GINGIVAL RECESSION

 WHAT IS GINGIVAL RECESSION ?

It is defined as the exposure of the root surface by a shift in the position of the gingiva.

ETIOLOGY:

1. Plaque induced gingivitis

2. Plaque induced periodontitis

3. Age

4.Faulty tooth brushing

5.Tooth malposition

6. Gingival inflammation

7.Trauma from occlusion

TYPES OF RECESSION:

1. Visible.

2. Hidden.

3. Localised.

4. Generalised.

5. Narrow.

6. Shallow.

 
    

MILLERS CLASSIFICATION OF RECESSION:

CLASS 1: Marginal tissue recession not extending to the mucogingival junction. 

                   No loss of interdental bone/ soft tissue.

CLASS 2: Marginal tissue recession extends to or beyond the mucogingival junction. 

                  No loss of interdental bone / soft tissue.

CLASS 3: Marginal tissue recession extends to or beyond the mucogingival junction

                  Loss of interdental bone /soft tissue is apical to the CEJ, but coronal to the apical extent of                       marginal tissue recession.

CLASS 4: Marginal tissue recession extends beyond the mucogingival junction .

                  Loss of interdental bone extends to a level apical to the extent of the marginal tissue                                recession.

 

     

WHAT CAN GINGIVAL RECESSION LEAD TO ?

 

1.The exposed root surface are susceptible to caries. 

2.Abrasion /erosion of the cementum leading to sensitivity.

3.Interproximal recession creates oral hygiene problems & results in plaque accumulation.

4. Finally resulting in aesthetically unacceptable teeth.

FOR FURTHER DETAILS CONTACT US AT:

Rootz Dental Care and Implant Center has specialists with proven expertise in Implantology. For more information regarding treatments contact us today.

                                             

                                                No:2/2, First Floor, Sakthi Nagar,

                                                Rajiv Gandhi Salai, Thuraipakkam,

                                                Chennai - 600 097,

                                                Phone :- 9786688755,044-49504825

FRENECTOMY

WHAT IS A FRENUM:

                                             Frenum is a fold of tissue/muscle connecting the lip, cheek, or tongue to jaw bone.The primary function of frenum is to provide stability to upper & lower lip & tongue.

 

WHAT IS FRENECTOMY:

                                                It is the complete removal of frenum, including its attachments to underlying bone. It maybe a genetic condition or can be the result of recession of the gingival margins, reaching the area of the frenum.

TYPES OF FRENAL ATTACHMENT:

1. MUCOSAL: The frenal fibres are attached up to the mucogingival junction  .

2. GINGIVAL : The fibres are inserted within the attached gingiva.

3. PAPILLARY: The fibres extends into the interdental papilla.

4. PAPILLA PENETRATING: The frenal fibres cross the alveolar process& extends up to palatine papilla

WHEN TO DO FRENECTOMY:

1. LIP TIE.

2. TONGUE TIE.

3. DIASTEMA.

4. GUM RECESSION.

5. PAIN.

HOW TO DETECT FRENECTOMY:

By applying tension on the frenal attachment & observing the movement of papillary tip or blanching around the alveolar attachment of the frenum due to ischemia.

MANAGEMENT: 

1.Simple excision technique: For the simple excision technique , a narrow elliptical incisions around                                                         the frenal area down to the periosteum is completed.

2.Z-plasty technique :small elliptical excision of mucosa & underlying loose connective tissues.                                                  closure is done with interrupted sutures.

3.Localised vestibuloplasty with secondary epitheliazation : wide v- type of incision made at most                                                                                                          inferior portion of frenal attachments 

4.Laser frenectomy : supraperiosteal ablation of mucosal & dense fibrous frenal attachment.                                                       Healing occurs by secondary epithelization.

 FOR FURTHER DETAILS CONTACT US AT:

Rootz Dental Care and Implant Center has specialists with proven expertise in Implantology. For more information regarding treatments contact us today.

                                             

                                                No:2/2, First Floor, Sakthi Nagar,

                                                Rajiv Gandhi Salai, Thuraipakkam,

                                                Chennai - 600 097,

                                                Phone :- 9786688755,044-49504825

                                                          Email :- rootzdentalcare@gmail.com