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PPPPeriooooo > MucoGing Defects/Perio Surgery! (E2,L3) > Flashcards

MucoGing Defects/Perio Surgery! (E2,L3) Flashcards

1
Q

________: surgical procedures performed to correct or eliminate anatomic, developmental, or traumatic deformities of the gingiva or alveolar mucosa.

A

Mucogingival Surgery (Periodontal Plastic Surgery)

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2
Q

Why isn’t the “pushback” surgery method no longer used?

A

It resulted in more recession and bone loss. It is also not aesthetic.

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3
Q

How much keratinized and attached gingiva is enough? ___ mm keratinized and ___ mm attached for prosthetic abutments

A

5mm ker….3mm attach (talking about distance from GM to MGJ)

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4
Q

How much keratinized and attached gingiva is enough? At least __ mm attached-keratinized mucosa is necessary for maintaining health

A

2mm (talking about distance from GM to MGJ)

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5
Q

The Etiology of Gingival Recession: Tooth position relative to facial or lingual cortical bone may result in bony ________ or ________.

A

fenestration or dehiscence

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6
Q

The Etiology of Gingival Recession: ______ for thin gingiva (lack of tissue thickness) when combined with a bony dehiscence or fenestration is likely to result in gingival recession.

A

BIOTYPE

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7
Q

Etiology of Recession: Orthodontic arch expansion and/or movement of tooth through facial ________.

A

cortical bone

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8
Q

Diagnosis of Recession Problems: What is the formula for finding the amount of ATTACHED GINGIVA?

A

Width of Keratinized Tissue - Probing Depth = Attached Gingiva (freakin straight forward, eh!?)

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9
Q

How can I clinically determine the MGJ? Be Aware: keratinized tissue is not always _______!

A

Slide the Probe on the tissue until the tissue don’t move no more…..not always attached!

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10
Q

Drop some knowledge: ___% of teeth with LESS THAN 2mm of Keratinized attached tissue will have FURTHER recession.

A

90 freggin %

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11
Q

Treating gingival defects for increasing width of keratinized and attached gingiva is more of a ______ where as treating for root coverage is more of a ______.

A

need….Want

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12
Q

BOOM. What are the 3 Treatment Options for increasing the width of Attached Gingiva?

A
  1. Apically Positioned Flap (APF)-full thickness flap. 2.Free autogenous Gingival Graft (FGG) 3.subepithelial Connective Tissue Graft (CTG)
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13
Q

BOOM. What are the 3 Treatment Options for obtaining Root Coverage???

A
  1. sub epithelial Connective Tissue Graft (CTG) 2.Semi-lunar incision + coronal positioning (Tarnow procedure) 3.Lateral Pedicle Flap (LPF)
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14
Q

Factors to consider in determining where to position the Apically Positioned Flap (APF): Initial _____ and ______ of the gingiva.

A

width and thickness

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15
Q

Factors to consider in determining where to position the Apically Positioned Flap (APF): Thickness of the marginal ______ bone

A

alveolar

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16
Q

Factors to consider in determining where to position the Apically Positioned Flap (APF): mount of _______ reduction required

A

POCKET

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17
Q

Factors to consider in determining where to position the Apically Positioned Flap (APF): Length of the root trunk (average is ___ mm)

A

3mm

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18
Q

Factors to consider in determining where to position the Apically Positioned Flap (APF): _______ crown length required for restorative or prosthetic treatment and esthetics

A

Clinical

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19
Q

The Free Autogenous Gingival Graft (FGG), indications: Increase width of ______ gingiva

A

attached

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20
Q

The Free Autogenous Gingival Graft (FGG), indications: Remove abnormal _______ attachment

A

FRENULUM

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21
Q

The Free Autogenous Gingival Graft (FGG), indications: to _______ the oral vestibule

A

DEEPEN

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22
Q

The Free Autogenous Gingival Graft (FGG), indications: Ridge ___________ procedures

A

augmentation

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23
Q

The Free Autogenous Gingival Graft (FGG), indications: Cover exposed _____, but FGG is RARELY used for this indication!!!

A

ROOTS

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24
Q

Advantages to the FGG: Not ________ demanding

A

technically

25
Q

Advantages to the FGG: May be accomplished with ______ or full-thickness flap reflections

A

partial

26
Q

Advantages to the FGG: Wide _____ of clinical applications.

