Podcast
Questions and Answers
Which aesthetic complication is characterized by the exposure of root surfaces due to the apical migration of the gingival margin?
Which aesthetic complication is characterized by the exposure of root surfaces due to the apical migration of the gingival margin?
- Gingival hyperplasia
- Black triangles
- Recession (correct)
- Gummy smile
A patient undergoing periodontal treatment experiences increased tooth sensitivity following the procedure. Which aesthetic complication is MOST likely contributing to this discomfort?
A patient undergoing periodontal treatment experiences increased tooth sensitivity following the procedure. Which aesthetic complication is MOST likely contributing to this discomfort?
- Gingival recession (correct)
- Gummy smile
- Black triangle formation
- Excessive keratinization
What factor primarily dictates the extent of recession after periodontal treatment?
What factor primarily dictates the extent of recession after periodontal treatment?
- Gingival biotype
- Extent of underlying bone loss (correct)
- Patient's oral hygiene habits
- Type of periodontal treatment performed
Which of the following treatments would be MOST suitable for addressing localized gingival recession to improve aesthetics and reduce sensitivity?
Which of the following treatments would be MOST suitable for addressing localized gingival recession to improve aesthetics and reduce sensitivity?
In tunnel grafting, what is the PRIMARY purpose of separating the gingival tissue from the alveolar bone?
In tunnel grafting, what is the PRIMARY purpose of separating the gingival tissue from the alveolar bone?
Following periodontal therapy, a patient notices increased spaces between their teeth near the gumline. This is most likely due to the formation of:
Following periodontal therapy, a patient notices increased spaces between their teeth near the gumline. This is most likely due to the formation of:
Why is it important to discuss the potential for black triangle formation with patients prior to periodontal therapy?
Why is it important to discuss the potential for black triangle formation with patients prior to periodontal therapy?
Which of the following treatments is LEAST likely to be effective in resolving black triangle issues?
Which of the following treatments is LEAST likely to be effective in resolving black triangle issues?
What material is typically used to create a gingival veneer?
What material is typically used to create a gingival veneer?
What is the primary mechanism by which gingival veneers are retained?
What is the primary mechanism by which gingival veneers are retained?
Flashcards
Gingival Recession
Gingival Recession
Exposure of the tooth root due to the apical migration of gingival margin.
Black Triangles
Black Triangles
Open spaces between teeth and gingivae due to loss of interdental papilla.
"Gummy Smile"
"Gummy Smile"
Excessive display of gingival tissue when smiling.
Recession Causes
Recession Causes
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Recession Complications
Recession Complications
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Gingival Grafting
Gingival Grafting
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Alveolar ridge augmentation.
Alveolar ridge augmentation.
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Black Triangle Cause
Black Triangle Cause
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Black Triangle Treatment
Black Triangle Treatment
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Gingival Veneer
Gingival Veneer
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Study Notes
- Periodontal treatments can lead to aesthetic complications like recession, black triangles, and a "gummy smile."
Recession
- All types of periodontal treatment carry the potential to cause generalized recession.
- Recession extent is partly dictated by the gingival biotype.
- Recession is mainly dictated by the extent of underlying bone loss from the disease process.
- Surgical periodontal treatment usually causes the most recession.
- Recession should be discussed during the consent process.
Complications of Recession
- Sensitivity.
- Caries.
- Can affect appearance, especially in the "aesthetic zone."
Localized Recession
- Gingival grafting can yield good aesthetic results and address sensitivity via manipulation of the patient’s tissues to augment the gingivae and cover the exposed root.
Tunnel Grafting
- It is a surgical procedure that increases the width of the alveolar ridge.
- Gingival tissue is separated from the alveolar bone, and a membrane and bone graft material is placed in the space between to allow for new bone to grow.
Black Triangles
- Black triangles are a common occurrence after periodontal therapy and it must be included into the pre treatment consent.
- They are recession in the interdental area.
- They may be treatable restoratively.
- Black triangles are not amenable to regenerative surgery.
- A gingival veneer can give excellent cosmetic results for black triangles.
Gingival Veneer
- Can be crafted from acrylic or silicone.
- Requires a special impression.
- It is worn buccally.
- Locks into the interdental spaces for retention.
- Requires an experienced lab.
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