Gingival Recession and Grafting Procedures

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What is the primary goal of apically positioned flap elevation in treating gingival recession?

To improve blood supply to the graft

To reduce bone resorption

To increase the width of keratinized gingiva (correct)

To create a donor site for subsequent grafting

Which type of graft remains connected to the donor site after placement on the recipient bed?

Subepithelial CT graft

Allogenic graft

Free gingival graft

Pedicle graft (correct)

What is the typical contraction rate of a free gingival graft during the healing process?

20% contraction

30% contraction

75% contraction

50% contraction (correct)

What is the purpose of creating a partial thickness flap in the recipient site during free gingival grafting?

To create a firm CT bed for the graft Signup and view all the answers

What is the main disadvantage of apically positioned flap elevation?

Bone resorption Signup and view all the answers

What is the primary advantage of pedicle grafts over free gingival grafts?

Better blood supply Signup and view all the answers

What is the primary advantage of using a semilunar coronally positioned flap in root coverage pedicle grafts?

It does not disturb the adjacent papillae Signup and view all the answers

In which case is a double-step procedure necessary for root coverage pedicle grafts?

When there is an insufficient zone of keratinized gingiva Signup and view all the answers

What is the purpose of the 2-3 mm of connective tissue bed in a free gingival graft?

To allow for graft vascular supply Signup and view all the answers

What is the primary indication for a laterally positioned flap in root coverage pedicle grafts?

Narrow recession with adequate interdental bone height Signup and view all the answers

What is the advantage of using a subepithelial connective tissue graft?

It provides a better color match and esthetics Signup and view all the answers

What is the disadvantage of a double papilla flap in root coverage pedicle grafts?

Suturing the two flaps over the root surface Signup and view all the answers

What is the primary disadvantage of using a free gingival graft?

Color mismatch Signup and view all the answers

What is the purpose of a coronally positioned flap in root coverage pedicle grafts?

To position a split-thickness flap coronally to cover the root Signup and view all the answers

What is the primary advantage of using a coronally positioned flap in root coverage pedicle grafts?

It allows for a single-step procedure Signup and view all the answers

What is the characteristic of an epithelialized graft?

It is a free gingival graft Signup and view all the answers

What is the advantage of a laterally positioned flap in root coverage pedicle grafts?

It has sufficient blood supply and color blend is excellent Signup and view all the answers

What is the indication for a double papilla flap in root coverage pedicle grafts?

Wide interdental papilla adjacent to the recession Signup and view all the answers

What is the most common site for harvesting subepithelial connective tissue grafts?

Maxillary premolars and 1st molar area Signup and view all the answers

Which of the following grafts is positioned laterally to cover the root?

Pedicle graft Signup and view all the answers

What is the name of the flap used to cover the root, which involves repositioning the flap coronally?

Coronally advanced flap Signup and view all the answers

What is the name of the grafting procedure that involves harvesting gingiva from the palate?

Free gingival graft Signup and view all the answers

Which classification system is used to classify gingival recession?

Miller's Classification Signup and view all the answers

What is the name of the flap that involves reflecting the flap apically to cover the root?

Apically positioned flap Signup and view all the answers

What is the primary indication for root coverage in cases of gingival recession?

Esthetic demand and root sensitivity Signup and view all the answers

What is the critical thickness of a free gingival graft to ensure proper survival and avoid graft necrosis?

1.5-2 mm Signup and view all the answers

In the Miller classification, which class of gingival recession is expected to have only partial root coverage?

Class III and IV Signup and view all the answers

What is the primary objective of root surface treatment in root coverage?

To remove the smear layer and promote new fibrous attachment Signup and view all the answers

During the healing process of a free gingival graft, what is the critical phase that determines the graft's survival?

Initial phase (0-3 days) Signup and view all the answers

What is the purpose of creating a foil template during the grafting procedure?

To determine the proper graft thickness Signup and view all the answers

What is the primary goal of crown lengthening in excessive gingival display?

To expose the anatomical crown Signup and view all the answers

What is the minimum amount of keratinized marginal tissue required after anatomical crown exposure?

3 mm Signup and view all the answers

Which type of crown lengthening procedure is indicated when there is inadequate keratinized tissue and osseous recontouring is needed?

