Pedicle Flaps

Question 1

What should you do if the papilla moves while you pull on the frenum?

Answer 1

Frenectomy

Question 2

Describes the roots in gingival recession.

Answer 2

Denuded roots

Question 3

This type of incisal relationship can cause gingival recession.

Answer 3

Traumatic incisal relationship

Question 4

Trauma from what kinds of foreign bodies can cause gingival recession?

Answer 4

Piercings

Question 5

How do the gingiva look when the teeth are out of alignment?

Answer 5

Have recession

Question 6

Inflammatory causes of gingival recession.

Answer 6

• Periodontal disease
• Poor restorations (plaque traps)
• Ortho movement outside of the alveolar bone (loss of buccal bone and a decrease in gingival tissue thickness).

Question 7

How do you calculate the width of attached gingiva?

Answer 7

(Keratinized width) - (Sulcular depth).

Question 8

You want more of this type of gingiva in areas of fixed or removable prostheses.

Answer 8

Attached

Question 9

In the absence of plaque, do you need attached gingiva to maintain health?

Answer 9

NO!

Question 10

Does attached gingiva become wider or narrower as people age?

Answer 10

Wider

Question 11

Does attached gingiva vary within the same person?

Answer 11

YES!

Question 12

Where is the blood supply located for a pedicle flap?

Answer 12

At the base.

Question 13

A flap which is attached to the original site by a narrow base of tissue to provide a blood supply during grafting.

Answer 13

Pedicle Flap

Question 14

Consequences of Gingival Recession

Answer 14

• Poor esthetics
• Hypersensitivity
• Wedge-shaped defects
• Plaque trap
• Root surface caries

Question 15

Used to locate the MGJ

Answer 15

The “Roll” Test

Question 16

Classification to determine extent of gingival recession

Answer 16

Miller Classification of Gingival Recession

Question 17

What is the Miller Classification based on?

Answer 17

1) Length and width of gingival recession.
2) Relationship to the MGJ.
3) Presence/Absence of interproximal papillae.
4) Alveolar Bone loss.

Question 18

What Miller class is this?

Recession that does not extend to the MGJ.

Answer 18

I

Complete root coverage is achievable.

Question 19

What Miller class is this?

Recession that extends to or beyond the MGJ, with no periodontal attachment loss.

Answer 19

II

Complete root coverage is achievable.

Question 20

What Miller class is this?

Recession that extends to or beyond the MCJ, with periodontal attachment loss in the interdental area or malpositioning of the teeth.

Answer 20

III

Only partial root coverage is possile to the height of the contour of the interproximal tissue.

Question 21

What Miller class is this?

Gingival recession that extends to or beyond the MGJ, with severe bone or soft tissue loss in the interdental area and/or severe malpositioning of the teeth.

Answer 21

IV

Root coverage is unpredictable.

Question 22

This type of graft is the gold standard for Miller Class I and II gingival recession.

Answer 22

Subepithelial CT graft