Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Periodontics 2 > Mucogingival Procedures Parts 5 and 6 > Flashcards

Mucogingival Procedures Parts 5 and 6 Flashcards

1
Q

ROLE OF
KERATINIZED
GINGIVA
(2)

A
  • HIGHLY DEBATED OVER MANY YEARS
  • POSSIBLE TO MAINTAIN PERIODONTAL HEALTH IN THE
    ABSENCE OF KERATINIZED GINGIVA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • ALL SURFACES WITH LESS THAN – MM OF KERATINIZED
    GINGIVA EXHIBIT CLINICAL INFLAMMATION EVEN IN THE
    ABSENCE OF PLAQUE.
A

2.0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

WHEN A NARROW BAND OF KERATINIZED GINGIVA IS
PRESENT, SITES WITH A — PHENOTYPE HAVE A
GREATER TENDENCY TO PROGRESS

A

THINNER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Periodontal
Phenotype
(3)

A

Thin scalloped
Thick scalloped
Thick flat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Gingival/soft
tissue recession
(7)

A

Facial or lingual
surfaces
Interproximal (
papillary)
Severity of recession
Gingival thickness
Gingival width
Presence of
NCCL/cervical caries
Patient esthetic
concern
Hypersensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Gingival
excess
(4)

A

Pseudo-
pocket
Inconsistent
gingival
margin
Excessive
Gingival
display
Gingival
enlargement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GINGIVAL RECESSION
* GINGIVAL RECESSION BY DEFINITION IS …
* THIS CONDITION AFFECTS A LARGE POPULATION IRRESPECTIVE OF ORAL HYGIENE.
* ESTIMATED PREVALENCE:
* –% OF YOUNG ADULTS
* –% MIDDLE AGED-ELDERLY ADULTS SUFFER FROM GINGIVAL RECESSIONS WITH AN AVERAGE
PREVALENCE OF –%

A

APICAL MIGRATION OF THE GINGIVAL MARGIN WITH
CONCOMITANT EXPOSURE OF THE ROOT SURFACE.
54.5
100
78.6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

MOST COMMON MUCOGINGIVAL
DEFECTS IN DAILY PRACTICE
(2)

A
  1. GINGIVAL RECESSIONS
  2. INADEQUATE ZONE OF KERATINIZED GINGIVA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Predisposing Factors:
(5)

A
    1. Periodontal Phenotype and attached Gingiva
    1. The impact of tooth brushing
    1. The impact of cervical restorative margins
    1. The impact of orthodontics
    1. Other conditions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

DIAGNOSTIC
CONSIDERATIONS
(2)

A
  • RECESSION DEPTH AND GINGIVAL
    THICKNESS.
  • MODERN RECESSION
    CLASSIFICATION ( CAIRO ET AL 2011)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • RECESSION TYPE (RT) 1-
A

GINGIVAL
RECESSION WITH NO LOSS OF
INTERPROXIMAL ATTACHMENT.
INTERPROXIMAL CEJ WAS NOT
DETECTED EITHER ON THE MESIAL OR
DISTAL ASPECT OF THE TOOTH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Recession Type (RT) 2-

A

Gingival recession
associated with loss of interproximal attachment.
The amount of interproximal attachment loss
was less or equal to the buccal attachment loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Recession Type (RT) 3-

A

Gingival recession with the loss of interproximal
attachment. Interproximal attachment loss is greater than the buccal attachment
loss.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

CAIRO CLASSIFICATION FOR GINGIVAL RECESSION
* TREATMENT ORIENTED
* RT 1 ( MILLER CLASS I AND II) :
* CAIRO RT 2 ( OVERLAPPING MILLER CLASS III):
* CAIRO RT 3 (OVERLAPPING MILLER CLASS IV)

A

100% ROOT COVERAGE CAN BE
PREDICTED
MIXED RESULTS
FULL ROOT
COVERAGE IS NOT ACHIEVABLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

COMPARISON ON TREATED AND UN TREATED SITES
* 18-35 YEAR FOLLOW-UP
* 47 PATIENTS WITH 64 SITES
* –% OF THE 64 TREATED SITES SHOWED RECESSION REDUCTION, WHILE –% OF THE 64
UNTREATED SITES EXPERIENCED INCREASED RECESSION
* AMOUNT OF INCREASES IN RECESSION WAS LIMITED
* THIN GINGIVAL BIOTYPES ( PHENOTYPES) AUGMENTED BY GRAFTING REMAINED STABLE OVER TIME
COMPARED TO UNTREATED AREAS WITH THIN BIOTYPES ( PHENOTYPES)
* UNTREATED AREAS ALSO SHOWED A TENDENCY TO DEVELOP —

