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Dentistry · Caries, pulp and periodontal disease: Miller classification of recession
Sample itemA patient has gingival recession on a mandibular canine that extends beyond the mucogingival junction. There is no loss of interdental bone or soft tissue. Which Miller class is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Class II
Miller Class I recession does not reach the mucogingival junction, Class II reaches or extends beyond it, and in both there is no interdental loss. Class III has interdental loss or malposition and Class IV has severe loss. Complete root coverage is predictable in Classes I and II.
Option by option
A. Class I
Class I stops short of the mucogingival junction.
B. Class IV
Class IV has severe interdental loss and malposition.
C. Class II (correct)
Correct. Recession reaching beyond the junction with intact interdental tissue is Class II.
D. Class III
Class III includes loss of interdental bone or soft tissue.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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