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Questions and Answers
What is the primary definition of gingival recession?
What is the primary definition of gingival recession?
Which of the following is a mechanical factor that can cause gingival recession?
Which of the following is a mechanical factor that can cause gingival recession?
How does toothbrush trauma relate to gingival recession?
How does toothbrush trauma relate to gingival recession?
In which aspect of the teeth is gingival recession often localized?
In which aspect of the teeth is gingival recession often localized?
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Which of the following is NOT a common cause of gingival recession?
Which of the following is NOT a common cause of gingival recession?
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To monitor gingival recession, which of the following measures is essential among dental professionals?
To monitor gingival recession, which of the following measures is essential among dental professionals?
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What is a common complication associated with gingival recession?
What is a common complication associated with gingival recession?
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What is the purpose of holding the probe parallel to the long axis of the tooth during periodontal measurements?
What is the purpose of holding the probe parallel to the long axis of the tooth during periodontal measurements?
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How is Loss of Attachment (LOA) measured?
How is Loss of Attachment (LOA) measured?
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What should be the initial action taken if recession is noted in a patient?
What should be the initial action taken if recession is noted in a patient?
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What does clinical loss of attachment (CLOA) also refer to?
What does clinical loss of attachment (CLOA) also refer to?
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Which classification system is commonly used for marginal tissue recession?
Which classification system is commonly used for marginal tissue recession?
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What can a marked frenal attachment cause?
What can a marked frenal attachment cause?
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What is a significant iatrogenic risk during the treatment of periodontal disease?
What is a significant iatrogenic risk during the treatment of periodontal disease?
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Which of the following is NOT an aetiological factor behind recession?
Which of the following is NOT an aetiological factor behind recession?
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What characteristic describes the gingival tissue in a thin gingival biotype?
What characteristic describes the gingival tissue in a thin gingival biotype?
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The apical migration of the gingival margin is indicative of which condition?
The apical migration of the gingival margin is indicative of which condition?
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What potential complication arises from having poor marginal fit of dental restorations?
What potential complication arises from having poor marginal fit of dental restorations?
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Which of the following factors is associated with an increased risk of recession?
Which of the following factors is associated with an increased risk of recession?
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What is a common appearance of gingival tissue in individuals with a thick biotype?
What is a common appearance of gingival tissue in individuals with a thick biotype?
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What is the primary concern regarding gingival recession after periodontal treatment?
What is the primary concern regarding gingival recession after periodontal treatment?
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What can be a consequence of food stagnation in the mouth?
What can be a consequence of food stagnation in the mouth?
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Which factor can contribute to mechanical damage in the context of recession?
Which factor can contribute to mechanical damage in the context of recession?
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What is an important recommendation for managing plaque stagnation?
What is an important recommendation for managing plaque stagnation?
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What should patients be educated about regarding trauma from foreign bodies?
What should patients be educated about regarding trauma from foreign bodies?
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What type of teeth movement might be considered iatrogenic?
What type of teeth movement might be considered iatrogenic?
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How should the process of measuring recession be approached?
How should the process of measuring recession be approached?
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What is one of the significant risks associated with smoking in relation to dental health?
What is one of the significant risks associated with smoking in relation to dental health?
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What is a common misconception regarding the role of gingival biotype in recession?
What is a common misconception regarding the role of gingival biotype in recession?
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Which of the following is NOT considered a traumatic factor in recession?
Which of the following is NOT considered a traumatic factor in recession?
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What aspect should be closely monitored to halt the progression of recession?
What aspect should be closely monitored to halt the progression of recession?
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Which of the following is a consequence of smoking on periodontal health?
Which of the following is a consequence of smoking on periodontal health?
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What can poor marginal fit of restorations lead to?
What can poor marginal fit of restorations lead to?
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Which tooth movement can cause gingival recession, especially in individuals with a thin biotype?
Which tooth movement can cause gingival recession, especially in individuals with a thin biotype?
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What is one potential effect of gingival recession on a patient?
What is one potential effect of gingival recession on a patient?