Apically positioned flap Signup and view all the answers

What is the primary consideration for choosing a crown lengthening procedure?

All of the above Signup and view all the answers

Which type of crown lengthening procedure is contraindicated for a single tooth in the esthetic zone?

All of the above Signup and view all the answers

What is the purpose of a reverse bevel incision in apically positioned flap?

To facilitate flap elevation Signup and view all the answers

Which type of crown lengthening procedure is indicated when there is thick gingival phenotype and no need for osseous contouring?

Gingivectomy Signup and view all the answers

What is the primary advantage of crown lengthening over other treatment modalities?

Improved esthetics Signup and view all the answers

What is the critical factor in determining the choice of crown lengthening procedure?

Need for osseous recontouring Signup and view all the answers

What is the primary goal of esthetic crown lengthening procedures?

To obtain esthetic harmony by leveling and aligning gingival margins and crowns Signup and view all the answers

What is the primary cause of excessive gingival display?

All of the above Signup and view all the answers

Which procedure is used to level and align gingival margins and crowns without fibrotomy?

Forced tooth eruption Signup and view all the answers

What is the primary objective of interdental papilla reconstruction?

To reconstruct the lost interdental papilla Signup and view all the answers

Which chapter in Carranza's Clinical Periodontology covers esthetic crown lengthening procedures?

Chapter 58 Signup and view all the answers

What is the primary goal of ridge augmentation and correction of ridge defects?

To prevent post-extraction soft tissue collapse Signup and view all the answers

Which procedure is used to prevent deformed edentulous ridges?

Ridge augmentation Signup and view all the answers

What is the primary indication for esthetic crown lengthening procedures?

All of the above Signup and view all the answers

Which classification system is used for interdental papilla reconstruction?

Classification for interdental papilla Signup and view all the answers

What is the main advantage of using forced tooth eruption with fiberotomy in crown lengthening procedures?

It prevents crestal bone from following the root in a coronal direction Signup and view all the answers

What is the primary indication for using forced tooth eruption without fiberotomy in crown lengthening procedures?

To reduce pocket depth at sites with angular bony defects Signup and view all the answers

What is the outcome of crown lengthening with forced tooth eruption when the tooth reaches the intended position?

The tooth is stabilized and the full-thickness flap and bone recontouring are performed Signup and view all the answers

What is the purpose of severing the supracrestal CT fibers during forced tooth eruption with fiberotomy?

To prevent crestal bone from following the root in a coronal direction Signup and view all the answers

How often is the fiberotomy procedure typically performed during forced tooth eruption with fiberotomy?

At 7–10 day intervals Signup and view all the answers

What is the characteristic of the tooth–gingiva interface at adjacent teeth after forced tooth eruption with fiberotomy?

It is unchanged Signup and view all the answers

What is the primary advantage of using forced tooth eruption for crown lengthening procedures?

It preserves the bone and soft tissue level of adjacent teeth for esthetic reasons Signup and view all the answers

What is the outcome of forced tooth eruption when the tooth is extruded a distance equal to or slightly longer than the portion of sound tooth structure?

The tooth is stabilized and the full-thickness flap and bone recontouring are performed Signup and view all the answers

What is the purpose of recontouring the bone during forced tooth eruption procedures?

To expose sound root structure Signup and view all the answers

What is the primary goal of esthetic crown lengthening procedures?

To obtain esthetic harmony Signup and view all the answers

What is the primary cause of excessive gingival display?

Short clinical crowns Signup and view all the answers

Which procedure is used to level and align gingival margins and the crowns of teeth without fibrotomy?

Forced tooth eruption Signup and view all the answers

What is the primary objective of interdental papilla reconstruction?

To reconstruct the interdental papilla Signup and view all the answers

What is the primary goal of ridge augmentation and correction of ridge defects?

To prevent post-extraction soft tissue collapse Signup and view all the answers

Which chapter in Carranza's Clinical Periodontology covers esthetic crown lengthening procedures?

Chapter 58 Signup and view all the answers

What is the primary indication for using forced tooth eruption without fiberotomy in crown lengthening procedures?

When there is excessive gingival display Signup and view all the answers

Which classification system is used for interdental papilla reconstruction?

