Periodontal Therapy: Aesthetic Considerations

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Questions and Answers

What is the primary determining factor for the extent of recession following periodontal treatment?

Patient's oral hygiene habits
Gingival biotype
Type of periodontal instruments used
Extent of underlying bone loss (correct)

Which of the following aesthetic complications is LEAST likely to result directly from periodontal treatment?

Tooth sensitivity (correct)
Gummy smile
Black triangles
Recession

Why is it important to discuss the possibility of recession with patients prior to periodontal treatment?

To encourage patients to improve their oral hygiene
To ensure patients lower their expectations regarding treatment outcomes
To prepare patients for the need of orthodontic treatment
To obtain proper informed consent (correct)

A patient is concerned about localized recession in the aesthetic zone. Which treatment option is MOST likely to address both the appearance and sensitivity?

Gingival grafting (C) Signup and view all the answers

Which factor most influences the predictability and success of gingival grafting procedures?

Underlying bone support (A) Signup and view all the answers

A patient presents with sensitivity due to gingival recession. What initial non-surgical treatment could be recommended?

Application of fluoride varnish (B) Signup and view all the answers

In the context of periodontal treatment, what does the term 'aesthetic zone' refer to?

The teeth visible when smiling (C) Signup and view all the answers

Following periodontal treatment, a patient reports increased sensitivity and is diagnosed with recession. What is the MOST appropriate next step in managing this patient's condition?

Evaluate the recession and discuss treatment options like gingival grafting (A) Signup and view all the answers

What is the primary goal when addressing aesthetic complications following periodontal treatment?

To improve the patient's appearance and comfort (A) Signup and view all the answers

A patient is considering periodontal surgery, but is worried about the potential for recession. What information would be MOST helpful in managing their expectations?

A detailed explanation of the potential risks and benefits of the surgery, including the possibility of recession (B) Signup and view all the answers

Why is it important to discuss the possibility of black triangle disease with patients before periodontal therapy?

To manage patient expectations, as black triangle disease is a common post-treatment outcome. (D) Signup and view all the answers

A patient presents with black triangles after periodontal treatment. Which of the following treatments is LEAST likely to be effective?

Regenerative surgery. (C) Signup and view all the answers

What is the primary mechanism of retention for a gingival veneer?

Mechanical interlocking within the interdental spaces. (D) Signup and view all the answers

Which of the following is a key consideration when planning a gingival veneer?

The need for a specialized impression technique. (B) Signup and view all the answers

A patient is considering a gingival veneer to improve aesthetics. What information is MOST important to convey regarding the veneer's maintenance?

Gingival veneers are worn buccally and need careful cleaning to prevent plaque accumulation. (B) Signup and view all the answers

In cases of uneven smiles and gummy smiles, what treatment option aims to reduce the amount of visible gingival tissue?

Crown lengthening. (A) Signup and view all the answers

What is the primary goal of tunnel grafting techniques in periodontal treatment?

To cover gingival recession and improve tissue thickness. (D) Signup and view all the answers

A patient presents with generalized gingival recession. Which factor would MOST influence your decision to use a tunnel graft technique?

Width and height of keratinized tissue. (D) Signup and view all the answers

Which characteristic is LEAST likely to be associated with successful management of 'pink aesthetics' in restorative dentistry?

Using materials with high translucency to mimic natural gingiva. (A) Signup and view all the answers

If an inexperienced lab is used for fabrication of a gingival veneer, what complication is MOST likely to occur?

The veneer will lack proper adaptation and retention. (C) Signup and view all the answers

Flashcards

Black Triangle Disease

Recession occurring in the interdental area, creating a dark space between teeth.

Gingival Veneer

A prosthetic device made of acrylic or silicone to replace missing gingival tissue.

Crown Lengthening

Surgical procedure to remove excess gum tissue, exposing more of the tooth crown.

Tunnel Grafting

A surgical technique used to cover exposed tooth roots by creating a 'tunnel' under the existing gum tissue.