnosis.

Alternative Names for Gingival Recession

1. Localized Gum Recession: This term emphasizes the specific area affected by the recession, distinguishing it from generalized gum recession.
2. Localized Gingival Recession: A direct synonym that maintains the medical terminology while specifying the localized nature of the condition.
3. Gum Recession: A more general term that can refer to both localized and generalized forms of gum recession.
4. Receding Gums: A common layman's term that describes the visual aspect of the condition, where the gums appear to pull away from the teeth.

Related Terms

1. Periodontal Disease: While not synonymous, gingival recession can be a consequence of periodontal disease, which affects the supporting structures of the teeth.
2. Periodontitis: A more advanced form of periodontal disease that can lead to gum recession if not treated.
3. Gingivitis: An earlier stage of gum disease that, if untreated, can progress to periodontitis and potentially result in gingival recession.
4. Root Exposure: This term describes the clinical manifestation of gingival recession, where the roots of the teeth become visible due to the loss of gum tissue.
5. Alveolar Bone Loss: Often associated with gingival recession, this term refers to the loss of bone that supports the teeth, which can occur alongside gum recession.

Clinical Context

Gingival recession is often assessed in the context of oral health, and its management may involve various dental treatments. Understanding these terms can aid in better communication among dental professionals and enhance patient education regarding the condition and its implications.

In summary, while K06.01 specifically denotes localized gingival recession, various alternative names and related terms exist that can help clarify the condition's nature and its relationship to broader periodontal health issues.

The diagnosis of localized gingival recession, represented by the ICD-10 code K06.01, involves specific clinical criteria and considerations. Understanding these criteria is essential for accurate coding and effective treatment planning in dental practice.

Clinical Criteria for Diagnosis

1. Clinical Examination

• Visual Assessment: The primary method for diagnosing gingival recession is through a thorough visual examination of the gingival tissues. The clinician looks for areas where the gum tissue has receded, exposing the root surface of the teeth.
• Measurement of Recession: The depth of the recession is measured using a periodontal probe. A recession is typically classified as localized if it affects a single tooth or a small group of teeth rather than a generalized area across the dental arch.

2. Documentation of Symptoms

• Patient Symptoms: Patients may report sensitivity to temperature changes, discomfort during brushing, or aesthetic concerns due to the appearance of the exposed tooth roots. Documenting these symptoms can support the diagnosis.
• History of Periodontal Disease: A history of periodontal disease or other contributing factors, such as aggressive brushing techniques or orthodontic treatment, should be noted.

3. Exclusion of Other Conditions

• Differentiation from Other Gingival Diseases: It is crucial to differentiate localized gingival recession from other gingival conditions, such as non-plaque-induced gingival diseases or generalized recession due to systemic factors. This may involve additional diagnostic tests or assessments.

4. Radiographic Evaluation

• X-rays: While not always necessary, radiographic evaluation can help assess the underlying bone structure and rule out other dental issues that may contribute to gingival recession.

Coding Considerations

When coding for localized gingival recession using K06.01, it is important to ensure that the diagnosis is well-supported by clinical findings and documentation. The following points should be considered:

• Specificity: The code K06.01 is specific to localized gingival recession. If the recession is generalized, a different code may be more appropriate.
• Additional Codes: If there are other periodontal conditions present, additional ICD-10 codes may be required to fully capture the patient's dental health status.

Conclusion

Accurate diagnosis of localized gingival recession (ICD-10 code K06.01) relies on a combination of clinical examination, patient history, and exclusion of other conditions. Proper documentation and coding are essential for effective treatment planning and insurance reimbursement. Dental professionals should remain vigilant in assessing and documenting these criteria to ensure optimal patient care and compliance with coding standards.

Gingival recession, localized, represented by the ICD-10 code K06.01, is a common dental condition characterized by the loss of gum tissue around the teeth, leading to exposure of the tooth roots. This condition can result from various factors, including periodontal disease, aggressive tooth brushing, and anatomical predispositions. Understanding the standard treatment approaches for this condition is crucial for effective management and patient care.

Treatment Approaches for Localized Gingival Recession

1. Non-Surgical Treatments

a. Oral Hygiene Improvement

One of the first steps in managing localized gingival recession is to enhance oral hygiene practices. Patients are often advised to:
- Use a soft-bristled toothbrush to minimize trauma to the gums.
- Employ proper brushing techniques, such as the Bass technique, to ensure effective plaque removal without damaging the gum tissue.
- Incorporate antimicrobial mouth rinses to reduce bacterial load and inflammation[1].

b. Scaling and Root Planing (SRP)

Scaling and root planing is a deep cleaning procedure that removes plaque and tartar from below the gum line. This treatment helps to:
- Reduce inflammation and promote healing of the gum tissue.
- Smooth the tooth roots, making it harder for plaque to accumulate, which can help prevent further recession[2].

c. Desensitizing Agents

For patients experiencing sensitivity due to exposed roots, desensitizing agents can be applied. These agents work by occluding the dentinal tubules, thereby reducing sensitivity and discomfort associated with the recession[3].

2. Surgical Treatments

a. Gingival Grafting

When non-surgical methods are insufficient, surgical options may be considered. Gingival grafting involves:
- Taking tissue from another site in the mouth (often the palate) and grafting it to the area of recession.
- This procedure aims to cover the exposed root surface, restore gum tissue, and improve aesthetics[4].

b. Pinhole Surgical Technique (PST)

The Pinhole Surgical Technique is a minimally invasive procedure that involves:
- Making a small hole in the gum tissue above the recession area.
- Using specialized instruments to gently reposition the gum tissue over the exposed root without the need for sutures.
- This technique can lead to quicker recovery times and less postoperative discomfort compared to traditional grafting methods[5].

3. Adjunctive Therapies

a. Laser Therapy

Laser therapy can be used to promote healing and reduce inflammation in the affected areas. Lasers can help in:
- Disinfecting the area and reducing bacterial load.
- Stimulating tissue regeneration and improving blood flow to the gums[6].

b. Orthodontic Treatment

In cases where misalignment contributes to gingival recession, orthodontic treatment may be necessary. Correcting the position of teeth can help alleviate undue pressure on the gums and prevent further recession[7].

Conclusion

Localized gingival recession (ICD-10 code K06.01) requires a comprehensive treatment approach tailored to the individual patient's needs. Non-surgical methods, such as improved oral hygiene and scaling, are often the first line of defense. However, surgical interventions like gingival grafting or the Pinhole Surgical Technique may be necessary for more severe cases. Additionally, adjunctive therapies can enhance treatment outcomes. Regular dental check-ups and patient education on proper oral care are essential for preventing recurrence and maintaining gum health.

By addressing the underlying causes and employing appropriate treatment strategies, dental professionals can effectively manage localized gingival recession and improve patient quality of life.