Gingival recession

Question 1

How does recession occur

Answer 1

Recession occurs from an outcome of inflammation

Question 2

What type of causes can gingival recession occur from
List 5

Answer 2

mechanical - brushing
trauma
physical
microbiological
immunological

Question 3

List 4 ways to elminate the cause of recession

Answer 3

1. OHI - how frequent toothbrush and technique
2. deal with inflammatory stimulus
3. eliminate bacteria
4. Reposition teeth: ortho/extractions

Question 4

How is clinically recession measured

Answer 4

Amount of exposed root
Depth - from EDJ to apical part
Width - mesial to distal

Question 5

Class I recession
bone loss?
respond to treatment?

Answer 5

marginal tissue recession which does not extend to mucogingival junction. No bone loss - responds good to treatment (80-100%)

Question 6

Class II recession
bone loss?
respond to treatment?

Answer 6

marginal tissue recession extends to or beyond mucogingival junction. No bone loss.
Possible to achieve good root coverage after treatment (80-100%)

Question 7

Class III recession
bone loss?
respond to treatment?

Answer 7

marginal tissue recession extends to or beyond mucogingival junction. Bone loss interdentally and soft tissue loss.
Partial root coverage is possible after treatment (50-70%)

Question 8

Class IV recession
bone loss?
respond to treatment?

Answer 8

marginal tissue recession extends beyond mucogingival junction. Severe bone/soft tissue loss. Root coverage is limited after treatment (<10%) mostly in perio pts.

Question 9

What type of measurements can be used to monitor recession, list 4

Answer 9

• measurement by periodontal probe
• study models
• photographs
• radiographs

Question 10

What’s it important to keep asking patient and checking

Answer 10

Keep asking for signs/symptoms
sensitivity
aesthetics
caries

Question 11

What are we trying to achieve when dealing with recession

Answer 11

Provide keratinised tissue

Question 12

When would we provide root coverage treatment? list 3

Answer 12

aesthetics
sensitivity
caries

Question 13

What 2 non-surgical periodontal treatments can be done to help with appearance of gingival recession

Answer 13

• composite (mustn’t affect pts OH)
• removable gingival veneer

Question 14

What are the 3 grafting surgical treatments for gingival recession

Answer 14

1. pedicle graft
2. free gingival graft
3. connective tissue graft

Question 15

What grafts is it when the tissue moved does NOT have a blood supply when relocated, relies on recipients site to re-vascularise the graft

Answer 15

Free gingival graft
Connective tissue graft

Question 16

What graft is the method by which the donor tissue maintains blood supply until re-vascularised from the recipient bed

Answer 16

Pedicle graft

Question 17

What graft is not good for aesthetics

Answer 17

free gingival graft

Question 18

What graft is good for aesthetics

Answer 18

connective tissue graft

Question 19

What alternative materials can be used for gingival graft

Answer 19

regenerative tissue matrix