Podcast
Questions and Answers
What is gingival recession?
What is gingival recession?
What are the two main etiologies of gingival recession?
What are the two main etiologies of gingival recession?
What are the mechanical/physical factors that can cause gingival recession?
What are the mechanical/physical factors that can cause gingival recession?
According to Table 1, what is the description of Akerly Class III incisal relationships?
According to Table 1, what is the description of Akerly Class III incisal relationships?
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What is the most common location for gingival recession?
What is the most common location for gingival recession?
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Why is the left side of the mouth more commonly affected by gingival recession?
Why is the left side of the mouth more commonly affected by gingival recession?
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What is a common characteristic of gingival recession related to mechanical/physical factors?
What is a common characteristic of gingival recession related to mechanical/physical factors?
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True or False: Gingival recession is only a concern for individuals with poor oral hygiene.
True or False: Gingival recession is only a concern for individuals with poor oral hygiene.
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What is a common cause of localized recession defects?
What is a common cause of localized recession defects?
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What is the primary goal of treating dentine hypersensitivity?
What is the primary goal of treating dentine hypersensitivity?
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Which of the following treatment options can be used to cover the root surface and block dentinal tubules?
Which of the following treatment options can be used to cover the root surface and block dentinal tubules?
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What is the significance of symmetry in the zenith of anterior teeth?
What is the significance of symmetry in the zenith of anterior teeth?
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In cases of localized recession defects, what is the primary consideration before using composite bonding?
In cases of localized recession defects, what is the primary consideration before using composite bonding?
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What is the primary rationale for treating dentine hypersensitivity?
What is the primary rationale for treating dentine hypersensitivity?
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Which of the following is NOT a common treatment option for dentine hypersensitivity?
Which of the following is NOT a common treatment option for dentine hypersensitivity?
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What is the primary method for treating localized recession defects using composite bonding?
What is the primary method for treating localized recession defects using composite bonding?
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What is a primary factor contributing to gingival recession?
What is a primary factor contributing to gingival recession?
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When might treatment for gingival recession be considered necessary?
When might treatment for gingival recession be considered necessary?
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Which of the following statements is true regarding treatment options for gingival recession?
Which of the following statements is true regarding treatment options for gingival recession?
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What may not be a concern for some patients with gingival recession?
What may not be a concern for some patients with gingival recession?
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Which condition might prompt a patient to seek treatment for gingival recession?
Which condition might prompt a patient to seek treatment for gingival recession?
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What is the focus of subsequent papers in the series about gingival recession?
What is the focus of subsequent papers in the series about gingival recession?
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What might influence whether patients express concern about gingival recession?
What might influence whether patients express concern about gingival recession?
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Which of the following is NOT mentioned as an aetiological factor in gingival recession?
Which of the following is NOT mentioned as an aetiological factor in gingival recession?
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What can be a potential consequence of a Class II Div 1 or Class II Div 2 incisal relationship?
What can be a potential consequence of a Class II Div 1 or Class II Div 2 incisal relationship?
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How can high fraenal attachments affect periodontal health?
How can high fraenal attachments affect periodontal health?
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What might lead to recession due to iatrogenic damage?
What might lead to recession due to iatrogenic damage?
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What is the relationship between alveolar dehiscence and gingival biotype?
What is the relationship between alveolar dehiscence and gingival biotype?
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Which factor has poor evidence linking it to gum recession?
Which factor has poor evidence linking it to gum recession?
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Which of the following factors can make it difficult to maintain oral hygiene?
Which of the following factors can make it difficult to maintain oral hygiene?
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What type of damage can contribute to localised periodontal problems?
What type of damage can contribute to localised periodontal problems?
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Which area is most likely to show generalised recession due to gingival issues?
Which area is most likely to show generalised recession due to gingival issues?
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What is a common cause of gingival recession associated with tooth loss?
What is a common cause of gingival recession associated with tooth loss?
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What negative outcome can occur due to gingival recession?
What negative outcome can occur due to gingival recession?
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Which structure is described as the highest point of the gingival margin around a tooth?
Which structure is described as the highest point of the gingival margin around a tooth?
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According to studies, where is the average gingival zenith position relative to the midline on central incisors?
According to studies, where is the average gingival zenith position relative to the midline on central incisors?
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Which factors contribute to poor aesthetics in gingival biotypes?
Which factors contribute to poor aesthetics in gingival biotypes?
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What might be a treatment approach to address gingival recession and patient's aesthetic concerns?
What might be a treatment approach to address gingival recession and patient's aesthetic concerns?
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What should be considered when treating sensitivity caused by gingival recession?
What should be considered when treating sensitivity caused by gingival recession?
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What can be a result of inadequate management of gingival recession?
What can be a result of inadequate management of gingival recession?
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What is the primary concern addressed by careful placement of a composite restoration?
What is the primary concern addressed by careful placement of a composite restoration?
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Which of the following treatment options is NOT mentioned as a non-surgical option for treating recession?
Which of the following treatment options is NOT mentioned as a non-surgical option for treating recession?
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Which of the following statements about desensitizing agents is CORRECT based on the text?
Which of the following statements about desensitizing agents is CORRECT based on the text?
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What is the main reason why careful placement of composite restoration is crucial regarding plaque retention?
What is the main reason why careful placement of composite restoration is crucial regarding plaque retention?
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Which of the following is NOT a possible reason why surgical treatment might not be suitable for a patient with gingival recession?
Which of the following is NOT a possible reason why surgical treatment might not be suitable for a patient with gingival recession?
