Influence of Inflam perio disease on aesthetics

Question 1

What are the 3 components of oral aesthetics?

Answer 1

Teeth
Gingiva
Lipline

Question 2

Aesthetic components of the gingiva?

Answer 2

Colour
Shape/form
Position
Symmetry (horizontal and vertical)
Relationship to upper lip

Question 3

What makes the gingiva aesthetic?

Answer 3

Knife edge margins
Smooth transition from gingiva to tooth
Fill embrasures
Light stippling

Question 4

How does perio influence aesthetics?

Answer 4

It causes inflam (erythema, swelling, fibrosis), recession (localised or generalised), tooth movement

Question 5

How to improve gingival aesthetics?

Answer 5

Reduction of erythema and swelling

Improvement in contour

Question 6

What decreases gingival aesthetics?

Answer 6

Recession

Poor contour

Question 7

When is the gingival veneer useful?

Answer 7

PD or therapy have caused generalised tissue loss in the anterior area
Only if good maintenance

Question 8

When is the gingival veneer contraindicated?

Answer 8

Contraindicated if high caries risk

Question 9

Problems of periodontal plastic surgery?

Answer 9

High frenum
Gingival recession
Delayed gingival maturation
Unaesthetic (irregular) gingival margin)
Subgingival restoration margins 
Ridge collapse
Gingival discolouration

Question 10

Types of periodontal plastic surgery?

Answer 10

Frenectomy
Gingival grafting
Crown lengthening
Grafting
Grafting/excision

Question 11

What makes up the preoperative assessment?

Answer 11

Initial non-surgical management
- Radiographic and clinical examination
- Patient factors
- Consent
(purpose/lim

Question 12

How to manage excessive gingival height?

Answer 12

Gingivectomy

Excisional flap - with/without osseous surgery

Question 13

What does crown lengthening treat?

Answer 13

Vertical and horizontal asymmetry