Combine pdfs in the order you want with the easiest pdf merger available. Many consider it to be just a sign of aging, and in some cases it is essentially that often the result of wear and tear or years of aggressive tooth brushing. The importance of keratinized gingiva surrounding dental implants. Gingival margin alterations and the preorthodontic treatment.
Controversy exists in the literature between the role of orthodontic treatment and gingival recession. The etiology and prevalence of gingival recession sciencedirect. Different gingival grafting techniques have been proposed to treat gingival recession, including the lateral sliding flaps, coronally positioned flaps and connective tissue grafts, resulting in mean root coverage of 65 to 98 percent. Gingival retraction using paste systems oral health group. A subepithelial connective tissue graft refers to submerging gingival connective tissue under a partial thickness. Periodontal chart department of periodontology school of. Online dental education library our team of dental specialists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Introduction tooth extraction is a common method of providing space for orthodontic treatments. Firstly, the gingival margins of the central incisors should be on the same level, furthermore, they should position themselves more apically to the margins of the lateral incisors and remain on the same level of the margins of the canines.
Treatment of miller class iii gingival recessions with tunnel technique a subepithelial connective tissue graft was then harvested from the palate and divided into two portions to be adapted only for the recessions corresponding to 1. Gingival retraction or gingival recession is when there is lateral movement of the gingival margin away from the tooth surface. 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. Especially with patients susceptible to gingival recession, mitigating these conditions will improve. Gingival margin definition of gingival margin by medical. Gingival recession checklist and visual guide is a practical chairside support tool that illustrates to the patient the gingival recession modifiable conditions that she or he can personally control. Adequate retention was accomplished due to engagement of the veneer into the interdental open gingival embrasures. Bridge flap for the treatment of multiple gingival recession. The adha standards of clinical dental hygiene practice include2. This free online tool allows to combine multiple pdf or image files into a single pdf document. Management of gingival recession in the orthodontic patient dominiki chatzopoulou, dipds, mclin dent in perio eng, and ama johal, bds, phd, fds orth rcs gingival recession gr is a common periodontal condition that affects a large portion of the young and adult population and negatively affects the esthetic aspects of the smile. Mar 23, 2016 comparison of two gingival displacement procedures the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The principal growth sites of the maxilla in a downward and forward direction include the 1. A subepithelial connective tissue graft refers to submerging gingival connective tissue under a partial thickness flap oh, 2008.
Gingival tissue management dr shabeel pn slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. However, sometimes receding gums can be a sign of something more. Measurements of probing attachment level differ from measurements of probing depth in that the reference point used in probing depth is a changeable onethe crest of the gingival margin. Gingival recession associated with orthodontic treatment and. Zade3, ramesh amirishetty4, sunaina shetty 5 case report a 37yearold man with a noncontributory medical history presented with the chief complaint of bleeding gums and elongated upper front teeth. Several possible relationships exist between the free gingival and fac. Recession may lead to a mucogingival problem characterised by gingival inflammation in an area of limited or no attached tissue figure 2. Tissue management, gingival retraction and hemostasis. Soda pdf merge tool allows you to combine pdf files in seconds. Baker dl, seymour gj 1976 the possible pathogenesis of gingival recession. Perceptions of gingival display aesthetics among orthodontists, maxillofacial surgeons and laypersons estudo comparativo da percepcao estetica do sorriso gengival por ortodontistas, cirurgioes bucomaxilofaciais e leigos larissa suzuki a andre wilson machado b marcos alan vieira bittencourtb a private practice, ribeirao preto, sp, brazil. Although the difference in prevalence of individuals with gingival recession among cases and controls was statistically significant p mar 07, 2012 perio assessment 1.
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. Various classifications of gingival recessions have been put forward since decades starting from sullivan and atkins in 1968, 5 mlinek et al. If you continue browsing the site, you agree to the use of cookies on this website. Fhe gingival margins of the two central incisors should be at the same level. Comparison of two gingival displacement procedures full. Gingival recession classifications linkedin slideshare. Study 14 gingival margin level and clinical attachment level flashcards from ethan k. Esthetic periodontal considerations in orthodontic.
The marginal or unattached gingiva is the terminal edge or border of the gingiva that surrounds the teeth in collarlike fashion figures 11 and 12. Oct 03, 2014 posts about gingival dimensions written by muller. Gingival recession associated with orthodontic treatment. Free gingival margin may be slightly coronal above fac. Free gingival margin can be significantly coronal to fac. Table 2 shows the second digit of the ir that gives the vertical. American academy of periodontology 1992 the term marginal tissue recession is considered to be more accurate than gingival recession, since the marginal tissue may have been alveolar mucosa. The colgate periodontal education program gingival. Treatment of miller class iii gingival recessions with. The contour of the labial gingival margins should mimic the cejs of the teeth.
Start studying gingivitis and periodontal disease prevention. The horizontal component is expressed as a whole number value from the range 05 depending on what proportion of the cej is exposed on either the facial or lingual aspects of the tooth, between the mesial and distal midpoints. Pdf merge combine pdf files free tool to merge pdf online. The attached gingiva is defined as the portion of the gingivae extending from the base of the gingival crevice to the mucogingival line. Orthodontic treatment of gingival discrepancies periodontal. The use of these procedures can lead to the formation of a stable, noninflamed band of attached gingival tissue. Receding gums gums that recede to expose the root surfaces of teeth is a common condition in adults over the age of 40. Just upload files you want to join together, reorder.
