Plastic Perio Surg 3 Flashcards
Generally, what is considered adequate keratinized gingiva?
2 mm
APICAL MIGRATION OF THE GINGIVAL MARGIN WITH
CONCOMITANT EXPOSURE OF THE ROOT SURFACE.
*THIS CONDITION AFFECTS A LARGE POPULATION IRRESPECTIVE OF ORAL HYGIENE.
*ESTIMATED PREVALENCE:
*54.5% OF YOUNG ADULTS
*100% MIDDLE AGED-ELDERLY ADULTS SUFFER FROM GINGIVAL RECESSIONS WITH AN AVERAGE
PREVALENCE OF 78.6%
Gingival recession
Are facial or lingual recessions more common?
Facial
What are the 2 most common mucogingival defects in daily practice?
Gingival recessions
Inadequate zone of keratinized gingiva
RECESSION TYPE (RT) ____- GINGIVAL
RECESSION WITH NO LOSS OF
INTERPROXIMAL ATTACHMENT.
INTERPROXIMAL CEJ WAS NOT
DETECTED EITHER ON THE MESIAL OR
DISTAL ASPECT OF THE TOOTH.
RT 1
Recession Type (RT) ___- Gingival recession
associated with loss of interproximal attachment.
The amount of interproximal attachment loss
was less or equal to the buccal attachment loss.
RT 2
Recession Type (RT) ___- Gingival recession with the loss of interproximal
attachment. Interproximal attachment loss is greater than the buccal attachment
loss.
RT 3
Which recession type is full root coverage achieveable?
RT 1
What is the gold standard tx for recession defects?
Connective tissue grafts
*HAS GAINED POPULARITY
*FLAP ELEVATION THAT DOES NOT DISSECT THE PAPILLA OR REQUIRE VERTICAL RELEASING
INCISIONS
*A RECENT MEAT-ANALYSIS AND SYSTEMATIC REVIEW FOUND THE TUNNEL TECHNIQUE TO BE
AN EFFECTIVE PROCEDURE IN TREATING LOCALIZED AND MULTIPLE RECESSION DEFECTS.
Tunelling technique
*CELL-FREE DERMAL MATRIX COMPRISED OF A
STRUCTURALLY INTEGRATED BASEMENT MEMBRANE
COMPLEX AND EXTRACELLULAR MATRIX. ∞
*These HAVE SUCCESSFULLY BEEN APPLIED AS A
SUBSTITUTE FOR CTGS’ IN VARIOUS PERIODONTAL
PROCEDURES INCLUDING ROOT COVERAGE CELL-FREE
acellular dermal matrix allograft (ADMA)
ONE OF THE MOST COMMON APPROACHES FOR GINGIVAL AUGMENTATION.
*IN A LONG-TERM RETROSPECTIVE STUDY( 10-25 YEARS), GINGIVAL
AUGMENTATION PROCEDURES UTILIZING these GRAFTS PROVIDE AN
INCREASED AMOUNT OF KERATINIZED GINGIVA ALONG WITH A REDUCTION OF
RECESSION OVER A LONG PERIOD OF TIME. ∞
Free gingival grafts
How long do free gingival grafts take to heal?
1 month or so