Interdental papilla classification Signup and view all the answers

What is the primary advantage of using forced tooth eruption with fiberotomy in crown lengthening procedures?

It is more predictable than other procedures Signup and view all the answers

What is the primary goal of forced tooth eruption with fiberotomy in crown lengthening procedures?

To prevent crestal bone from following the root in a coronal direction Signup and view all the answers

What is the main advantage of using forced tooth eruption over other crown lengthening procedures?

It preserves the adjacent teeth's gingival margin Signup and view all the answers

What is the purpose of stabilizing the tooth in its intended position in forced tooth eruption?

To prevent the tooth from moving back to its original position Signup and view all the answers

What is the result of forced tooth eruption with fiberotomy on the tooth-gingiva interface of adjacent teeth?

It is unaltered and preserved at its pretreatment location Signup and view all the answers

What is the primary indication for using forced tooth eruption without fiberotomy in crown lengthening procedures?

For reducing pocket depth at sites with angular bony defects Signup and view all the answers

What is the purpose of severing the supracrestal CT fibers in forced tooth eruption with fiberotomy?

To prevent crestal bone from following the root in a coronal direction Signup and view all the answers

How often is the scalpel used to sever the supracrestal CT fibers in forced tooth eruption with fiberotomy?

At 7-10 day intervals Signup and view all the answers

What is the result of forced tooth eruption on the amount of sound root structure exposed?

It is equal to the portion of sound tooth structure that will be exposed in the subsequent surgical treatment Signup and view all the answers

What is the primary goal of crown lengthening procedures in cases of excessive gingival display?

To improve esthetic results by altering the gingival display Signup and view all the answers

What is the primary consideration for choosing a crown lengthening procedure?

All of the above Signup and view all the answers

What is the minimum amount of keratinized marginal tissue required after anatomical crown exposure?

3mm Signup and view all the answers

What is the indication for gingivectomy (internal bevel) in crown lengthening?

Adequate zone of keratinized gingiva and no need for osseous contouring Signup and view all the answers

What is the purpose of a reverse bevel incision in apically positioned flap?

To recontour the alveolar bone crest Signup and view all the answers

What is the contraindication for crown lengthening of a single tooth in the esthetic zone?

Crown lengthening of a single tooth in the esthetic zone Signup and view all the answers

What is the primary goal of crown lengthening in excessive gingival display?

To expose the anatomical crown Signup and view all the answers

What is the indication for apically positioned flap in crown lengthening?

Inadequate keratinized tissue and need for osseous recontouring Signup and view all the answers

What is the advantage of gingivectomy (internal bevel) over apically positioned flap?

No need for osseous recontouring Signup and view all the answers

What is the primary cause of excessive gingival display?

All of the above Signup and view all the answers

Gingival Recession and Grafting Procedures

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Questions and Answers

What is the primary goal of apically positioned flap elevation in treating gingival recession?

Which type of graft remains connected to the donor site after placement on the recipient bed?

What is the typical contraction rate of a free gingival graft during the healing process?

What is the purpose of creating a partial thickness flap in the recipient site during free gingival grafting?

What is the main disadvantage of apically positioned flap elevation?

What is the primary advantage of pedicle grafts over free gingival grafts?

What is the primary advantage of using a semilunar coronally positioned flap in root coverage pedicle grafts?

In which case is a double-step procedure necessary for root coverage pedicle grafts?

What is the purpose of the 2-3 mm of connective tissue bed in a free gingival graft?

What is the primary indication for a laterally positioned flap in root coverage pedicle grafts?

What is the advantage of using a subepithelial connective tissue graft?

What is the disadvantage of a double papilla flap in root coverage pedicle grafts?

What is the primary disadvantage of using a free gingival graft?

What is the purpose of a coronally positioned flap in root coverage pedicle grafts?

What is the primary advantage of using a coronally positioned flap in root coverage pedicle grafts?

What is the characteristic of an epithelialized graft?

What is the advantage of a laterally positioned flap in root coverage pedicle grafts?

What is the indication for a double papilla flap in root coverage pedicle grafts?

What is the most common site for harvesting subepithelial connective tissue grafts?

Which of the following grafts is positioned laterally to cover the root?

