Influence of Inflammatory Periodontal Diseases on Aesthetics Flashcards
3 components of oral aesthetics
Teeth
Lips
Gingivae
Gingiva; factors to consider
Colour Form/shape Position Symmetry Relationship to upper lip
Aesthetic gingival form
Knife-edged margins
Smooth transition to tooth
Fill embrasures
Light stippling
Inflammation - appearance?
Erythema/swelling/fibrosis
Recession can be
Localised or generalised
Tooth movement - how does drifting occur
Loss of attachment leads to drifting
Perio treatment aims
Benefits and risks
Reduction of erythema
Reduction in swelling
improved contour
Recession
Poor contour
Gingival veneers indicated and contraindicated
When pd disease or therapy have caused generalised tissue loss
Only if maintenance is good
Contraindicated if high caries risk
Perio plastic surgery - options and indications
High frenum - frenectomy
Gingival recession - gingival grafting
Delayed gingival maturation - crown lengthening
Unaesthetic
Sub gingival restoration margins
Ridge collapse- grafting
Gingival discolouration - grafting/excision
Preoperative assessment involves
Initial non-surgical management
Radiographic and clinical exam
Patient factors
Consent
Management of excessive gingival height via
Gingivectomy
Osteotomy