recession and furcation Flashcards

1
Q

what is recession defined by?

A

gingival margin moves apically- not sue to inflammation of disease
interdental papilla remains at normal level
teeth are not lost due to true recession

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2
Q

what is shrinkage defines as?

A

occurs after perio treatment and disease

papilla retreat

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3
Q

what are the primary factors for recession?

A

morphology and anatomy of underlying bone area

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4
Q

what is fenestration?

A

window in buccal bone

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5
Q

what is dehiscence?

A

lack of underlying bone

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6
Q

what can other causes of recession be?

A
chronic minor trauma- poor tb
mild chronic inflammation
frenulum pull
ortho tx
excessive scaling
parafunction
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7
Q

what indicates recession clinically?

A

stillmans cleft- V shape in gum

mcCalls festoons- gum rolled margins

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8
Q

what is associated with recession?

A

dentine hypersensitivity
root caries
toothbrush abrasion

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9
Q

how should recession be monitored?

A

double periodontal charting
photographs
study models

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10
Q

what tx for recession?

A
modify brushing technique
frenectomy
treat hypersensitivity
ohi
perio surgery
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11
Q

what is furcation?

A

horizontal loss of support in areas where the roots converge

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12
Q

how is furcation diagnosed radiographically?

A

arrow head lesions

must be verified clinically

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13
Q

where should maxillary 1st pre molars be checked?

A

medial and distal

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14
Q

where should maxillary molars be checked?

A

mesial, distal, buccal

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15
Q

where should mandibular molars be checked?

A

buccal and lingual

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16
Q

what indicated grade 1 furcation?

A

loss of support

17
Q

what indicates grade 2 furcation?

A

loss of support >1/3

18
Q

what indicats grade 3 furcation?

A

through- through defect

19
Q

why does the prognosis of the tooth decrease re. furcation?

A

difficult to clean and control disease

loss of vitality- bacteria can enter accessory canals to reach pulp

20
Q

how should furcations be monitored?

A

vitality tested yearly

regrade every 6-12 months

21
Q

what should tx be for grade 1?

A

sp
rsd
furcationplasty

22
Q

what should tx be for g2?

A
furcationplasty
tunnel prep
guided tissue re generation
root resection
XLA
23
Q

what should tx be for g3?

A

tunnel prep
root resection
XLA