What is the name of the flap used to cover the root, which involves repositioning the flap coronally?

What is the name of the grafting procedure that involves harvesting gingiva from the palate?

Which classification system is used to classify gingival recession?

What is the name of the flap that involves reflecting the flap apically to cover the root?

What is the primary indication for root coverage in cases of gingival recession?

What is the critical thickness of a free gingival graft to ensure proper survival and avoid graft necrosis?

In the Miller classification, which class of gingival recession is expected to have only partial root coverage?

What is the primary objective of root surface treatment in root coverage?

During the healing process of a free gingival graft, what is the critical phase that determines the graft's survival?

What is the purpose of creating a foil template during the grafting procedure?

What is the primary goal of crown lengthening in excessive gingival display?

What is the minimum amount of keratinized marginal tissue required after anatomical crown exposure?

Which type of crown lengthening procedure is indicated when there is inadequate keratinized tissue and osseous recontouring is needed?

What is the primary consideration for choosing a crown lengthening procedure?

Which type of crown lengthening procedure is contraindicated for a single tooth in the esthetic zone?

What is the purpose of a reverse bevel incision in apically positioned flap?

Which type of crown lengthening procedure is indicated when there is thick gingival phenotype and no need for osseous contouring?

What is the primary advantage of crown lengthening over other treatment modalities?

What is the critical factor in determining the choice of crown lengthening procedure?

What is the primary goal of esthetic crown lengthening procedures?

What is the primary cause of excessive gingival display?

Which procedure is used to level and align gingival margins and crowns without fibrotomy?

What is the primary objective of interdental papilla reconstruction?

Which chapter in Carranza's Clinical Periodontology covers esthetic crown lengthening procedures?

What is the primary goal of ridge augmentation and correction of ridge defects?

Which procedure is used to prevent deformed edentulous ridges?

What is the primary indication for esthetic crown lengthening procedures?

Which classification system is used for interdental papilla reconstruction?

What is the main advantage of using forced tooth eruption with fiberotomy in crown lengthening procedures?

What is the primary indication for using forced tooth eruption without fiberotomy in crown lengthening procedures?

What is the outcome of crown lengthening with forced tooth eruption when the tooth reaches the intended position?

What is the purpose of severing the supracrestal CT fibers during forced tooth eruption with fiberotomy?

How often is the fiberotomy procedure typically performed during forced tooth eruption with fiberotomy?

What is the characteristic of the tooth–gingiva interface at adjacent teeth after forced tooth eruption with fiberotomy?

What is the primary advantage of using forced tooth eruption for crown lengthening procedures?

What is the outcome of forced tooth eruption when the tooth is extruded a distance equal to or slightly longer than the portion of sound tooth structure?

What is the purpose of recontouring the bone during forced tooth eruption procedures?

What is the primary goal of esthetic crown lengthening procedures?

What is the primary cause of excessive gingival display?

Which procedure is used to level and align gingival margins and the crowns of teeth without fibrotomy?

What is the primary objective of interdental papilla reconstruction?

What is the primary goal of ridge augmentation and correction of ridge defects?

Which chapter in Carranza's Clinical Periodontology covers esthetic crown lengthening procedures?

What is the primary indication for using forced tooth eruption without fiberotomy in crown lengthening procedures?

Which classification system is used for interdental papilla reconstruction?

What is the primary advantage of using forced tooth eruption with fiberotomy in crown lengthening procedures?

What is the primary goal of forced tooth eruption with fiberotomy in crown lengthening procedures?

What is the main advantage of using forced tooth eruption over other crown lengthening procedures?

What is the purpose of stabilizing the tooth in its intended position in forced tooth eruption?

What is the result of forced tooth eruption with fiberotomy on the tooth-gingiva interface of adjacent teeth?

What is the primary indication for using forced tooth eruption without fiberotomy in crown lengthening procedures?

What is the purpose of severing the supracrestal CT fibers in forced tooth eruption with fiberotomy?

How often is the scalpel used to sever the supracrestal CT fibers in forced tooth eruption with fiberotomy?

What is the result of forced tooth eruption on the amount of sound root structure exposed?

What is the primary goal of crown lengthening procedures in cases of excessive gingival display?

What is the primary consideration for choosing a crown lengthening procedure?