Mucogingival Surgery Flashcards
What is gingival recession
Apical migration of gingival margin from cemento-enamel junction (CEJ)
Indications for treating gingival recession
Poor aesthetics/poor plaque control
Sensitivity
Aetiology of gingival recession
Excessive toothbrushing force
Traumatic incisor relationship
Infraoccluded tooth
Periodontal disease
Management of gingival recession
Record magnitude of recession
Identify and eliminate cause
Desensitising agents- fluoride varnish
Gingival veneers/crowns
Mucogingival surgery
Surgical management of gingival recession
Free gingival graft
Pedicle graft
Connective tissue graft
Biomaterials for grafting
Barrier membrane- collagen
DBBM- deproteinised bovine bone matrix
Amelogenins EMD
Indications for gingival veneers
Extensive recession with surgery not indicated as root coverage not achievable
What is crown lengthening
Apical repositioning of entire periodontal attachment including alveolar bone
Indications for crown lengthening surgery
Increase clinical crown height for restorations/ferrule
Expose subgingival secondary caries/fracture
Correct gingival contour
