Case report treatment of periodontally hopeless mandibular. Gingival recession involving 4 maxillary teeth, the left lateral. Periodontal implant center practice limited to periodontal therapy and dental implants jacob d. To improve the gingival margin, orthodontic extrusion was used to move the gingival margin to an accepted level. The gingival index, the plaque index and the retention index systems. Gum recession can cause problems for your dental health. The relationship between the width of keratinized gingiva and gingival health by niklaus p. I understand that where there is insufficient attached gingiva gum and food or bacteria become lodged under the gum line, this may result in further recession of the gum or in a localized infection gum abscess. What should i do to prevent gum disease and tooth decay. Download pdf gingival recession management dencyclopedia. Miller and holbrook and ochsenbein have demonstrated the successful utilization of free gingival autografts in covering large gingival recessions. Gingival recession is the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento enamel junction loe h1992. After the tooth was erupted to its planned level, a surgical procedure was performed to remove the tooth, graft the defect, and place a subepithelial graft to cover the thin to thick tissue. It has been assumed, however, that the recession cannot develop without preexisting dehiscence in the alveolar bone 7.
Gingival hyperplasia for a problem that is so common, there is really not very much in the veterinary literature on this odd condition, so it seems time for me to tell you a bit about my understanding of gingival hyperplasia, what brings it about, why it is a concern and how we manage it. Some patients will not be concerned whereas others will have aesthetic concerns or complain of sensitivity. Knitpak knitted gingival retraction cord 100, 1pkg premier dental products. Associando casos clinicos exemplificativos, o objetivo desta revisao e avaliar a relacao existente entre o to e a recessao gengival, procurando responder a. Gingival enlargement or gingival overgrowth are the current terms for all medicationrelated gingival lesions, previously known as gingival hyperplasia or gingival hypertrophy. It can open over 200 different types of files and very likely yours too. Recession is clinically measured using a periodontal probe to the nearest millimeter. The aim of this study was to assess th e effects of smoking on gingival recession. Tissue management includes placing the gingival tissues away from the preparation margins so they can be impressed, combined with providing for hemostasis when the gingival tissues are susceptible to bleeding. Gingival recession has been found to be more frequent in mandibular than maxillary teeth and on facial than lingual surfaces 6. Subgingival medical definition merriamwebster medical. Treatment of gingival recession is not mandatory not all recession defects can be covered by tissue grafts, although grafting may still be needed to augment existing marginal tissue if possible, patients should be given the option of tissue grafting in select cases. Lang harald loe introduction in man the keratinized gingiva includes the free and the attached gingiva and extends from the gingival mar gin to the mucogingival junction.
Gingival recession is defined as the apical shift of the gingival margin with respect to the cemento. Unlimited viewing of the article pdf and any associated supplements and. Gingival structure, function, and the latest research february 1, 2016 by lifeline cell technology the gingiva or gums is the tissue that surrounds and protects the teeth and underlying bone. Records of 205 patients 162 female, 43 male were obtained from two private practice orthodontists who were careful to avoid excessive labial movement of mandibular incisors and maxillary posterior teeth. Pdf considerations about gingival recession and its. The academy would like to thank the following for their assistance in updating the aaps glossary of periodontal terms. You can combine multiple pdf documents or a wide variety of file types, including spreadsheets, images, and emails. How to combine files into a pdf adobe acrobat dc tutorials. Quantitative measures of gingival recession and the.
Thus, it is crucial to determine the gb before treatment, and caution is required when treating patients with a thin gb. Occurrence of gingival recession in adults vehkalahti. The importance of keratinized gingiva surrounding dental implants. Gingival bleeding avoid the use of epinephrine when gingiva is lacerated. Mar 01, 20 gingival retraction using paste systems march 1, 20 by elliot mechanic, dds an accurate traditional or digital impression is essential for the precision fit of the permanent indirect dental restoration.
Gingival periodontal index free download as powerpoint presentation. Additional instructions and trouble shooting are included with the game. Find, read and cite all the research you need on researchgate. Also common to receded gums is sensitivity that results from the exposed root surface. Relacao tratamento ortodontico e recessao gengival. Consideracoes sobre recessao gengival e sua resolucao atraves da ortodontia e periodontia considerations about gingival recession and its. The relation between the gingival recession area and smile line 6. Common in adults, gum disease starts when bacteria containing plaque builds up on the teeth and gums. Gingival recession has direct causes and predisposing factors. The prosthetic management of gingival aesthetics a.