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What aesthetic issue can arise from gingival recession?
What aesthetic issue can arise from gingival recession?
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What can exposure of the dentine root surface cause?
What can exposure of the dentine root surface cause?
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What dental condition can result from dentine hypersensitivity?
What dental condition can result from dentine hypersensitivity?
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What impact does gingival recession have on oral hygiene?
What impact does gingival recession have on oral hygiene?
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What factor makes exposed dentine more prone to caries?
What factor makes exposed dentine more prone to caries?
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Which of the following statements about orthodontic treatment is true?
Which of the following statements about orthodontic treatment is true?
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Flashcards
Gingival Recession
Gingival Recession
Displacement of gum tissue, exposing tooth root.
Mechanical Factors (Recession)
Mechanical Factors (Recession)
Causes of gum recession related to physical forces.
Trauma from Toothbrush
Trauma from Toothbrush
Recession due to harsh or improper brushing.
Traumatic Incisal Rel.
Traumatic Incisal Rel.
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Iatrogenic Damage
Iatrogenic Damage
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Abnormal Frenum Attachment
Abnormal Frenum Attachment
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Localized Recession
Localized Recession
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Frenal Pull
Frenal Pull
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Recession Impact
Recession Impact
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Iatrogenic Risk
Iatrogenic Risk
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Inflammatory Factors
Inflammatory Factors
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Gingival Biotype
Gingival Biotype
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Thin Biotype
Thin Biotype
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Periodontal Disease & Recession
Periodontal Disease & Recession
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Orthodontic Movement & Recession
Orthodontic Movement & Recession
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Recession Measurement
Recession Measurement
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Loss of Attachment (LOA)
Loss of Attachment (LOA)
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Miller's Classification
Miller's Classification
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Probing Depth
Probing Depth
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Parallel Probe Placement
Parallel Probe Placement
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Smoking & Periodontal Disease
Smoking & Periodontal Disease
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Poor Marginal Fit of Restorations-Impact
Poor Marginal Fit of Restorations-Impact
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Dentine Hypersensitivity-Cause
Dentine Hypersensitivity-Cause
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Aesthetic Effects of Recession
Aesthetic Effects of Recession
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Root Caries-Cause
Root Caries-Cause
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Food Trap & Plaque Stagnation
Food Trap & Plaque Stagnation
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Confidence & Speaking Issues
Confidence & Speaking Issues
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Comfort & Eating
Comfort & Eating
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Critical pH Levels
Critical pH Levels
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Plaque Stagnation
Plaque Stagnation
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Food Trapping
Food Trapping
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Black Triangles
Black Triangles
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Recession
Recession
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Inflammatory Factors (Recession)
Inflammatory Factors (Recession)
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Orthodontic Tooth Movement
Orthodontic Tooth Movement
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Stabilizing Recession
Stabilizing Recession
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Consequences of Recession
Consequences of Recession
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Study Notes
Gingival Recession
- Gingival recession is the displacement of the gingival margin apically to the cemento-enamel junction, exposing the root surface.
- This condition can be localized or generalized.
Intended Learning Outcomes
- Explain the multiple etiological factors associated with gingival recession.
- Recognize the oral health impact of gingival recession on the dental patient.
- Identify methods for measuring and monitoring gingival recession.
- Identify various treatment modalities for gingival recession in dental patients.
Definition
- Gingival recession involves the gingival margin moving below the cemento-enamel junction (CEJ), exposing the root surface.
Healthy Gingival Tissues
- Alveolar mucosa
- Mucogingival junction
- Attached gingiva
- Free gingiva
- Interdental papilla
- Stippling
- Keratinized tissue (KT)
Clinical Appearance
- Determine if gingival recession is localized or generalized.
Recession
- Recession is often confined to a single tooth surface, typically the labial/buccal aspect.
- Recession alone does not typically jeopardize periodontal support.
- The underlying cause of gingival recession should be considered.