The gingival veneer was fabricated from heat curing acrylic resin tablefig5, tablefig6,7 7,8. Location of the gingival margin apical to the cej aap how much recession is out there. The relationship of the gingival margins of the six maxillary anterior teeth plays an important role in the esthetic appearance ol the crowns. Its causes and types, and the importance of orthodontic treatment article pdf available in dental press journal of orthodontics 2. Gingivitis and periodontal disease prevention flashcards. Overhanging margins of restorations at the gingival margin. It may remain near cej creating deep pockets, or it may recede leaving parts of the roots visible. Consequences of these extractions areresorptive remodeling of the alveolar bone1,2, especially in the coronal segment of b. Assessment collection, analysis, and documentation of a patients oral and overall health status and needs. Tissue trauma caused by vigorous tooth brushing is considered the main factor to cause development of gingival recession, especially in young subjects. Pdf joiner allows you to merge multiple pdf documents and images into a single pdf file, free of charge. Treatment of multiple miller class i and iii gingival. Damages gingival connective tissue, pdl and alveolar bone with periodontitis, does the gingival margin stay near the cej or does it recede. The long and narrow teeth with a thin periodontium can be more susceptible to rec than short and wide teeth with a thick periodontium 11, 12.
Understand why gingival recession is a serious concern both functionally and aesthetically for the soft and hard tissue. Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. A histological study of induced recession in the rat. Aminaphtone in the control of gingival bleeding in children. Finally, the gingival veneer was adapted to the zzs maxillary teeth during an insertion visit tablefig9. Gingival recession is defined as an apical displacement of soft tissues to the cementoenamel junction cej. Periodontal chart department of periodontology school. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
The gingival margins of the central incisors should be positioned more apically than the lateral incisors and at the same level as the canines. Minayasanchez m, medinasolis ce, vallejossanchez aa, marquezcorona md, pontigoloyola ap, islasgranillo h, maupome g. Gingival recession is the migration of marginal gingival tissue in an apical direction with respect to the cementenamel junction cej with root surface exposition. It is usually termed gingival retraction as an intentional procedure, and in such cases it is performed by mechanical, chemical, or electrical means in order to perform certain dental surgery procedures. Edel, in 1974, first described the subepithelial connective tissue graft.
These situations could be treated by either frenectomies and apically or laterally positioning keratinized gingiva. 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. The published picture above had been created based on fixed estimates of a multivariate multilevel time series model of gingival dimensions after the implantation of a bioresorbable membrane for surgical root coverage. 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. A novel technique of masking gingival recession dentistry section praful choudhari1, arpita pillai2, r. Gingival recession and associated factors in a homogeneous mexican adult male population. October 2008 more complex examples of gingival problems. Click here to read about the new version without adobe flash. Become familiar with the causes of gingival recession and learn how the tunnel connective tissue graft technique can be used to correct it. Listing a study does not mean it has been evaluated by the u. Does labial movement of lower incisors influence the level of. Orthod craniofacial 7 3539 the recession of gingival margin is a common out.
It is firm, dense, sometimes stippled, and tightly bound down to the underlying periosteum, tooth and bone. Gingival recession is defined as the displacement of marginal gingiva apical to the cementoenamel junction cej. Bridge flap for the treatment of multiple gingival recession gayathri priyadharshini 1, jananni 2, saravana kumar 3, pratebha 4, s. Treatment of miller class iii gingival recessions with tunnel. Gingival recession is a frequently observed clinical condition characterized by exposure of tooth cementum, predominately on the labial surfaces of teeth, and is reported to be present in the vast majority 5088% of the adult dentition. Treating gingival recession over the last few years. Gingival recession is defined as the exposure of the root surface by an apical shift in the position of gingiva. Gingival recession is represented by atrophic periodontal changes. Caries, periodontal diseases and traumas may also lead to tooth extraction. The term atrophy makes reference to all processes of cell lesion characterized by a decrease in volume and cell population of a given organ or tissue, resulting from sublethal cell aggression, such as hypoxia, mechanical compression, local reduced vascularization, among others. The majority of studies that evaluated gingival recession have used the clinical crown length in the models to access the amount of gingival recession.
In a person with healthy dentition, each tooth and its alveolus actively emerges from its crypt. Gingival retraction 5 surgical mechanical chemical 6 mechanical retraction retraction cord twisted braided knitted this is my preference plain or impregnated how many cords are needed 7 supra gingival 0 veneers 1 usually 2 is my gold standard crown and bridge 2 or 1 margins are usually shallower 8 two cord technique gold standard. Shape the shape of the gingiva varies considerably depending on the shape of the teeth, their alignment in the arch, the location and size of the area of the proximal contact, the dimensions of the facial and lingual gingival embrasures, and the degree of gingival health festooned gingiva when the gingival margin continues to thicken, the condition takes on a lifesaverlike appearance. Pdf mahajans modification of the millers classification. The case described here demonstrates that past orthodontic treatment is a potential cause of gingival recession and attachment loss. Effect of alveolar ridge preservation with pdfdba on. A gender component to gingival recession has been reported in several studies, with males.
This is a natural level of the gingival margin and represents the expected position of the gingival margin in the absence of disease or injury. Jan 01, 2015 the gingival veneer was fabricated from heat curing acrylic resin tablefig5, tablefig6,7 7,8. Hemodent gingival retraction cord is made of cotton and impregnated with astrinigent, a buffered solution of 10 percent aluminum chlo. The importance of keratinized gingiva surrounding dental. The digits describe the horizontal and vertical components of a recession site in that order.
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