Podcast
Questions and Answers
Which of the following is NOT a possible cause of gingival recession?
Which of the following is NOT a possible cause of gingival recession?
- Tongue thrusting
- Mouth breathing
- Dental fillings (correct)
- Improper flossing technique
What is the primary reason why exposed dentin leads to tooth sensitivity?
What is the primary reason why exposed dentin leads to tooth sensitivity?
- Dentin contains nerve endings which are exposed when the gum recedes. (correct)
- Dentin is naturally more sensitive to stimuli than enamel.
- Exposed dentin is more susceptible to bacteria and infection.
- Dentin is a softer tissue than enamel and therefore more easily damaged.
What is the most common consequence of constant pressure from the tongue or lips on the gums?
What is the most common consequence of constant pressure from the tongue or lips on the gums?
- Gum bleeding
- Tooth discoloration
- Gingival inflammation (correct)
- Tooth decay
Which of these areas is MOST likely to experience recession due to tongue and lip habits?
Which of these areas is MOST likely to experience recession due to tongue and lip habits?
How does a dry mouth environment contribute to gingival recession?
How does a dry mouth environment contribute to gingival recession?
What is the primary factor that determines where gingival recession occurs due to the forceful use of toothpicks or floss?
What is the primary factor that determines where gingival recession occurs due to the forceful use of toothpicks or floss?
Which of the following is NOT a common effect of gingival recession?
Which of the following is NOT a common effect of gingival recession?
Why is the use of dental floss with excessive force potentially harmful to the gums?
Why is the use of dental floss with excessive force potentially harmful to the gums?
Which of the following is NOT a primary reason patients seek treatment for gingival recession?
Which of the following is NOT a primary reason patients seek treatment for gingival recession?
What part of the tooth is often more visibly exposed due to gingival recession?
What part of the tooth is often more visibly exposed due to gingival recession?
Which of the following is NOT a reason why exposed root surfaces are more susceptible to decay?
Which of the following is NOT a reason why exposed root surfaces are more susceptible to decay?
What is the term for decay of the root surface?
What is the term for decay of the root surface?
How does the presence of deeper pockets between the gums and teeth impact plaque accumulation?
How does the presence of deeper pockets between the gums and teeth impact plaque accumulation?
What is the main support structure for teeth that is compromised by gingival recession?
What is the main support structure for teeth that is compromised by gingival recession?
What is the clinical consequence of compromised periodontal support due to recession?
What is the clinical consequence of compromised periodontal support due to recession?
What is a potential consequence of poor plaque control in areas with gingival recession?
What is a potential consequence of poor plaque control in areas with gingival recession?
What makes it difficult for patients to maintain proper oral hygiene with gingival recession?
What makes it difficult for patients to maintain proper oral hygiene with gingival recession?
Which of the following is NOT a potential impact of gingival recession on a patient's well-being?
Which of the following is NOT a potential impact of gingival recession on a patient's well-being?
Which of the following symptoms are linked to gingival recession, potentially leading to patients avoiding brushing?
Which of the following symptoms are linked to gingival recession, potentially leading to patients avoiding brushing?
What is the primary reason for the darker appearance of exposed root surfaces?
What is the primary reason for the darker appearance of exposed root surfaces?
What is a potential consequence of the inability to properly clean recessed areas due to gingival recession?
What is a potential consequence of the inability to properly clean recessed areas due to gingival recession?
What is the primary psychological impact of gingival recession, particularly for individuals?
What is the primary psychological impact of gingival recession, particularly for individuals?
How can gingival recession negatively impact social interactions?
How can gingival recession negatively impact social interactions?
What is a potential consequence of the psychological impact of gingival recession?
What is a potential consequence of the psychological impact of gingival recession?
What anatomical landmark serves as the primary reference point for measuring gum recession?
What anatomical landmark serves as the primary reference point for measuring gum recession?
How is the degree of recession determined when measuring from the CEJ?
How is the degree of recession determined when measuring from the CEJ?
In cases of active periodontal disease, why is the base of the periodontal pocket important?
In cases of active periodontal disease, why is the base of the periodontal pocket important?
What happens to the gingival margin in cases of gum recession?
What happens to the gingival margin in cases of gum recession?
Which area is considered when measuring recession on adjacent teeth?
Which area is considered when measuring recession on adjacent teeth?
What is a common challenge when assessing recession in the interproximal areas?
What is a common challenge when assessing recession in the interproximal areas?
What is the role of the cementum in measuring gum recession?