Causative Factors: Mechanical
- Toothbrush trauma (prolonged aggressive brushing, inappropriate oral hygiene aids)
- Traumatic incisor relationship (lower incisors impacting the upper incisors)
- Trauma from foreign bodies (lower lip stud, tongue stud)
- Abnormal frenum attachment
- Iatrogenic damage
Causative Factors: Inflammatory
- Gingival biotype
- Periodontal disease
- Smoking
- Poor marginal fit of restorations
- Orthodontic tooth movement
Gingival Biotype
- Gingival tissue is often delicate and translucent.
- The tissue may appear friable with a minimal attached gingiva zone.
Periodontal Disease
- Apical migration of the gingival margin is a sign of periodontal disease.
Smoking
- Smoking significantly impacts periodontal health.
- Smokers are more susceptible to periodontal disease.
Poor Marginal Fit of Restorations
- Low-grade irritation from sub-gingival margins can negatively affect the width of the biological gingival tissue.
- Plaque stagnation is a risk.
- Gingival recession can occur in susceptible patients.
Orthodontic Movement
- Orthodontic tooth movement can lead to gingival recession, especially in rapid orthodontic movement in adults, particularly in patients with thin biotypes.
Impact of Gingival Recession on the Patient
- Dentin hypersensitivity
- Aesthetic concerns
- Root caries
- Food traps/plaque stagnation
- Confidence/speaking difficulties
- Comfort with eating
Dentin Hypersensitivity
- Recession exposes the dentin root surface, potentially causing hypersensitivity in the patient.
- Hyperaemia of the pulp might occur due to root surface exposure.
Aesthetic Considerations
- Recession might lead to poor aesthetics, frequently creating a "black triangle" appearance.
Root Caries
- Exposed root surfaces are less mineralized and thus more susceptible to caries compared to enamel.
- Caries progression speed is faster on exposed root surfaces.
Plaque Stagnation and Food Trapping
- Improper oral hygiene can lead to plaque stagnation and problematic food trapping.
Summary of Causative Factors
- A diagram illustrating mechanical and inflammatory factors associated with recession. Include detailed descriptions.
Measuring & Monitoring Recession
- Recession is measured from the cemento-enamel junction (CEJ) to the gingival margin.
- A probe held parallel to the tooth's long axis, with clear markings, is used.
Loss of Attachment (LOA)
- It's a combination of recession and probing depth.
- Sometimes expressed as clinical loss of attachment (CLOA) or clinical attachment loss (CAL).
Recession Management
- Refer to the diagram, showing a cyclical process of patient management:
- Refer
- Inform the patient
- Monitor
- Identify the cause
- Treat as needed
- Educatie patient
- Measure and record
Miller's Classification of Recession
- Classification system defining different degrees of gingival recession:
- Class I: Recession does not extend to the mucogingival junction (MGJ)
- Class II: Recession extends to or beyond the MGJ, but there's no loss of interdental bone or soft tissue.
- Class III: Recession extends to or beyond the MGJ, with loss of interdental bone or soft tissue coronal to the apical extent of the gingival recession.
- Class IV: Recession extends to or beyond the MGJ with loss of interdental bone or soft tissue with apical to the extent of the marginal tissue recession.
Treatment Modalities
- Periodontal treatment (surgical or non-surgical)
- Desensitizing agents
- Gingival veneers
- Composite restorations
- Referral for surgical intervention
- Gingival graft surgery
Gingival Veneers
- Removable acrylic facings to improve aesthetics.
Restorations
- Composite used to cover sensitive, caries-prone exposed dentine in cervical areas.
Considerations for Treatment
- Difficult treatment in some cases
- Limited compliance
Monitoring Gingival Recession
- Regularly measure and monitor recession.
- Respond to treatment needs.
- Refer as needed.
Summary Revision Slide
- A diagram summarizing all aspects of gingival recession, such as identification, measurement, impact on patients, treatment, and monitoring strategies.
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Description
Explore the essential aspects of gingival recession, including its definitions, etiological factors, and clinical appearances. This quiz will help you recognize the implications of gingival recession on oral health and identify various treatment modalities available for dental patients.