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CSA periodontology > CSA gingival recession > Flashcards

CSA gingival recession Flashcards

1
Q

What is CAL?

A

Base of pocket to CEJ

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2
Q

What is true pocket ?

A

Base of pocket to gingival margin

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3
Q

What is recession?

A

Gingival margin to CEJ

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4
Q

What is prevalence of recession ?

A

common when we age

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5
Q

Where is ging. recession most common ?

A

o Maxillary 1st molars and mandibular central incisors

o Upper/ Lower canine, 1st premolar and incisor teeth

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6
Q

Where is gingival recession associated with good oral hygiene?

A

buccal surfaces

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7
Q

Where is gingival recession associated with Poor oral hygiene?

A

lingual surfaces of lower anterior teeth

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8
Q

What patients do we see with recession ?

A

o Normal sulcus & un-diseased interdental Crestal bone

o Periodontal disease

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9
Q

Can the position of tooth be changed in the bone?

A

yes by moving tooth

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10
Q

What does orthodontics affect ?

A
  • 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
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11
Q

What is a feature of gingival recession

A

trauma

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12
Q

How is trauma caused ?

A 
o Foreign bodies (Lower lip piercing)
oFinger nail biting 
o Tooth brushing
o Partial dentures 
o Direct trauma from malocclusion 
o Chemical trauma (cocaine)
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13
Q

What is the type of gingivae?

A

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

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14
Q

What does a big frenulum mean?

A

Trauma more likely so recession to occur here

•, plaque buildup may lead to recession

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15
Q

What are local plaque retentive factors?

A
  • Subgingival margins around teeth increase plaque retention
  • More inflammation in thin gingivae
  • Calculus> Colonies grow and when calculus is removed recession seen
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16
Q

What does active perio. disease lead to ?

A

recession, perio disease leads to:
o Bone loss
o Apical migration of the soft tissues

17
Q

When is recession usually seen with perio. disease?

A

post treatment

18
Q

Is smoking linked to recession ?

A

where smoke pools

19
Q

What are consequences of recession

A
  • 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
20
Q

What is examination of recession ?

A 
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
21
Q

What is treatment planning ?

A
  • Identify etiological factors >why is recession ?
  • Pain management
  • Prevent progression
22
Q

What is patient advice?

A 
•Oral hygiene advice:
o BASS technique
o Roll technique may be advised, 
• Electrical toothbrushes
• Smoking cessation 
• Address and identify any traumatic habits
23
Q

How to detect root caries interproximally/?

A
  • radiographs
24
Q

What is treatment of perio disease like?

A

initial/corrective/supportive therapy

25
Q

What restorations for aesthetics are there ?

A
  • recession won’t get worse if OH good
  • Removable gingival veneers made (silicone or acrylic)
  • Mask to cover black triangles or interdental spaces
  • Crowns/ veneers be placed
  • Root coverage achieved
26
Q

What surgery is available for gingival recession ?

A

o Increase keratinized tissue
o Frenectomy
o Root coverage

27
Q

What are root coverage indications ?

A
  • Aesthetics important to patient
  • Hypersensitivity problems with patient
  • Shallow root caries & abrasion
28
Q

What are root coverage techniques?

A
  • Pedicle flaps has connection, whereas free flap has no connection
  • Pedicle flaps keep blood supply
  • Free epithelialized gingival graft
  • Guided tissue regeneration
  • Sub-epithelial connective tissue graft
29
Q

What are tissue grafts?

A

remove tissue from next door tooth, area has tissue removed from should re-epithelize

30
Q

What is guided tissue regen. ?

A

use of a membrane that separates tissue from tooth - cells to grow in different rates
- new regrown tissue will form

31
Q

What is subepithelial connective tissue graft?

A

free graft (cut out of palate) and place in gingivae >tunnel technique

32
Q

What does tissue graft entail ?

A
  • Connective tissue attachment apically
  • Epithelial attachment coronally
  • Tissue retraction at gingival margin
  • Creeping attachment occurs
  • 50-90% of root surface coverage achieved

CSA periodontology (5 decks)

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