recession and furcation Flashcards
what is recession defined by?
gingival margin moves apically- not sue to inflammation of disease
interdental papilla remains at normal level
teeth are not lost due to true recession
what is shrinkage defines as?
occurs after perio treatment and disease
papilla retreat
what are the primary factors for recession?
morphology and anatomy of underlying bone area
what is fenestration?
window in buccal bone
what is dehiscence?
lack of underlying bone
what can other causes of recession be?
chronic minor trauma- poor tb mild chronic inflammation frenulum pull ortho tx excessive scaling parafunction
what indicates recession clinically?
stillmans cleft- V shape in gum
mcCalls festoons- gum rolled margins
what is associated with recession?
dentine hypersensitivity
root caries
toothbrush abrasion
how should recession be monitored?
double periodontal charting
photographs
study models
what tx for recession?
modify brushing technique frenectomy treat hypersensitivity ohi perio surgery
what is furcation?
horizontal loss of support in areas where the roots converge
how is furcation diagnosed radiographically?
arrow head lesions
must be verified clinically
where should maxillary 1st pre molars be checked?
medial and distal
where should maxillary molars be checked?
mesial, distal, buccal
where should mandibular molars be checked?
buccal and lingual