{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T16:30:18Z","timestamp":1787589018398,"version":"build-2736575974"},"reference-count":44,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background\/Objectives: Gingival recession (GR), characterized by the apical displacement of the gingival margin leading to root exposure, risk of root caries, dentine hypersensitivity (DH), and plaque accumulation. This study aimed to evaluate the awareness, causes, and consequences of gingival recession among adults in Saudi Arabia. Methods: A cross-sectional self-reported survey was conducted from September 2023 to December 2024, involving 619 participants (51.53% male). Participants were recruited through dental clinics, community centers, and online platforms across multiple regions in Saudi Arabia to ensure diverse demographic and socioeconomic representation. A validated 27-question survey collected data on demographics, oral hygiene practices, and GR awareness and related factors. Statistical analysis was performed using SAS 9.4, with significance set at p &lt; 0.05. Results: The prevalence of GR was 26.66%, dental plaque was the most frequently reported causing factor, followed by medical conditions (45.4%). Aesthetic concerns were the most recognized consequence (78.4%) followed by periodontitis and tooth mobility and tooth loss (58.5%). Medical disease (Odds Ratio OR = 2.149, p &lt; 0.0001), trauma (OR = 1.515, p = 0.0078), and rough brushing (OR = 1.431, p = 0.0233) were identified as significant risk factors for gingival recession. The association between gingival recession (GR) and its perceived consequences was generally not statistically significant. However, a significant relationship was observed with dental caries (p = 0.0472). Conclusions: Gingival recession awareness among Saudi adults was influenced by age, gender, smoking, and oral hygiene factors. The findings emphasize the importance of raising awareness and promoting preventive strategies targeting modifiable risk factors to reduce GR prevalence and clinical impact.<\/jats:p>","DOI":"10.3390\/dj13110501","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T04:26:29Z","timestamp":1761711989000},"page":"501","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Awareness of Gingival Recession and Its Causes and Consequences Among Adults in Saudi Arabia"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3014-0405","authenticated-orcid":false,"given":"Marwa","family":"Madi","sequence":"first","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9504-0931","authenticated-orcid":false,"given":"Eman","family":"Aljoghaiman","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5469-3493","authenticated-orcid":false,"given":"Shahad T.","family":"Alameer","sequence":"additional","affiliation":[{"name":"College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5447-962X","authenticated-orcid":false,"given":"Mohammed","family":"Albander","sequence":"additional","affiliation":[{"name":"College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muntathir","family":"Alahmed","sequence":"additional","affiliation":[{"name":"College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mujtaba","family":"Almuallim","sequence":"additional","affiliation":[{"name":"College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9983-1087","authenticated-orcid":false,"given":"Ahmed","family":"Elakel","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maha","family":"Abdelsalam","sequence":"additional","affiliation":[{"name":"Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"220","DOI":"10.14219\/jada.archive.2003.0137","article-title":"The etiology and prevalence of gingival recession","volume":"134","author":"Kassab","year":"2003","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"66","DOI":"10.4103\/0972-124X.145790","article-title":"Comparative clinical evaluation of coronally advanced flap with or without platelet rich fibrin membrane in the treatment of isolated gingival recession","volume":"19","author":"Thamaraiselvan","year":"2015","journal-title":"J. Indian Soc. Periodontol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1111\/jcpe.13353","article-title":"Epidemiology of mid-buccal gingival recessions in NHANES according to the 2018 World Workshop Classification System","volume":"47","author":"Romandini","year":"2020","journal-title":"J. Clin. Periodontol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1002\/cre2.427","article-title":"Prevalence and clinical characteristics of gingival recession in Greek young adults: A cross-sectional study","volume":"7","author":"Fragkioudakis","year":"2021","journal-title":"Clin. Exp. Dent. Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.jdent.2018.06.005","article-title":"Prevalence of gingival recession and study of associated related factors in young UK adults","volume":"76","author":"Seong","year":"2018","journal-title":"J. Dent."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1186\/s12903-025-06020-3","article-title":"Prevalence, etiology and clinical characteristics of gingival recession in a sample of adult Egyptian dental patients: A cross sectional study","volume":"25","author":"Sarhan","year":"2025","journal-title":"BMC Oral Health"},{"key":"ref_7","first-page":"215","article-title":"Gingival recession: Short literature review on etiology, classifications and various treatment options","volume":"9","author":"Ravipudi","year":"2017","journal-title":"J. Pharm. Sci. Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1268","DOI":"10.13070\/rs.en.1.1268","article-title":"Awareness on gingival recession and its association to risk factors: An epidemiological study","volume":"1","author":"Shetty","year":"2014","journal-title":"Research"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1111\/jcpe.12114","article-title":"Patient perceptions of buccal gingival recessions and requests for treatment","volume":"40","author":"Nieri","year":"2013","journal-title":"J. Clin. Periodontol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"18","DOI":"10.4103\/2348-3172.126160","article-title":"Prevalence of anterior gingival recession and related factors among Saudi adolescent males in Abha City, Aseer Region, Saudi Arabia","volume":"1","author":"Eid","year":"2014","journal-title":"J. Dent. Res. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Alayadi, H., Alsadon, O., Alwadi, M.A., Alkhateeb, A.A., Alroweilly, D., Alassmi, Z., and Alshehri, W. (2025). The Prevalence and Impact of Dentinal Hypersensitivity on Adults\u2019 Quality of Life in Saudi Arabia. Dent. J., 13.","DOI":"10.3390\/dj13080353"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1111\/cdoe.12226","article-title":"Gingival recession and oral health-related quality of life: A population-based cross-sectional study in Brazil","volume":"44","author":"Wagner","year":"2016","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1002\/hep.22727","article-title":"Synergism between smoking and alcohol consumption with respect to serum gamma-glutamyltransferase","volume":"49","author":"Breitling","year":"2009","journal-title":"Hepatology"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"459","DOI":"10.2174\/1874210602014010459","article-title":"Evaluation of the knowledge and awareness of dental patients in Saudi Arabia on periodontal health and diseases","volume":"14","author":"Allam","year":"2020","journal-title":"Open Dent. J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1080\/00016357.2020.1758773","article-title":"Evaluation of patients\u2019 perception of gingival recession, its impact on oral health-related quality of life, and acceptance of treatment plan","volume":"78","year":"2020","journal-title":"Acta Odontol. Scand."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Naser, M.Y., Momani, M., Naser, A.Y., Alarabeyat, M.A., Altarawneh, A.M.B., and Aladwan, A.S. (2023). Oral health profile and periodontal diseases awareness and knowledge among the Jordanian population: A cross-sectional study. BMC Oral Health, 23.","DOI":"10.1186\/s12903-023-03203-8"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"105364","DOI":"10.1016\/j.jdent.2024.105364","article-title":"Prevalence of dentine hypersensitivity, erosive tooth wear, gingival recession and periodontal health in seven European countries","volume":"150","author":"West","year":"2024","journal-title":"J. Dent."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"235","DOI":"10.2147\/CCIDE.S379171","article-title":"Gender differences in oral health knowledge and practices among adults in Jeddah, Saudi Arabia","volume":"14","author":"Rajeh","year":"2022","journal-title":"Clin. Cosmet. Investig. Dent."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"37","DOI":"10.25301\/JPDA.332.37","article-title":"Assessment of various oral hygiene practices leading to gingival recession","volume":"33","author":"Kaleem","year":"2024","journal-title":"J. Pak. Dent. Assoc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1034\/j.1600-051X.2003.00357.x","article-title":"Association between level of education and oral health status in 35-, 50-, 65- and 75-year-olds","volume":"30","author":"Paulander","year":"2003","journal-title":"J. Clin. Periodontol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e53585","DOI":"10.2196\/53585","article-title":"Distal and proximal influences on self-reported oral pain and self-rated oral health status in Saudi Arabia: Retrospective study using a 2017 nationwide database","volume":"10","author":"Abogazalah","year":"2024","journal-title":"JMIR Public Health Surveill."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1902\/jop.2004.75.10.1377","article-title":"Gingival recession: Epidemiology and risk indicators in a representative urban Brazilian population","volume":"75","author":"Susin","year":"2004","journal-title":"J. Periodontol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1034\/j.1600-051X.1999.260502.x","article-title":"Gingival recession and toothbrushing in an Italian School of Dentistry: A pilot study","volume":"26","author":"Checchi","year":"1999","journal-title":"J. Clin. Periodontol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1002\/JPER.19-0129","article-title":"Socioeconomic status and psychosocial factors on gingivitis in socially disadvantaged adolescents","volume":"91","author":"Koga","year":"2020","journal-title":"J. Periodontol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"17","DOI":"10.13065\/jksdh.20240003","article-title":"Disparities in oral health according to the socioeconomic status of adults: Analysis of data from the 7th Korea National Health and Nutrition Examination Survey","volume":"24","author":"Jung","year":"2024","journal-title":"J. Korean Soc. Dent. Hyg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/cdoe.12616","article-title":"Socioeconomic status and oral health-related quality of life: A systematic review and meta-analysis","volume":"49","author":"Knorst","year":"2021","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1111\/idj.12420","article-title":"Oral clinical status and oral health-related quality of life: Is socioeconomic position a mediator or a moderator?","volume":"69","author":"Mohamed","year":"2019","journal-title":"Int. Dent. J."