CSA gingival recession Flashcards
What is CAL?
Base of pocket to CEJ
What is true pocket ?
Base of pocket to gingival margin
What is recession?
Gingival margin to CEJ
What is prevalence of recession ?
common when we age
Where is ging. recession most common ?
o Maxillary 1st molars and mandibular central incisors
o Upper/ Lower canine, 1st premolar and incisor teeth
Where is gingival recession associated with good oral hygiene?
buccal surfaces
Where is gingival recession associated with Poor oral hygiene?
lingual surfaces of lower anterior teeth
What patients do we see with recession ?
o Normal sulcus & un-diseased interdental Crestal bone
o Periodontal disease
Can the position of tooth be changed in the bone?
yes by moving tooth
What does orthodontics affect ?
- create area of dehiscence (splitting open area)
o Affect volume of tissue (very thin soft tissue has greater tendency for recession)
o Greater risk of recession with excessive proclination (tilting forward) of lower incisors & arch expansion
What is a feature of gingival recession
trauma
How is trauma caused ?
o Foreign bodies (Lower lip piercing) oFinger nail biting o Tooth brushing o Partial dentures o Direct trauma from malocclusion o Chemical trauma (cocaine)
What is the type of gingivae?
o Thin gingivae >more likely to get recession
o Height of keretined tissue not important
o Thickness of tissue is key> able to withstand trauma
What does a big frenulum mean?
Trauma more likely so recession to occur here
•, plaque buildup may lead to recession
What are local plaque retentive factors?
- Subgingival margins around teeth increase plaque retention
- More inflammation in thin gingivae
- Calculus> Colonies grow and when calculus is removed recession seen
What does active perio. disease lead to ?
recession, perio disease leads to:
o Bone loss
o Apical migration of the soft tissues
When is recession usually seen with perio. disease?
post treatment
Is smoking linked to recession ?
where smoke pools
What are consequences of recession
- Pain!
- Patients not happy with aesthetics
- Fear of tooth loss
- Plaque retention/bleeding gingivae
- Root caries can occur
- Abrasion may occur> teeth being unstable in mouth
What is examination of recession ?
dental charting • BPE o Record extent of recession o Description: is it a narrow/wide defect? Does it go below mucogingival line? o Index’s used
What is treatment planning ?
- Identify etiological factors >why is recession ?
- Pain management
- Prevent progression
What is patient advice?
•Oral hygiene advice: o BASS technique o Roll technique may be advised, • Electrical toothbrushes • Smoking cessation • Address and identify any traumatic habits
How to detect root caries interproximally/?
- radiographs
What is treatment of perio disease like?
initial/corrective/supportive therapy