What is the role of the cementum in measuring gum recession?
Why is the gingival margin not the sole indicator of gum recession?
Why is the gingival margin not the sole indicator of gum recession?
How do hormonal changes during pregnancy impact gingival recession?
How do hormonal changes during pregnancy impact gingival recession?
What is the main reason systemic diseases like diabetes increase the risk of gingival recession?
What is the main reason systemic diseases like diabetes increase the risk of gingival recession?
What is a common mechanical factor that contributes to gingival recession?
What is a common mechanical factor that contributes to gingival recession?
How do autoimmune disorders affect the risk of gingival recession?
How do autoimmune disorders affect the risk of gingival recession?
How does hormonal fluctuation during menopause affect the risk of gingival recession?
How does hormonal fluctuation during menopause affect the risk of gingival recession?
Which of the following is a condition that could increase the risk of gingival recession?
Which of the following is a condition that could increase the risk of gingival recession?
How does chronic inflammation from systemic diseases contribute to gingival recession?
How does chronic inflammation from systemic diseases contribute to gingival recession?
What is a key factor that directly contributes to the development of gingival recession due to hormonal changes?
What is a key factor that directly contributes to the development of gingival recession due to hormonal changes?
Which of the following is NOT a typical characteristic of a thin gingival biotype?
Which of the following is NOT a typical characteristic of a thin gingival biotype?
In which of the following scenarios would a gingival veneer be most appropriate?
In which of the following scenarios would a gingival veneer be most appropriate?
What is the primary reason for tooth sensitivity in individuals with gingival recession?
What is the primary reason for tooth sensitivity in individuals with gingival recession?
Which of the following is NOT a common clinical indication for a gingival veneer?
Which of the following is NOT a common clinical indication for a gingival veneer?
What is the main difference between enamel and cementum that contributes to tooth sensitivity when the root is exposed?
What is the main difference between enamel and cementum that contributes to tooth sensitivity when the root is exposed?
Which of the following is a possible consequence of aggressive brushing?
Which of the following is a possible consequence of aggressive brushing?
Why is it important to consider the gingival biotype before performing certain dental procedures?
Why is it important to consider the gingival biotype before performing certain dental procedures?
Which of the following is a major factor contributing to the pronounced scalloping seen in a thin gingival biotype?
Which of the following is a major factor contributing to the pronounced scalloping seen in a thin gingival biotype?
Flashcards
Tongue and Lip Habits
Tongue and Lip Habits
Habitual forces from tongue, lips, or even mouth breathing that cause irritation and weaken gum attachment to tooth.
Forceful Dental Tool Use
Forceful Dental Tool Use
Overuse of dental tools like toothpicks or floss, causing injury and gum detachment.
Increased Tooth Sensitivity
Increased Tooth Sensitivity
Exposed dentin due to receding gums, making teeth sensitive to stimuli like hot, cold, or acidic foods.
Root Surface Decay
Root Surface Decay
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Gum Pocket Formation
Gum Pocket Formation
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Changes in Tooth Shape
Changes in Tooth Shape
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Root Fracture Risk
Root Fracture Risk
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Functional Impairment
Functional Impairment
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Systemic Diseases & Gum Recession
Systemic Diseases & Gum Recession
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Diabetes and Gum Recession
Diabetes and Gum Recession
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Autoimmune Disorders and Gum Recession
Autoimmune Disorders and Gum Recession
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Hormonal Changes and Gum Recession
Hormonal Changes and Gum Recession
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Traumatic Toothbrushing
Traumatic Toothbrushing
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Hard Bristled Toothbrush
Hard Bristled Toothbrush
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Too Much Brushing Pressure
Too Much Brushing Pressure
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Improper Brushing Technique
Improper Brushing Technique
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Gingival Recession
Gingival Recession
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Increased Risk of Tooth Decay
Increased Risk of Tooth Decay
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Aesthetic Concerns
Aesthetic Concerns
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Compromised Periodontal Support
Compromised Periodontal Support
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Impact on Eating
Impact on Eating
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Loss of Periodontal Attachment
Loss of Periodontal Attachment
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Root Caries
Root Caries
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Tooth Mobility
Tooth Mobility
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Why is plaque accumulation harder with gingival recession?
Why is plaque accumulation harder with gingival recession?
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How does gingival recession affect oral hygiene?
How does gingival recession affect oral hygiene?
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What are the consequences of poor oral hygiene with gingival recession?
What are the consequences of poor oral hygiene with gingival recession?
