Luis A Litonjua1, Sebastiano Andreana, Peter J Bush
1Department of Periodontics and Endodontics, State University of New York at Buffalo, 250 Squire Hall, 3435 Main St., Buffalo, NY 14214-3008, USA. laldmd@yahoo.com
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Gingival recession is not directly caused by toothbrushing. While improper oral hygiene can contribute, anatomical and pathological factors are primary causes of gum recession.
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