Term
| What are 4 developmental or acquired deformities and conditions |
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Definition
Localized tooth‐related factors that modify or predispose to plaque‐induced gingival diseases/periodontitis
Mucogingival deformities and conditions around teeth
Mucogingival deformities and conditions on edentulous ridges
Occlusal trauma |
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Term
| What is the portion of the oral mucosa that covers the alveolar process including the gingiva (keratinized tissue) and adjacent alveolar mucosa? |
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Definition
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Term
| What is a departure from the normal dimension and morphology of, and/or interrelationship between gingiva and alveolar mucosa; the abnormality may be associated with a deformity of the underlying alveolar bone |
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Definition
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Term
| What is the correction of defects in morphology, position, and/or amount of soft tissue and underlying bone? |
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Definition
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Term
| What are some mucogingival deformities? |
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Definition
• Gingival/soft tissue recession
• Lack of Keratinized gingiva
• Decreased vestibular depth
• Aberrant frenum
• Gingival Excess
• Abnormal color (mucogingival tattoo) |
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Term
| What is the location of the marginal periodontal tissues apical to the cemento-enamel junction? |
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Definition
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Term
| What may root exposure lead to? |
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Definition
esthetic problems
hypersensitivity
root caries
tooth abrasion |
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Term
| What population is gingival recession highest? |
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Definition
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Term
| Where in the mouth are recession most common? |
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Definition
| Buccal surface recessions of maxillary molars and mandibular central incisors most common |
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Term
| List some possible etiologies of recession |
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Definition
periodontal disease
trauma (toothbrushing)
thin gingival morphotype
anatomic variations (fenestration and dihescence)
orthodontic treatment
smokeless tobacco
previous periodontal surgery
etc |
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Term
| How may occlusal forces cause recession? |
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Definition
| Increase in tooth mobility secondary to occlusal trauma may cause resorption of thin radicular bone resulting in dehiscence and subsequent soft tissue recession |
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Term
| What Class of recession is not extending to the mucogingival junction. No loss of interdental bone or soft tissue. 100% root coverage can be anticipated. |
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Definition
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Term
| What class of recession is extending to or beyond the mucogingival junction. No loss of interdental bone or soft tissue. 100% root coverage can be anticipated. |
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Definition
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Term
What class of recession is extending to or beyond the mucogingival junction. Loss of interdental
bone or soft tissue is apical to the CEJ, but coronal to the extent of the marginal.
soft tissue recession. Partial root coverage can be anticipated |
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Definition
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Term
What class of recession is extending to or beyond the mucogingival junction. Loss of interdental
bone extends to a level apical to the extent of marginal soft tissue recession. Root
coverage usually not attempted although occasionally can be obtained |
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Definition
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Term
| What class of recession do we usually not try and cover the recession with soft tissue graft? |
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Definition
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Term
| What must you first know when treating recession? |
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Definition
First we have to know which tissues were lost in
recession defects:
– Gingiva
– Bone
– Enamel
– Dentin |
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Term
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Definition
No
it can regenerate but it won’t be a convex root |
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Term
| How do we treat recession? |
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Definition
| Combination of soft tissue graft and restoration |
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Term
| What is graft that is tissue transferred from one position to another within the same individual? |
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Definition
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Term
| What is graft that is between genetically dissimilar members of the same species? |
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Definition
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Term
| What is graft taken from a donor of another species |
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Definition
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Term
| What is a synthetic graft or inert foreign body implanted into tissue? |
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Definition
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Term
| What is an autogenous graft of masticatory mucosa or collagenous tissue completely or partially detached from its original site and placed in a prepared recipient bed. |
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Definition
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Term
What is the type of soft tissue autografts that makes an excision, takes graft, and sutures it back?
What is the type that leaves a rectangle of raw area to heal on the surface? |
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Definition
connective tissue graft
free gingival graft |
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Term
What do we NOT want to damage when taking the soft tissue autograft in the palate?
What type of palate would we prefer to avoid damaging this? |
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Definition
greater palatine neuromuscular bundle
high palate |
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Term
| What are some advantages to using Acellular Dermal matrix Allograft (ADMA)? |
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Definition
– Eliminating the need for a donor site
– Increasing patient acceptance
– Decreasing surgical time
– Treating multiple defects in one procedure
– Achieving esthetic results comparable or superior to autogenous tissue
– Ease of use |
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Term
| What gingiva is from the gingival margin to mucogingival junction? |
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Definition
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Term
| How to we create keratinized gingiva prior to impression and placement of a permanent restoration? |
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Definition
| free gingival graft to make a new mucogingival junction |
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Term
What can an aberrant frenum cause?