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How can gingival recession impact a person's psychology?
How can gingival recession impact a person's psychology?
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How does gingival recession affect social interactions?
How does gingival recession affect social interactions?
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What is the emotional toll of gingival recession?
What is the emotional toll of gingival recession?
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How does gingival recession affect gum health?
How does gingival recession affect gum health?
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What are the overall consequences of gingival recession?
What are the overall consequences of gingival recession?
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Attached gingiva
Attached gingiva
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Thin gingival biotype
Thin gingival biotype
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Gingival veneer
Gingival veneer
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Cementum
Cementum
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Dentin tubules
Dentin tubules
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Tooth sensitivity
Tooth sensitivity
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Enamel
Enamel
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What is the Cemento-Enamel Junction (CEJ)?
What is the Cemento-Enamel Junction (CEJ)?
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What is the Base of the Periodontal Pocket?
What is the Base of the Periodontal Pocket?
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What is the Gingival Margin?
What is the Gingival Margin?
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What is the Interproximal Area?
What is the Interproximal Area?
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How is gum recession measured?
How is gum recession measured?
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Why is the distance between the CEJ and the gingival margin important in measuring recession?
Why is the distance between the CEJ and the gingival margin important in measuring recession?
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Why is it important to measure recession in the interproximal areas?
Why is it important to measure recession in the interproximal areas?
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Why is the base of the periodontal pocket considered when measuring recession?
Why is the base of the periodontal pocket considered when measuring recession?
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Study Notes
Recession Quiz - Question 1
- A thin gingival biotype is characterized by delicate, almost translucent tissue.
- This biotype often has a minimal zone of attached gingiva.
- This makes the gums more vulnerable to recession, especially around restorations or traumatic events.
Gingival Recession - Question 2
- Gingival recession is commonly observed in adults undergoing rapid orthodontic movement.
- Adults' periodontal tissues are less adaptable than children's.
- Orthodontic movement can put excess pressure on the gingiva and periodontium, disrupting tissue and leading to recession.
Sensitive Teeth - Question 3
- Gingival recession exposes dentin, increasing sensitivity.
- The exposed nerve endings are susceptible to stimuli like hot, cold, or sweet foods.
Measuring Gingival Recession - Question 4
- The relevant anatomical landmarks are the cemento-enamel junction (CEJ) and the base of the periodontal pocket.
- The distance from the CEJ to the base of the pocket is used to measure recession.
Inflammatory Causes of Gingival Recession
- Periodontal Disease (Gingivitis and Periodontitis): Inflammation of gums and periodontium. Bacterial plaque triggers an inflammatory response.
- Chronic Inflammation from Poor Oral Hygiene: Inadequate oral hygiene leads to ongoing irritation, gum inflammation, and tissue breakdown.
- Overzealous Brushing (Traumatic Brushing): Harsh brushing techniques can cause microtrauma to the gum tissue, leading to a damaging inflammatory response.
- Systemic Diseases (e.g., Diabetes, Autoimmune Disorders): Specific conditions impacting the body's immune response, blood sugar levels, and healing can increase gum recession risk.
Mechanical Causes of Gingival Recession
- Traumatic Toothbrushing: Aggressive brushing, improper technique, or hard-bristled brushes can injure gum tissues, leading to recession in critical areas.
- Improper Dental Restorations/Procedures: Improper restoration technique, shape, sizing, placement and/or contoured restorations and crowns can cause uneven pressure and trauma to surrounding gums, potentially producing recession.
- Orthodontic Treatment: Rapid tooth movement during orthodontic therapy can produce mechanical stress on the gum tissue and supporting structures if the movement is too quick.
- Tongue and Lip Habits: Chronic oral habits, like tongue thrusting or lip biting, and even chronic mouth breathing, cause abnormal mechanical stress to the gums.
- Forceful Use of Toothpicks/Dental Floss: Excessive force during flossing or toothpick use can injure the gums, potentially causing recession.
Impact of Gingival Recession on Patients
- Increased Tooth Sensitivity: Exposed dentin leads to heightened sensitivity to temperature and tactile stimuli.
- Aesthetic Concerns: Exposed tooth roots may change the patient's smile's aesthetics and create a sense of self-consciousness.
- Increased Risk of Tooth Decay: Exposed root surfaces are more prone to decay due to less mineralisation and lack of protective effects present in the enamel.
- Compromised Periodontal Support: Loss of periodontal attachment compromises the structure supporting teeth, which could lead to tooth stability and loss if the recession progresses.
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