Perio Considerations for esthetics Flashcards
What are the 3 essentials of a smile?
Teeth
Gingival scaffold
Lip framework
Does a thin or thick perio phenotype present more of a challenge?
Thin phenotype
Display of ___-___% of the crowns and all interproximal tissue is considered esthetic
75-100
surgical procedure designed to increase the extent of supragingival tooth structure for restorative or esthetic purposes by apically positioning the gingival margin, removing supporting bone or both’ May be accomplished by ortho
Crown lengthening
: eruption of tooth through bone and
soft tissue into occlusion with opposing tooth
Active eruption
apical migration of dentogingival
complex following the completion of active eruption
Normally concludes when sulcus depth is at the
level of the CEJ, placing the gingival margin 1-2 mm
coronal to the CEJ
Passive eruption:
Contraindications for ______
- Removal of supporting bone
- Furcation exposure
- Aesthetic concerns
- Anatomic landmarks
- Poor oral hygiene
- Medical considerations.
Crown Lengthening
What occurs if a gingivectomy is done and the crest of the bone and CEJ of tooth are at the same level and bone is not removed?
Gingiva will grow back and will have to re do procedure
The excision of a portion of the gingiva; usually performed to reduce the soft tissue wall of a perio pocket
Gingvectomy
INDICATIONS
Elimination of suprabony pockets
Elimination of gingival enlargements
CONTRAINDICATIONS
- The need for bone surgery.
- Bottom of the pocket is apical to the mucogingival junction
Esthetic considerations
Gingevectomy
What is the measurement to determine if black triangles will be avoided?
At least 5 mm of distance between contact point and crest of the bone
After crown lengthening, Healing of Surface epithelization is complete in _____
5 to 14
days
After crown lengthening, Healing of Vascularity appears normal after _____
15 days
After crown lengthening, Healing of Complete epithelial repair takes about _____
1
month
After crown lengthening, Healing of - Complete repair of CT takes about
6 weeks.