What can a shallow vestibule compromise? |
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Definition
frenum pull on gingival margin predisposing to recession
shallow vestibule compromising denture stability |
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Term
| How can you correct an aberrant frenum? |
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Definition
| frenectomy (to keep more recession from happening) |
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Term
| What are the 4 etiologies for gingival excess? |
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Definition
1. Pseudopocket (gingivitis)
2. Gingival enlargement
3. Inconsistent gingival margins
4. Excessive gingival display |
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Term
What are pseudo pockets caused by?
How do you treat them? |
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Definition
Gingivitis
Treatment: Improved oral hygiene measures and professional cleaning (scaling if calculus present) |
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Term
What are gingival enlargements caused by?
How do you treat them? |
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Definition
Gingival diseases modified by Medications
Treatment: Gingivectomy, improvement in oral hygiene and possibly change of contributing medication |
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Term
| How do you treat inconsistent gingival margins? |
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Definition
| Gingivectomy, Surgical Crown Lengthening |
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Term
| How do you treat an excessive gingival display/gummy smile? |
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Definition
| Gingivectomy, Surgical Crown Lengthening |
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Term
| What are the possible etiologies to excessive gingival display? |
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Definition
• Short teeth (Altered Passive Eruption)
• Vertical maxillary excess
• Short or Hypermobile lip
• Combination of the above |
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Term
| What is the difference between a clinical and anatomical crown? |
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Definition
clinical- portion of the tooth that extends occlusally or incisally from the investing soft tissue usually the gingiva
anatomic- portion of a natural tooth that extends from its cementoenamel junction to the occlusal surface or incisal edge |
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Term
| What is the emerging motion of the tooth in the occlusal direction until the tooth reaches the occlusal plane of its antagonist. This vertical motion causes the gingival complex to displace along with the crown. |
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Definition
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Term
| What is the gingival complex migrates in the apical direction, with gradual exposure of the crown of the tooth and final stable positioning of the dento-‐gingival junction at the cervical level |
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Definition
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Term
| If a patient has a mucogingival junction apical to the alveolar crest (wider gingival dimension) and the dimension between the CEJ and osseous crest is greater than 1 mm then what is classification of altered passive eruption? |
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Definition
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Term
| If a patient has a mucogingival junction located at the level of the CEJ (normal dimension) and the the osseous crest is in close proximity to the CEJ then what is the classification of altered passive eruption? |
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Definition
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Term
| What types of altered passive eruption are most frequently encountered? |
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Definition
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Term
| When looking at facial symmetry what do what to look at? |
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Definition
Facial thirds
Facial midline vs dental midline |
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Term
| What should the incisal line be consonant with? |
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Definition
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Term
What should be the upper lip height for men and women?
What is the normal lip mobility? |
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Definition
20-22mm for women
22-24 for men
normal lip mobility is 6-8mm |
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Term
What 2 teeth should be at the same level?
What teeth should be 1 mm coronal to those two teeth? |
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Definition
central incisors and canines at same level
lateral incisors 1 mm coronal |
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Term
What is the most ideal smile line?
Do we look at posed or unposed smile? |
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Definition
medium (when it coincides with max incisal to that of the canines)
We look at posed smile but also what to evaluate unposed |
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Term
| What kind of smile line shows more than 2-3mm exposed gingival line? |
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Definition
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Term
| How would you treat altered passive eruption (short teeth)? |
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Definition
| Crown lengthening and Restorative therapy |
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Term
| How would you treat vertical maxillary excess? |
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Definition
| Orthodontics, Orthognathic surgery and Periodontics may be required to correct the gingival display |
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Term
| How would you treat hyper mobile upper lip? |
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Definition
| Lip Repositioning Surgery or Botox may reduce the gingival display |
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Term
| What includes the junctional epithelial and connective tissue elements of the dentogingival continuum that occupy the space between the base of the sulcus and alveolar crest? |
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Definition
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Term
| What are mucogingival tattoos caused by? |
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Definition
| Pigmentation of the gingiva and alveolar mucosa next to a large amalgam restoration or overlying an apicoectomy procedure |
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Term
True or false:
recession lesions always necessitate treatment |
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Definition
False
Recession lesions should be monitored for progression and do not always
necessitate treatment |
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Term
True or false:
Lack KG is not necessarily detrimental to periodontal health |
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Definition
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Term
| The presence of KG mitigates the local risk factors associated with ______________ |
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Definition
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Term
| When should an aberrant frenum be addressed? |
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Definition
| when leading to difficult in performing oral hygiene measures and when associated with marginal tissue recession |
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Term
| When is treatment required for gingival excess? |
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Definition
| if the cause is periodontal disease |
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Term
| If excessive gingival display, an __________ must be performed to guide the treatment plan. |
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Definition
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