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/j.identj.2023.09.003","article-title":"Socioeconomic status and tooth loss impact on oral health\u2013related quality of life in Chinese elderly","volume":"74","author":"Lyu","year":"2024","journal-title":"Int. Dent. J."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"671","DOI":"10.4103\/0972-124X.156881","article-title":"Etiology and occurrence of gingival recession: An epidemiological study","volume":"19","author":"Mythri","year":"2015","journal-title":"J. Indian Soc. Periodontol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"139","DOI":"10.3889\/oamjms.2019.033","article-title":"Knowledge and interest in treating gingival recession among dental practitioners in Saudi Arabia","volume":"7","author":"Bhat","year":"2019","journal-title":"Open Access Maced. J. Med. Sci."},{"key":"ref_31","first-page":"71","article-title":"Dentin sensitivity and treatment methods","volume":"15","author":"Yilmaz","year":"2012","journal-title":"Cumhur. Dent. J."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jdent.2018.12.015","article-title":"Prevalence of dentin hypersensitivity: Systematic review and meta-analysis","volume":"81","author":"Zeola","year":"2019","journal-title":"J. Dent."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"78","DOI":"10.31729\/jnma.8881","article-title":"Prevalence of dentinal hypersensitivity among dental patients visiting tertiary care center: An observational study","volume":"63","author":"Ghimire","year":"2025","journal-title":"JNMA J. Nepal. Med. Assoc."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"497","DOI":"10.4236\/ojst.2014.411067","article-title":"Prevalence of dentine hypersensitivity and gingival recession among Jordanian patients at JUST Dental Teaching Center","volume":"4","author":"Kamal","year":"2014","journal-title":"Open J. Stomatol."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Katirci, G., and Celik, E.U. (2023). Prevalence and predictive factors of dentine hypersensitivity among adults in Turkey. BMC Oral Health, 23.","DOI":"10.1186\/s12903-023-03137-1"},{"key":"ref_36","first-page":"e35214","article-title":"Assessment of Patients\u2019 Experience and Perception Toward Dentinal Hypersensitivity for Its Diagnosis and Management: A Cross-Sectional Study","volume":"15","author":"Salam","year":"2023","journal-title":"Cureus"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1034\/j.1600-051X.2002.291104.x","article-title":"A cross-sectional study of dentine hypersensitivity","volume":"29","author":"Rees","year":"2002","journal-title":"J. Clin. Periodontol."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Blaizot, A., Offner, D., Trohel, G., Bertaud, V., Bou, C., Catteau, C., Inquimbert, C., Lupi-Pegurier, L., Musset, A.-M., and Tramini, P. (2020). Prevalence of sensitive teeth and associated factors: A multicentre, cross-sectional questionnaire survey in France. BMC Oral Health, 20.","DOI":"10.1186\/s12903-020-01216-1"},{"key":"ref_39","first-page":"76","article-title":"Prevalence and risk factors of dentine hypersensitivity among Turkish adults in Konya","volume":"16","author":"Unlu","year":"2017","journal-title":"IOSR J. Dent. Med. Sci."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"426","DOI":"10.4103\/0972-124X.100924","article-title":"Prevalence of dentine hypersensitivity: A cross-sectional study in rural Punjabi Indians","volume":"16","author":"Dhaliwal","year":"2012","journal-title":"J. Indian Soc. Periodontol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"177","DOI":"10.12968\/denu.2024.51.3.177","article-title":"Gingival recession. Part 1: Prevalence and aetiology","volume":"51","author":"Hudson","year":"2024","journal-title":"Dent. Update"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"227","DOI":"10.4103\/jisp.jisp_118_23","article-title":"Gingival recession: Narrow perception\u2014Erroneous; wider canvass\u2014Out-of-focus!","volume":"27","author":"Kumar","year":"2023","journal-title":"J. Indian Soc. Periodontol."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"\u017burek, J., Niemczyk, W., Dominiak, M., Niemczyk, S., Wiench, R., and Skaba, D. (2024). Gingival Augmentation Using Injectable Platelet-Rich Fibrin (i-PRF)\u2014A Systematic Review of Randomized Controlled Trials. J. Clin. Med., 13.","DOI":"10.3390\/jcm13185591"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.36740\/WLek202405131","article-title":"Etiology of gingival recession\u2014A literature review","volume":"77","author":"Niemczyk","year":"2024","journal-title":"Wiad. Lek."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/11\/501\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T05:03:03Z","timestamp":1761714183000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/11\/501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,28]]},"references-count":44,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["dj13110501"],"URL":"https:\/\/doi.org\/10.3390\/dj13110501","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,28]]}}}