Fifty smoker s and 55 non smo kers t oo k par t in t his cr os sse cti onal st ud y. Bowers, dds, ms thin gingival biotypes remember, most patients that have very thin gingiva across the lower front teeth also have very thin bone, or even absent bone, making them at much higher risk for gingival recession. Although the etiology of gingival recessions remains unclear, several predisposing factors have. The evaluation of interproximal clinical attachment level may be used to classify gingival recession defects and to predict the final root coverage outcomes. Rotary gingival curettage removes the sulcular epithelium with a highspeed diamond bur. Treatment of millers class i gingival recession defects using coronally advanced flap. Fgg is the ideal technique, which can be used in the lower anterior teeth region where there is a gingival recession with an inadequate amount of keratinized gingiva. Tissue management, gingival retraction and hemostasis. Nohl3 verifiable cpd paper compromised quality and quantity of bone and soft tissues. Other signs of inflammation include fever, leukocytosis or an increase in the number of circulating white blood cells, the presence of acutephase proteins including creactive pro. Gingival retraction pastes and gels can be used to create space between the prepared tooth and the sulcus. Gingival index definition of gingival index by medical. Cairo f, nieri m, cincinelli s, mervelt j, pagliaro u.
In addition, the relationship between the gingival recession and the following factors was evaluated. Prevalence and etiology of gingival recession gorman. Treatment of gingival recession using free gingival graft. Sometimes it happens even if a person takes good care of his or her teeth. Recessao gengival rg e caracterizada pela migracao apical da margem gengival expondo a superficie radicular ao meio bucal. Gingival recession, classification for gingival recession, palatal recession introduction. Free gingival graft fgg a soft tissue graft that is completely detached from one site and transferred to a remote site. Review and strategies in treatment of recession article pdf available october 2012 with 9,412 reads how we measure reads. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. The aim of this study is to establish quantitative measures of recession, the clinical crown height, and a new measure the gingival marginpapillae measurement. Learn how to combine multiple files into a single pdf with adobe acrobat dc. Brushing and flossing on a daily basis is the best way to take care of your teeth and gums on a continual basis. Feb 01, 2017 shape the shape of the interdental gingiva is governed by the contour of the proximal tooth surfaces and the location and shape of gingival embrasures when the proximal surfaces of the crowns are relatively flat faciolingually the roots are close together, the interdental bone is thin mesiodistally,and the gingival embrassures and. Study 16 gingival descriptors flashcards from ben l.
Since we do not have any programs listed that we have verified can open bucal files, we suggest that you try a universal file viewer like free file viewer. Hemodent gingival retraction cord for safety and efficacy according to the ada provisions for acceptance. A film of plaque adhering to the free gingival margin and adjacent area of the. Gingival recession is limited to one tooth or extends to multiple teeth 2. Recession height rh, recession width rw, width of keratinized tissue wkt, thickness of keratinized tissue tkt, probing depth pd, and clinical attachment level cal were measured at baseline, 6 and 12 months postsurgery. Factors such as gingival recession, medication use, and xerostomia increase the risk of developing root caries. The location of the gingival zenith in a mediallateral position relative to the vertical. The interproximal clinical attachment level to classify. Effect of smoking on gingival recession semantic scholar. The physiologic explanations for these signs appear in table i. Surgical techniques advocated for recreating gingival architecture around recession or alveolar defects are techniquesensitive and may require a graft from an additional surgical. Gingival recession is a common condition in the adult population and is related to several undesirable conditions such as unaesthetic appearance, root caries, and hypersensitivity. A2 facial subcritical contour modified to an acceptable convex contour with the maintained facial critical contour.
Periodontal implant center periodontics oklahoma city. Your cda member dentist can apply medications in the office, and or recommend products for you to use at home that will help reduce sensitivity of these root surfaces and help protect the. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes. To address this important public health concern, oral health pro fessionals must be aware of clinical strategies that can be used to prevent and appropriately manage root caries in adults. Mahajans modification of the millers classification for gingival recession article pdf available in dental hypotheses 12 august 2010 with 6,9 reads how we measure reads. D4346 scaling in presence of generalized moderate or severe gingival inflammation full mouth, after oral evaluation.
When the plaque is not removed daily, it produces toxins that irritate and inflame the gums. Gingival definition of gingival by the free dictionary. The purpose of this study was to determine if keratinized gingiva has an effect on the success of implants. Pocket depth and gingival recession were measured on the facial, lingual, mesiofacial, distofacial, mesiolingual and distolingual. Gingival recession synonyms, gingival recession pronunciation, gingival recession translation, english dictionary definition of gingival recession. Already demonstrated that the time in that participants. Orthodontic treatment is able to prevent recession and even contribute to its treatment, with or without periodontal approach, depending on the type and severity of gingival tissue damage. Click here to read about the new version without adobe flash. Jul 30, 2014 there are certain gingival and periodontal problems in children, which are included in seminar slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.
Pdf root coverage with laterally positioned flap researchgate. The relationship between the width of keratinized gingiva and. Gingival zenith positions and levels of the maxillary anterior dentition stephen j. Treatment of periodontally hopeless mandibular anterior tooth using free gingival graft with stabilization of loosen teeth huiwen chen, zhongchen song, rong shu, shucheng hu, tinglan chen department of periodontology, ninth peoples hospital, shanghai jiao tong university school of medicine. Pdf loss of insertion of periodontium followed by increased display of clinical crown and exposition of the root defines gingival recession. A patients diagnosis and treatment rely on proper classification of gingival diseases. Follow these steps to quickly combine and arrange documents. Anatomical relationship of normal gingiva in facial view a and in crosssection b. These materials are expressed around the preparation, often directly into the sulcus and their astringent properties keep the area free of moisture so the impression material can be placed immediately after the retraction material is removed. The axiomatic goal of reconstructive therapy is the restoration of health, function, and esthetics, which often requires correcting gingival recession defects within the esthetic zone. Comparison of gingival index and sulcus bleeding index as. No, but a reduction or loss of stippling is a common sign of gingival disease. Learn how to combine files into a single pdf file using adobe acrobat dc.
A clinical study was undertaken to monitor the occurrence. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Pdf consideracoes sobre recessao gengival e sua resolucao. Amount and thickness of existing keratinized gingiva in the area of recession 4.
Gingival recession management a clinical manual adrian. Gingival recession on buccal and palatal surfaces of all teeth was measured. Specifically, at what point is the economy officially in a recession. Gingival retraction using paste systems oral health group. Enhancing the gingival frame the dawson academy blog. Associacao da recessao gengival com hipersensibilidade. A etiologia multifatorial da recessao periodontal scielo. A recessao gengival e uma condicao caracterizada pela migracao apical da margem gengival. Task force to update the glossary of periodontal terms. Although the gingival index and sulcus bleeding index have been widely used as.
Apr 2020 plasticestheticperiodontalandimplantsurgeryvolume2 gingival augmentationwithautologousconnectivetissue 15 pdf drive search and download pdf files for free. Although the gingival index and sulcus bleeding index have been widely used as indicators of periodontal status, there is some disagreement among investigators as to their meaning and significance. I also understand that where there are fillings at the gum. Recession was found on at least one tooth surface in 68% of subjects. The use of gingival retraction cords with 5 to 10 percent aluminum chloride has been shown to be safe and effective. Causes and treatments when your gums recede or pull away from your teeth, it is called gum recession. Classification of gingival diseases is a significant part of an intraoral examination. Gingival recession is a common finding in many patients. Use astringent syringe applicator to control the bleeding. Gingival zenith positions and levels of the maxillary. Gingival recession definition of gingival recession by the. Probing depths were measured in millimeters using a marquis cp12 probe hufriedy mfg.
Periodontal plastic surgery is now an important tool in the armamentarium of the clinician treating gingival recessions, and practitioners at all levels will find. Periodontal chart department of periodontology school of. Free gingiva definition of free gingiva by medical dictionary. Whether the area of recession protrudes labially from the dental arch 5. Festooned gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. If you continue browsing the site, you agree to the use of cookies on this website. This book is designed to function a clear and concise clinical guide that covers all components of the modern control of gingival recession, with a particular cognizance on surgical strategies with the adjunctive use of autogenous tissues or smooth tissue substitutes for recession coverage. Azzi and colleagues2 studied the effect of retraction cords, electrosurgery and rotary gingival curettage on gingival recession and loss of attachment in dogs. The creation of an esthetic smile is a collaborative process, which at a minimum involves the patient and restorative dentist.
Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity, esthetic complaints, and a tendency toward root caries. The importance of keratinized gingiva surrounding dental implants anita desai, dds, mds university of pittsburgh, 2015 purpose. The removal of plaque, calculus and stains from supra and sub gingival tooth surfaces when there is generalized moderate or severe gingival inflammation in the absence of periodontitis. Doublecord technique is used when tissue health is compromised. Gingival recession can stem from a wide variety of causes. Gingival recession was recorded as present if any root surface was clearly visible without retraction of the gingival tissue. Eventually the inflammatory process destroys the gum tissues, causing them to separate from the tooth and form spaces called pockets. Biological mechanism of the development of gingival recession is not fully understood. View the article pdf and any associated supplements and figures for a period of 48 hours. Often, however, the participation of other specialists is. Pdf plastic esthetic periodontal and implant surgery. Location of the gingival margin apical to the cej aap how much recession is out there. Total loss of attachment clinical attachment loss, cal is the sum of 2.
Gingival recession is defined as the apical displacement of the gingival margin from the cementoenamel junction cej. This form of gum disease does not include any loss of bone and tissue that hold teeth in place. Gingival descriptors at dalhousie university studyblue. Original article accuracy of assessing gingival thickness.
Enhancing the gingival frame with periodontal surgery by albert b. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Gingival recession in dentitions with otherwise healthy periodontium is a common occurrence in adults. For the dental patient preventing the size and shape of. Relacao tratamento ortodontico e recessao gengival elsevier. Gingival recession, also known as receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue andor retraction of the gingival margin from the crown of the teeth. Discussion several techniques have been presented as treatment for gingival recession, all of them aiming to achieve full coverage. Correlation between gingival biotype and occurrence of. Although the term recession is well known, and its negative connotations for the state of the economy are typically understood by the general public, the actual definition of a recession is less clear.
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