Podcast
Questions and Answers
What is a common occurrence after periodontal therapy that needs to be covered in pre-treatment consent?
What is a common occurrence after periodontal therapy that needs to be covered in pre-treatment consent?
- Enamel hypersensitivity
- Gingival overgrowth
- Increased keratinized tissue
- Black triangle disease (correct)
Which of the following is TRUE about black triangle disease?
Which of the following is TRUE about black triangle disease?
- It involves recession in the interdental area. (correct)
- It is best treated with antibiotics.
- It is easily treated with regenerative surgery.
- It is characterized by gingival overgrowth.
What material can a gingival veneer be made from?
What material can a gingival veneer be made from?
- Porcelain
- Gold
- Amalgam
- Acrylic or silicone (correct)
Where is a gingival veneer typically worn?
Where is a gingival veneer typically worn?
What is required for the retention of gingival veneers in the mouth?
What is required for the retention of gingival veneers in the mouth?
What type of professional is needed to fabricate a gingival veneer?
What type of professional is needed to fabricate a gingival veneer?
What does crown lengthening address in the context of smile aesthetics?
What does crown lengthening address in the context of smile aesthetics?
What is the primary focus of Anton Sculean's webinar mentioned in the resources?
What is the primary focus of Anton Sculean's webinar mentioned in the resources?
Which of the following is a potential aesthetic complication of periodontal treatment?
Which of the following is a potential aesthetic complication of periodontal treatment?
What is a 'black triangle' in the context of periodontal aesthetics?
What is a 'black triangle' in the context of periodontal aesthetics?
What mainly dictates the extent of recession?
What mainly dictates the extent of recession?
Which of the following complications is associated with recession?
Which of the following complications is associated with recession?
In what area is appearance most important when considering recession?
In what area is appearance most important when considering recession?
What type of treatment can give good aesthetic results for localized recession?
What type of treatment can give good aesthetic results for localized recession?
What information should be included in the patient's consent form regarding potential recession?
What information should be included in the patient's consent form regarding potential recession?
Which factor influences the potential for recession after periodontal treatment?
Which factor influences the potential for recession after periodontal treatment?
Flashcards
Black Triangle Disease
Black Triangle Disease
Recession in the interdental area after periodontal therapy.
Composite Closure
Composite Closure
Restorative treatment using composite to close black triangles.
Gingival Veneer
Gingival Veneer
A removable prosthetic to replace missing gingival tissue.
Gingival Veneer Material
Gingival Veneer Material
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Gingival Veneer Placement
Gingival Veneer Placement
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Crown Lengthening
Crown Lengthening
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Resource for Gingival Recessions
Resource for Gingival Recessions
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Tunnel Graft Case Example
Tunnel Graft Case Example
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Valid Consent
Valid Consent
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Referral
Referral
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Follow-up Care
Follow-up Care
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Assess and Prevent
Assess and Prevent
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Manage Complications
Manage Complications
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Gingival Recession
Gingival Recession
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Black Triangles
Black Triangles
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"Gummy Smile"
"Gummy Smile"
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Study Notes
- Aesthetic considerations in periodontal therapy include recession, black triangles, and "gummy smile".
Recession
- All types of periodontal treatment can potentially cause generalized recession.
- Generalized recession is more widespread than determined by the local anatomy of the gingiva.
- The gingival biotype partly dictates recession.
- The extent of underlying bone loss from the disease process mainly dictates recession.
- Surgical periodontal treatment typically causes the most recession.
- Recession should be included in the consent process.
Complications of recession
- Sensitivity can occur.
- Caries can occur.
- Appearance can be affected, especially in the "aesthetic zone".
Appearance - Localized Recession
- Gingival grafting can give good aesthetic results.
- Gingival grafting can help with sensitivity.
- Manipulation of the patient's tissues augments the gingivae and covers the exposed root.
Tunnel Grafting
- Illustration showing process.
Black Triangle Disease
- Common after periodontal therapy.
- Needs to be covered in the pre-treatment consent process.
- Recession occurs in the interdental area.
- May be treatable restoratively.
- Not amenable to regenerative surgery.
- A gingival veneer can provide excellent cosmetic results.
Gingival Veneer
- Made of acrylic or silicone.
- Requires a special impression.
- Worn buccally.
- Locks into the ID spaces for retention.
- Requires an experienced lab.
Gummy Smile
- Crown lengthening can address "gummy smile".
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