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8 Cards in this Set
- Front
- Back
biological width (3)
an additional ____ should be included in biological width calculation for restorative procedures |
-width btw base of sulcus and alveolar crest
-must be at least 2mm -space required for attachment of epith and CT -1mm (:.3mm total) |
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min amount of keratinized gingiva required for healthy peridontium
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-2mm
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crown lengthening: healing sequence
6 days 8 days 10-21 days |
-immature CT replaces fibrin clot
-peak of osteoclastic activity --osteoblasts form new osteoid. Osteoclasts continue to resorb bone. New cementum formation |
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Crown lengthening: healing sequence
1 month 1 1/2 months 2-3 months |
-flap firmly attached to root. CT and epith are fully formed but weak because of low collagen content
-absolute earliest a final impression may be taken -Restorative procedures ok |
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Crown lengthening:
gingivectomy |
-not predictable
-usually results in 1mm increase of crown. Can be more for pseudopockets -does not displace attachment apparatus apically. Only reduces sulcus depth - :.should not be used where there isn't much AG |
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concept behind guided tissue regeneration
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-cementum and PDL will attach to (repaired) root surface if the surface is isolated from epith and CT during healing
-cementum and PDL (attachment apparatus) is strong. Epith and CT (long junctional epithelium) is weak. |
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Gortex (4)
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-used in guided tissue regeneration
2 properties: open microstructure: epith recognizes gortex as non-foreign, and does not migrate in the initial stages occlusive membrane: barrier btw gingival CT and tooth root -not resorbable. Must be removed |
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Miller classifications I-IV
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I: recession CORONAL to MGJ. No bone loss. 100% root coverage possible
II: recession APICAL to MGJ. No bone loss. 100% root coverage possible III: recession apical and mild-moderate bone loss. Some root coverage possible IV: Severe recession with severe bone loss. No coverage possible |