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Based on the text, what is the most accurate conclusion about the effectiveness of various treatment modalities for dentine hypersensitivity?
Based on the text, what is the most accurate conclusion about the effectiveness of various treatment modalities for dentine hypersensitivity?
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Which of the following treatment options is LEAST likely to be considered for a patient with a high concern for aesthetics?
Which of the following treatment options is LEAST likely to be considered for a patient with a high concern for aesthetics?
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What is the main reason behind the suggestion that the evidence for strontium or potassium containing desensitizing agents is weak?
What is the main reason behind the suggestion that the evidence for strontium or potassium containing desensitizing agents is weak?
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Flashcards
Gingival recession
Gingival recession
The loss of gum tissue resulting in exposure of tooth roots.
Aetiology of gingival recession
Aetiology of gingival recession
The study of factors causing gingival recession, including inflammation.
Non-surgical treatments
Non-surgical treatments
Methods to manage gingival recession without surgery, focusing on aesthetics and sensitivity.
Indirect factors
Indirect factors
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Dentine hypersensitivity
Dentine hypersensitivity
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Aesthetic concerns
Aesthetic concerns
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Surgical treatment options
Surgical treatment options
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Mechanical influences
Mechanical influences
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Class II Division 1
Class II Division 1
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Alveolar dehiscence
Alveolar dehiscence
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Thin gingival biotype
Thin gingival biotype
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Aberrant frena
Aberrant frena
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Signs of recession
Signs of recession
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Iatrogenic damage
Iatrogenic damage
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Plaque trap
Plaque trap
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Oral hygiene difficulties
Oral hygiene difficulties
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Akerly Classification
Akerly Classification
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Class I Akerly
Class I Akerly
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Class II Akerly Div 1
Class II Akerly Div 1
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Class II Akerly Div 2
Class II Akerly Div 2
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Class III Akerly
Class III Akerly
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Mechanical Factors
Mechanical Factors
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Right-Handed Brushing
Right-Handed Brushing
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Free Gingival Tissue
Free Gingival Tissue
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Connective Tissue
Connective Tissue
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Gingival Zenith
Gingival Zenith
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Cervical Lesions
Cervical Lesions
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Periodontal Disease
Periodontal Disease
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Tooth Sensitivity
Tooth Sensitivity
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Dentine hypersensitivity treatment
Dentine hypersensitivity treatment
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Zenith position
Zenith position
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Symmetry in aesthetics
Symmetry in aesthetics
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Composite resin use
Composite resin use
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Dentine tubules
Dentine tubules
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Root surface coverage products
Root surface coverage products
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Black triangles
Black triangles
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Interproximal bone loss
Interproximal bone loss
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Desensitising agents
Desensitising agents
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Composite restoration
Composite restoration
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Dentine bonding agents
Dentine bonding agents
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Pink porcelain veneers
Pink porcelain veneers
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Removable gingival veneers
Removable gingival veneers
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Surgery for recession defects
Surgery for recession defects
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Monitoring and prevention
Monitoring and prevention
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Toothpaste for sensitivity
Toothpaste for sensitivity
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Study Notes
Gingival Recession: Aetiology and Non-Surgical Management
- Gingival recession is the displacement of the gingival tissue margin apically to the cemento-enamel junction, exposing the root surface.
- Prevalence increases with age, and can occur in patients with good or poor oral hygiene and periodontal health.
- Recession can be due to direct mechanical/physical factors or indirectly from an inflammatory response.
- Direct mechanical/physical factors include vigorous tooth brushing (especially with hard-bristled toothbrushes), traumatic incisal relationships (Akerly classes II and III), trauma from foreign bodies (e.g., piercings), and teeth that are prominent or misaligned (leading to alveolar dehiscence).
- Traumatic incisal relationships can cause gingival tissue stripping. Akerly described four classes. Class II and III relationships can lead to localized recession of upper anterior teeth (palatal) or lower anterior teeth (labial).
- Inflammatory factors include gingival biotype (thin biotypes are more susceptible), periodontal disease leading to bone loss, poor marginal fit of restorations, inadequate crown emergence angles, rough surfaces or overhangs of restorations leading to plaque traps - thus causing inflammation and apical migration of the soft tissue margin.
- Poor oral hygiene, high frenum attachments, iatrogenic damage from restorative or periodontal interventions, and orthodontic movement (especially labial) of teeth can cause gingival recession.
- Patient complaints include sensitivity (dentine hypersensitivity) and aesthetic concerns, including uneven gingival zeniths, visibility of black triangles, and poor spacing between teeth.
Non-Surgical Treatment Options
- Monitoring and prevention of further recession (in cases with minimal defects).
- Desensitizing agents, varnishes, and dentine bonding agents can treat dentin hypersensitivity.
- Composite restorations can address small localized defects, and closing "black triangles" caused by recession.
- Pink porcelain or composite restorations can be utilized in extensive recession to replace lost tissue. Careful placement is important to avoid new plaque build-up.
- Removable gingival veneers (made from heat cured acrylic or silicone) can restore large volumes of recession and spacing. These veneers can create esthetic symmetry.
- Orthodontic intervention may be used in some cases to alter tooth position to improve alveolar bone growth and prevent or reverse recession. Can be combined with other techniques.
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Description
Explore the causes and non-surgical management of gingival recession in this informative quiz. Learn about direct mechanical factors, inflammatory responses, and the impact of oral hygiene on gingival health. Perfect for dental students and professionals looking to deepen their understanding of periodontal issues.