A

83
48
NEW RECESSION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

MODALITIES
OF
TREATMENT
(5)

A

Free Autogenous Soft tissue graft
Connective tissue Auto or allograft with Tunneling or
vestibular approach
Coronally positioned flap
Semilunar flap
Guided Tissue Regeneration

17
Q

A SYSTEMATIC REVIEW LABELED — GRAFTS AS THE “GOLD-STANDARD” SURGICAL
PROCEDURE IN THE TREATMENT OF RECESSION DEFECTS

A

CONNECTIVE TISSUE

18
Q

A SYSTEMATIC REVIEW LABELED CONNECTIVE TISSUE GRAFTS AS THE “GOLD-STANDARD” SURGICAL
PROCEDURE IN THE TREATMENT OF RECESSION DEFECTS. **
* AAP REGENERATION WORKSHOP- — HAVE THE BEST LONG-TERM RESULTS. ∞
* CHALLENGES ASSOCIATED WITH GRAFT HARVEST, ESPECIALLY WITH —.
* A MORE RECENT STUDY FOUND NO DIFFERENCE IN ROOT COVERAGE AND INCREASE IN WIDTH AND
THICKNESS OF KERATINIZED TISSUE WHETHER A – THICK CTG WAS USED

A

CTGS
THICKNESS
1MM OR 2MM

19
Q

Tunnelling technique
(3)

A
  • HAS GAINED POPULARITY
  • FLAP ELEVATION THAT DOES NOT DISSECT THE PAPILLA OR REQUIRE VERTICAL RELEASING
    INCISIONS
  • A RECENT MEAT-ANALYSIS AND SYSTEMATIC REVIEW FOUND THE TUNNEL TECHNIQUE TO BE
    AN EFFECTIVE PROCEDURE IN TREATING LOCALIZED AND MULTIPLE RECESSION DEFECTS.
20
Q

Acellular Dermal Matrix Allograft (
ADMA)
(2)

A
  • CELL-FREE DERMAL MATRIX COMPRISED OF A
    STRUCTURALLY INTEGRATED BASEMENT MEMBRANE
    COMPLEX AND EXTRACELLULAR MATRIX. ∞
  • ADMA’S HAVE SUCCESSFULLY BEEN APPLIED AS A
    SUBSTITUTE FOR CTGS’ IN VARIOUS PERIODONTAL
    PROCEDURES INCLUDING ROOT COVERAGE CELL-FREE
21
Q

FREE GINGIVAL GRAFTS
* ONE OF THE MOST COMMON APPROACHES FOR —
* IN A LONG-TERM RETROSPECTIVE STUDY( 10-25 YEARS), GINGIVAL
AUGMENTATION PROCEDURES UTILIZING FREE GINGIVAL GRAFTS PROVIDE AN
INCREASED AMOUNT OF — ALONG WITH A REDUCTION OF
— OVER A LONG PERIOD OF TIME.

A

GINGIVAL AUGMENTATION.*
KERATINIZED GINGIVA
RECESSION

22
Q

“FREE” GINGIVAL GRAFT
* WOUND HEALING
(5)

A
  • PLASMATIC CIRCULATION (2-4 DAYS)
  • REVASCULARIZATION (2-8 DAYS)
  • ORGANIC UNION (4-10 DAYS)
  • EPITHELIALIZATION (10-14 DAYS)
  • KERATINIZATION (21-28 DAYS)
23
Q

skipped
PHENOTYPE
CONVERSION
(2)

A
  • HEALING PROGRESSION OF THE FREE
    GINGIVAL GRAFT
  • THIS CLINICAL CHRONICLE
    DEMONSTRATES THE DAY-TO-DAY
    HEALING OF A FREE GINGIVAL GRAFT,
    AND CORRELATES THE VISUAL
    PRESENTATION WITH THE HISTOLOGY OF
    THE HEALING WOUND
24
Q

FACTORS AFFECTING TREATMENT
(5)

A
  • EXTENT OF THE RECESSION
  • ROOT PROMINENCE
  • QUANTITY OF KERATINIZED GINGIVA
  • TOOTH LOCATION
  • CONCOMITANT PRESENCE OF NON-CARIOUS CERVICAL LESIONS
25
Q

ANATOMICAL CHALLENGES
(4)

A
  • VASCULAR SUPPLY
  • MUSCLE PULL
  • SHALLOW VESTIBULE
  • LOCATION AND EXTENT OF THE RECESSION
26
Q

Most treated –
(2)
were second and third
Least treated teeth were
(2)

A

Maxillary canines
Maxillary first premolars
and mandibular incisiors
maxillary right laterals and
second pre-molars

27
Q
A

Periodontics 2 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions