Podcast
Questions and Answers
What is a key characteristic of gingival tissue in a patient with a thin biotype?
What is a key characteristic of gingival tissue in a patient with a thin biotype?
- Delicate, almost translucent tissue with a minimal zone of attached gingiva. (correct)
- Thick, opaque tissue with a wide zone of attached gingiva.
- Fibrous tissue with a deep periodontal pocket.
- Dense, highly keratinized tissue, resistant to trauma.
In which scenario is gingival recession most likely to occur?
In which scenario is gingival recession most likely to occur?
- Patients undergoing routine dental cleanings
- Rapid orthodontic movement in adults. (correct)
- Patients with excellent oral hygiene practices.
- Slow orthodontic movement in children.
What is a common patient complaint associated with gingival recession?
What is a common patient complaint associated with gingival recession?
- Increased saliva production.
- Gingival hyperplasia.
- Sensitive teeth. (correct)
- Reduced taste sensation.
When measuring gingival recession, which of the following is the correct anatomical landmark to measure from?
When measuring gingival recession, which of the following is the correct anatomical landmark to measure from?
Among the following options, what is the primary inflammatory risk factor that is associated with periodontal disease and gingival recession?
Among the following options, what is the primary inflammatory risk factor that is associated with periodontal disease and gingival recession?
How does periodontal disease contribute to gingival recession?
How does periodontal disease contribute to gingival recession?
What effect can poorly fitted restoration margins have on gingival health?
What effect can poorly fitted restoration margins have on gingival health?
How does a thin gingival biotype influence susceptibility to gingival recession?
How does a thin gingival biotype influence susceptibility to gingival recession?
Which of the following is NOT a mechanical causative factor associated with gingival recession?
Which of the following is NOT a mechanical causative factor associated with gingival recession?
What is the primary aesthetic concern associated with gingival recession?
What is the primary aesthetic concern associated with gingival recession?
Which anatomical landmarks are used to measure gingival recession?
Which anatomical landmarks are used to measure gingival recession?
What does Loss of Attachment (LOA) primarily assess?
What does Loss of Attachment (LOA) primarily assess?
Which of these characteristics is NOT typical of a thin gingival biotype?
Which of these characteristics is NOT typical of a thin gingival biotype?
When is a gingival veneer typically indicated?
When is a gingival veneer typically indicated?
Why are patients with gingival recession prone to tooth sensitivity?
Why are patients with gingival recession prone to tooth sensitivity?
Which of these options is NOT a potential impact of gingival recession, as outlined?
Which of these options is NOT a potential impact of gingival recession, as outlined?
Flashcards
Gingival Recession
Gingival Recession
The process of gingival tissue moving away from the crown of a tooth, exposing the root surface.
Mechanical Causes of Recession
Mechanical Causes of Recession
Toothbrush trauma, traumatic incisor relationship, trauma from foreign body, abnormal frenal attachment, and iatrogenic damage (caused by dental treatment).
Impact of Recession on the Patient
Impact of Recession on the Patient
Aesthetic concerns (black triangles), food packing and stagnation, halitosis (bad breath), increased caries risk, sensitivity, root caries, and speech impairment.
Recession Measurement
Recession Measurement
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Loss of Attachment (LOA)
Loss of Attachment (LOA)
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Thin Gingival Biotype
Thin Gingival Biotype
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Gingival Veneer
Gingival Veneer
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Sensitivity with Recession
Sensitivity with Recession
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Cemento-Enamel Junction (CEJ)
Cemento-Enamel Junction (CEJ)
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Attached Gingiva
Attached Gingiva
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Gingival Recession in Orthodontic Movement
Gingival Recession in Orthodontic Movement
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Sensitivity in Gingival Recession
Sensitivity in Gingival Recession
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Inflammatory Causes of Gingival Recession
Inflammatory Causes of Gingival Recession
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Smoking and Gingival Recession
Smoking and Gingival Recession
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Periodontal Disease and Gingival Recession
Periodontal Disease and Gingival Recession
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Restorative Margins and Gingival Recession
Restorative Margins and Gingival Recession
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Study Notes
Gingival Biotype and Recession
- Thin Gingival Biotype: Characterized by delicate, translucent gingival tissue with a minimal zone of attached gingiva.
Gingival Recession
- Causes (Inflammatory):
- Periodontal disease (alveolar bone loss)
- Smoking (trauma from cigarette butts)
- Rapid orthodontic movement (in adults)
- Poor restoration margins
- Thin gingival biotype (increased tissue trauma susceptibility)
- Causes (Mechanical):
- Aggressive toothbrushing
- Iatrogenic causes (e.g., ultrasonic scaler use)
- Oral piercings (trauma)
- Traumatic tooth relationship (continuous contact)
- Abnormal frenulum attachment (pulling on tissue)
Impact of Gingival Recession on Patients
- Aesthetic: Creates "black triangles," affecting smile confidence.
- Functional: Food trap, plaque stagnation, potential halitosis, increased caries risk.
- Sensory: Exposed dentine leads to tooth sensitivity.
- Root Caries Risk: Dentine is more susceptible to caries than enamel.
- Speech: Potential impact on speech.
- Comfort: Impacts eating and other oral functions
Measuring Recession
- Relevant Landmarks: Distance from cemento-enamel junction (CEJ) to gingival margin. Not to the base of the periodontal pocket.
Loss of Attachment (LOA)
- Definition: Assessing current and potential historical periodontal tissue loss. Measures both recession and probing depth.
Gingival Veneers
- Description: Removable acrylic facing to improve aesthetics in patients with significant gingival recession.
- Clinical Indication: To improve aesthetics, particularly in cases of generalized recession.
Tooth Sensitivity and Recession
- Cause: Exposed dentine (root surface) triggers sensations from dentinal tubules.
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