Gingival Recession

Question 1

Describe Appearance of Gingival Recession.

Answer 1

gingival margin is positioned apical to the CEJ with exposure to root surface

if distance from CEJ is about 3mm

Question 2

Where is it more common?

Answer 2

maxillary 1st molars and mandibular central incisors

Question 3

Aetiology of Gingival Recession (7)

Answer 3

*anatomical position of tooth
*extent of cortical bone
*orthodontic tooth movement
- creation of dehiscence
*periodontal disease
*trauma - foreign bodies, habits - hard toothbrush, nail biting, chemicals
* age
*smoking

Question 4

Links between Recession and Keratinised Tissue

Answer 4

• more likely where gingivae are thin

Question 5

Links between Periodontal Disease and Recession

Answer 5

the bone loss brings apical migration of soft tissues

Question 6

Effects of Gingival Recession (7)

Answer 6

fear of tooth loss
plaque accumulation
bleeding
aesthetics
root caries
abrasion
pain from dentine hypersensitivity

Question 7

How do you Restore Aesthetics?

Answer 7

• crowns, veneers, root coverage
• use a removable gingival veneer - silicone or acrylic
• mask to cover interdental spaces

surgery - connective tissue graft