mucogingival deformitites

Question 1

Whats the whole purpose of correcting mucogingival defects?

Answer 1

to obtain the most attached tissue possible which improves hygiene, function and esthetics

Question 2

defects that require tissue removal are…..

Answer 2

crown lengthening, esthetic surgical correction, aberrant frenums

Question 3

what is the most prominant mucogingival defect you will see?

Answer 3

root recession

Question 4

is attached gingiva keratinized?

Answer 4

no, the sulcus is not keratinized

Question 5

how do you calculate the width of the attached gingiva?

Answer 5

subtract the depth of the sulcus from distance between crest of gingival margin and the mucogingival junction

Question 6

would you want a wider or narrower zone of attached gingiva around teeth that are used as abutments for dentures?

Answer 6

wider.

Question 7

what causes mucogingival defects on tooth roots?

Answer 7

ortho treated teeth
trauma
displacement of gingival margin from CEJ( clinical vs anatomical crown)

Question 8

are longer and narrower teeth associated with more or less bone loss?

Answer 8

more

Question 9

symptomology of mucugingival defects can include…

Answer 9

periodontal disease leading to bone loss
irritation of marginal tissues due to limited amount of keratinized tissues
exposure of tooth leading to sensitivity
esthetic concern for patient

Question 10

___ % of people 65 and older, and 50% of people aged 18-64 will have one or more sites with gingival recession

Answer 10

88%

Question 11

whats the most common etiologic factor associated with gingival recession?

Answer 11

malpositioned teeth and toothbrush trauma

Question 12

The index of recession by smith is used to measure what?

Answer 12

horizontal and vertical loss of attached gingiva

Question 13

nordland and tarnows system is used to measuer what?

Answer 13

loss of papillary height

Question 14

millers classification of gingival recession classes 1-4

Answer 14

1: recession that doesnt extend to the MGJ
2: recession extends to or beyond MJG with no attachment loss in interdental area
3: recession extends to or byond MHJ with periodontal attachment loss in interdental area
4: recession extends to or beyond MGJ with severe bone and soft tissue loss in interdental area

Question 15

T/F, treating abrasive defects with composite will solve the Pts esthetic s due to long tooth?

Answer 15

F, it needs MGJ surgery where the tissue is pulled down to where the CEJ should be.