Gingival recession is commonly associated with plaqueâÃ?Â?Ã?Â?induced inflammation and calculus. A high frenal attachment is more important in gingival recession in the childâÃ?Â?Ã?Â?patient. A healthy childâÃ?Â?Ã?Â?patient with impeccable oral hygiene presented with localized gingival recession without plaqueâÃ?Â?Ã?Â?induced inflammation which led to the exploration of other possible etiologies. Multiple factors appeared to be acting in consonance (Concomitant multiple etiologies [CME]). The factors were a high frenal attachment, traumatic overbite and bruxism induced by premature tooth contacts. Pedodontists and periodontists should rule out CME in cases of gingival recession in the childâÃ?Â?Ã?Â?patient.
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The Annals of Medical and Health Sciences Research is a bi-monthly multidisciplinary medical journal.