Gingival Biotypes and Recession Quiz

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Questions and Answers

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?

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?

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?

From the cemento-enamel junction (CEJ) to the gingival margin. (D) Signup and view all the answers

Among the following options, what is the primary inflammatory risk factor that is associated with periodontal disease and gingival recession?

Smoking. (C) Signup and view all the answers

How does periodontal disease contribute to gingival recession?

It can result in alveolar bone loss and recession of the gingival margin. (C) Signup and view all the answers

What effect can poorly fitted restoration margins have on gingival health?

They can act as a local factor increasing the risk of periodontal disease. (B) Signup and view all the answers

How does a thin gingival biotype influence susceptibility to gingival recession?

It increases the chances of trauma and recession due to delicate tissues and reduced attached gingiva. (C) Signup and view all the answers

Which of the following is NOT a mechanical causative factor associated with gingival recession?

Poor oral hygiene (C) Signup and view all the answers

What is the primary aesthetic concern associated with gingival recession?

Black triangles between teeth (B) Signup and view all the answers

Which anatomical landmarks are used to measure gingival recession?

Cemento-enamel junction to the gingival margin (B) Signup and view all the answers

What does Loss of Attachment (LOA) primarily assess?

Past and present periodontal tissue loss (A) Signup and view all the answers

Which of these characteristics is NOT typical of a thin gingival biotype?

Opaque tissue appearance (D) Signup and view all the answers

When is a gingival veneer typically indicated?

To improve aesthetics in patients with advanced recession (C) Signup and view all the answers

Why are patients with gingival recession prone to tooth sensitivity?

Due to the exposure of dentine and dentinal tubules (B) Signup and view all the answers

Which of these options is NOT a potential impact of gingival recession, as outlined?

Improved speech (D) Signup and view all the answers

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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Description

Test your knowledge on gingival biotypes and the causes of gingival recession. This quiz examines both inflammatory and mechanical factors impacting oral health. Explore the aesthetic and functional impacts of gingival recession on patients.