Podcast
Questions and Answers
What is a common cause of gingival recession related to tooth brushing techniques?
What is a common cause of gingival recession related to tooth brushing techniques?
- Rinsing with mouthwash
- Vigorous brushing with a hard bristle toothbrush (correct)
- Brushing only once a day
- Using a soft bristle toothbrush
Where does gingival recession primarily manifest?
Where does gingival recession primarily manifest?
- Occlusal surfaces
- Buccal surfaces of individual teeth (correct)
- Lingual surfaces of teeth
- Interproximal areas
Which condition can result in localized areas of recession?
Which condition can result in localized areas of recession?
- Buccal abrasion cavities (correct)
- Using a water flosser
- Flossing aggressively
- Regular dental cleanings
What type of dental accessory can contribute to gingival stripping?
What type of dental accessory can contribute to gingival stripping?
What kind of trauma can potentially cause gingival recession?
What kind of trauma can potentially cause gingival recession?
What is primarily responsible for gingival recession?
What is primarily responsible for gingival recession?
Under what circumstances is treatment for gingival recession usually necessary?
Under what circumstances is treatment for gingival recession usually necessary?
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?
Which factor is NOT mentioned as a contributing factor to gingival recession?
Which factor is NOT mentioned as a contributing factor to gingival recession?
What is an associated symptom in patients with gingival recession?
What is an associated symptom in patients with gingival recession?
How is gingival recession classified in patients?
How is gingival recession classified in patients?
What is a common cause of gingival recession?
What is a common cause of gingival recession?
What will subsequent papers in the series focus on regarding gingival recession?
What will subsequent papers in the series focus on regarding gingival recession?
How does periodontal disease contribute to gingival recession?
How does periodontal disease contribute to gingival recession?
Which of the following is a key aspect in the management of gingival recession?
Which of the following is a key aspect in the management of gingival recession?
What is the ideal position of the gingival zenith for central incisors according to the study mentioned?
What is the ideal position of the gingival zenith for central incisors according to the study mentioned?
What can be a result of gingival recession related to exposed root surfaces?
What can be a result of gingival recession related to exposed root surfaces?
Which of the following conditions is associated with gingival recession?
Which of the following conditions is associated with gingival recession?
What should be managed to help alleviate sensitivity related to gingival recession?
What should be managed to help alleviate sensitivity related to gingival recession?
What is the significance of understanding the gingival zenith?
What is the significance of understanding the gingival zenith?
Which type of gingival biotype is typically considered to be more resistant to recession?
Which type of gingival biotype is typically considered to be more resistant to recession?
Which dental class is associated with localized recession of the upper anterior teeth palatally?
Which dental class is associated with localized recession of the upper anterior teeth palatally?
What is a potential consequence of thin gingival biotype overlying alveolar dehiscence?
What is a potential consequence of thin gingival biotype overlying alveolar dehiscence?
Which factor is considered a poor evidence contributor to gingival recession?
Which factor is considered a poor evidence contributor to gingival recession?
What can cause recession as a result of iatrogenic damage?
What can cause recession as a result of iatrogenic damage?
What is likely to occur in patients with high fraenal attachments near the gingival margin?
What is likely to occur in patients with high fraenal attachments near the gingival margin?
What is an effect of periodontal disease on bone support around the tooth?
What is an effect of periodontal disease on bone support around the tooth?
Which surface can show recession in patients with localized periodontal problems due to poor oral hygiene?
Which surface can show recession in patients with localized periodontal problems due to poor oral hygiene?
Which restoration characteristic can contribute to plaque accumulation, leading to recession?
Which restoration characteristic can contribute to plaque accumulation, leading to recession?
What material is used for the initial impression in creating a gingival prosthesis?
What material is used for the initial impression in creating a gingival prosthesis?
What is a disadvantage of hard, ridged base materials compared to silicone base materials?
What is a disadvantage of hard, ridged base materials compared to silicone base materials?
Which of the following statements about silicone materials is true?
Which of the following statements about silicone materials is true?
What is used as a separating medium before taking the impression?
What is used as a separating medium before taking the impression?
During the impression process, what must not be exceeded by the silicone putty?
During the impression process, what must not be exceeded by the silicone putty?
Which publication relates to the prevalence and etiology of gingival recession?
Which publication relates to the prevalence and etiology of gingival recession?
What advantage do silicone base materials have over other impression materials?
What advantage do silicone base materials have over other impression materials?
What is one of the uses of the two-part impression technique mentioned?
What is one of the uses of the two-part impression technique mentioned?
What is the main purpose of using lasers in periodontal treatment?
What is the main purpose of using lasers in periodontal treatment?
What do desensitizing agents and varnishes typically aim to treat?
What do desensitizing agents and varnishes typically aim to treat?
How do lasers work on dentine hypersensitivity?
How do lasers work on dentine hypersensitivity?
What has been noted about the long-term evidence for laser treatment of dentine hypersensitivity?