A

VARIETY

27
Q

DISadvantages to the FGG: Poor ability to provide _______ to graft for root coverage

A

blood supply

28
Q

DISadvantages to the FGG: Esthetic results are compromised due to _______ during healing resulting in poor ______ match

A

Scarring…COLOR

29
Q

DISadvantages to the FGG: Surgery required at ____ intraoral sites

A

TWO

30
Q

DISadvantages to the FGG: _____ site may present problems with bleeding, pain, and slow healing

A

DONOR

31
Q

Speaking of the donor site in a FGG, how fast does the epithelium heal? (mm/day)

A

0.5mm/day…holy stratified squamous epithelium batman!

32
Q

Indications for the sub epithelial Connective Tissue Graft (CTG): Acquire a _____ of attached gingiva

A

width

33
Q

Indications for the sub epithelial Connective Tissue Graft (CTG): to _______ the oral vestibule

A

Deepen

34
Q

Indications for the sub epithelial Connective Tissue Graft (CTG): Remove ______ and muscle attachment

A

FRENULUM

35
Q

Indications for the sub epithelial Connective Tissue Graft (CTG): Acquire _______ attached gingiva (_____ match)

A

esthetic!!!! color!!!!

36
Q

Indications for the sub epithelial Connective Tissue Graft (CTG): Cover exposed ____ surface

A

root

37
Q

ADVANTAGES of sub epithelial Connective Tissue Graft (CTG): _____ predictability

A

HIGH

38
Q

ADVANTAGES of sub epithelial Connective Tissue Graft (CTG): Graft receives abundant ______ supply

A

BLOOD

39
Q

ADVANTAGES of sub epithelial Connective Tissue Graft (CTG): ______ wound (donor site) can be surgically closed, thereby facilitating rapid healing with little to no discomfort or bleeding

A

PALATAL

40
Q

ADVANTAGES of sub epithelial Connective Tissue Graft (CTG): Good _____ match

A

color

41
Q

ADVANTAGES of sub epithelial Connective Tissue Graft (CTG): Applicable for _______ on multiple teeth

A

Recession

42
Q

DISadvantages of the ole sub epithelial Connective Tissue Graft (CTG): ________ demanding

A

TECHNICALLY

43
Q

DISadvantages of the ole sub epithelial Connective Tissue Graft (CTG): _________ may be necessary after healing
to obtain better tissue contours and to decrease thickness

A

GingivoPlasty

44
Q

Indications for the Semi-lunar incision With Coronal Positioning (Tarnow Procedure): _______ anterior teeth with no more than ___ mm of recession and ____ mm of remaining keratinized gingiva.

A

Maxillary…2….3-5

45
Q

Indications for the Semi-lunar incision With Coronal Positioning (Tarnow Procedure): A ________ procedure for small areas of gingival recession remaining after other procedures were used for root coverage (e.g.,
FGG, CTG, GTR)

A

COMPLEMENTARY

46
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Advantages: No _______ on coronal positioned flap

A

tension

47
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Advantages: No ________ of the oral vestibule

A

narrowing

48
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Advantages: Good ________ due to color match

A

esthetics

49
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Advantages: Papillary _______ is preserved

A

height

50
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Advantages: ______ surgical procedure

A

simple

51
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Advantages: Minimal post-operative _________

A

discomfort

52
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Advantages: Applicable to minimal gingival recession across _______ teeth

A

multiple

53
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Disadvantages: Not applicable in cases of moderate to advanced gingival recession, i.e., greater than ___ mm

A

2mm

54
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Disadvantages: Requires ___-___ mm of thick keratinized tissue

A

3-5mm

55
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Disadvantages: Healing is by _______ intention and therefore some contraction may occur

A

SECONDARY

56
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Disadvantages: May require a ______ procedure, depending on occurrence of tissue contraction

A

second :(

57
Q

Semi-lunar incision With Coronal Positioning (Tarnow Procedure) Disadvantages: Where osseous dehiscence or fenestration exists apical to the gingival recession area, a FGG or CTG should be performed _____ coronal positioning of the semi-lunar flap.

A

AFTER

58
Q

What is a disadvantage to the “slick” Lateral Pedicle Graft (LPF)?

A

the donor site can show recession

59
Q

What is the name of the Acellular graft material from a cadaver?

A

AlloDerm

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