L41 Gingival Augmentation Flashcards
What is the adequate amount of gingiva
2mm of keratinized w/ 1mm of attached
Recession trends with Age Sex Race Anatomical location
Older age
Males
Blacks
Premolars (buccal) w/ abrasion
Miller Class I
Bone loss
Recession
Root coverage
No Interproximal BL
Recession NOT to MGJ
100% root coverage
Miller Class II
Bone Loss
Recession
Root Coverage
No interproximal BL
Recession to or beyon MGJ
100% root coverage
Miller Class III
Bone Loss
Recession
Root Coverage
Interproximal BL
Recession +/- MGJ
Root coverage up to bone level
Miller Class IV
Bone Loss
Recession
Root Coverage
Interpoximal BL beyond level of recession
Not root coverage
When to treat recession
Ethetic Progressive Thin w/ ging or sub ging restoration Root sensivity Root caries Oral Hygiene Prevention before ortho
Healing of free gingival graft
0-3 days: initial: plasmatic circulation
2-11 days: revascularization
11-42 days: tissue maturation
Split thickness flap used for
Coronally positioned
Frenectomy
Vestibuloplasty