What has been noted about the long-term evidence for laser treatment of dentine hypersensitivity?
What is one of the benefits of using composite restorations in dentistry?
What is one of the benefits of using composite restorations in dentistry?
Which type of gingival biotype is particularly susceptible to plaque-induced inflammation?
Which type of gingival biotype is particularly susceptible to plaque-induced inflammation?
What dental procedure was performed to help even the incisal plane?
What dental procedure was performed to help even the incisal plane?
What recent advancement in dental materials is mentioned in relation to composite restorations?
What recent advancement in dental materials is mentioned in relation to composite restorations?
Flashcards
Gingival Recession
Gingival Recession
The wearing away of gum tissue, exposing the tooth root.
Tooth Brushing and Recession
Tooth Brushing and Recession
Vigorous brushing or using a hard-bristled toothbrush can cause gum recession, especially in people with good oral hygiene.
Thin Gingival Biotype
Thin Gingival Biotype
A thin layer of gum tissue, making it more vulnerable to recession.
Bone Dehiscence
Bone Dehiscence
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Traumatic Incisal Relationship
Traumatic Incisal Relationship
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Direct Mechanical Factors
Direct Mechanical Factors
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Indirect Factors
Indirect Factors
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Aetiology
Aetiology
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Treatment Necessity
Treatment Necessity
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Non-Surgical Sensitivity Management
Non-Surgical Sensitivity Management
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Non-Surgical Aesthetic Correction
Non-Surgical Aesthetic Correction
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Surgical Treatment Options
Surgical Treatment Options
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Alveolar Dehiscence
Alveolar Dehiscence
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Aberrant Fraenal Attachment
Aberrant Fraenal Attachment
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High Fraenal Attachment
High Fraenal Attachment
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Iatrogenic Damage
Iatrogenic Damage
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Periodontal Disease
Periodontal Disease
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Iatrogenic Recession
Iatrogenic Recession
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Tooth Brushing Trauma
Tooth Brushing Trauma
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Bone Loss
Bone Loss
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Dentine Hypersensitivity
Dentine Hypersensitivity
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Gingival Zenith
Gingival Zenith
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Ideal Gingival Zenith Position
Ideal Gingival Zenith Position
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What makes thin gingival biotypes more vulnerable to recession?
What makes thin gingival biotypes more vulnerable to recession?
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What is enameloplasty?
What is enameloplasty?
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What are desensitizing agents used for?
What are desensitizing agents used for?
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What are composite restorations?
What are composite restorations?
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What is the purpose of gingival zenith leveling?
What is the purpose of gingival zenith leveling?
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What is a gum graft?
What is a gum graft?
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What is composite resin?
What is composite resin?
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What is enameloplasty used for?
What is enameloplasty used for?
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Two Part Impression Technique
Two Part Impression Technique
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Gingival Prosthesis
Gingival Prosthesis
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Silicone Base Material
Silicone Base Material
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Dentine
Dentine
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Potassium Containing Toothpastes
Potassium Containing Toothpastes
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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, occurring in both good and poor oral hygiene and periodontal disease.
- Aetiology includes both direct mechanical/physical factors and indirect inflammatory reactions.
Mechanical/Physical Factors
- Vigorous tooth brushing: Especially with hard-bristled brushes, localizing to buccal surfaces and often in individuals with good oral hygiene.
- Traumatic incisal relationships: Akerly classification details four relationships, with Class II Div 1/2 and III/IV potentially causing recession (e.g., mandibular incisors impinging on maxillary gingival margin).
- Trauma from foreign bodies: Examples include lip piercings and poorly designed partial dentures.
- Prominent/misaligned teeth: Alveolar dehiscence (bone loss) contributing, especially with thin gingival biotype.
Inflammatory Factors
- Gingival biotype: Thin gingival tissues are more susceptible to recession due to inflammation.
- Periodontal disease: Apical migration caused by inflammation. Generally generalized recession across teeth surfaces (buccal, interproximal, palatal).
- Poor marginal fit of restorations: Plaque traps causing inflammation and subsequent recession.
- Orthodontic tooth movement: Labial movement outside alveolar bone envelope causes bone loss and reduced gingival thickness, predisposing to recession.
Patient Complaints/Concerns
- Aesthetic concerns: Uneven gingival zeniths, black triangles.
- Sensitivity: Exposed root surfaces.
- Potential tooth loss: Associated with generalized periodontal issues.
Non-Surgical Treatment Options
- Monitoring/Prevention: Managing the underlying causes of recession.
- Desensitizing agents/varnishes/dentine bonding agents: Used to treat dentine hypersensitivity.
- Composite restorations: Suitable for small, localized cases (recession, sensitivity, or caries).
- Pink porcelain/composites: Used to address significant aesthetic concerns, replacing gingival tissue.
- Removable gingival veneers: Suitable for more extensive recession in anterior regions.
- Orthodontics: Used to reposition teeth, potentially correcting buccal dehiscence and improving gingival health.
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