Unparalleled tissue management starts with rapid, profound hemostasis. Gingival and dentogingival junctional tissue pocket. Tissue management includes placing the gingival tissues away from the preparation margins so that impression can be made, combined with providing for. Outlines the problems associated with soft tissue and in particular gingival defects such as recession. The gum tissue that is attached to the alveolar bone is called free gingiva. Tissue management is the key to quality direct and indirect restorations. Management of gingival tissue during indirect impression procedures. Achieving this goal requires optimal health before treatment and. Rotary gingival curettagea technique for tooth preparation and management of the gingival sulcus for impression taking. In the present case, there was a groove on the palatal side of a maxillary lateral incisor with vital pulp.
The rftnthcfm treatment of plaqueinduced gingivitis. The key to success is effective soft tissue management, and the goal of soft tissue management has been to provide healthy gingival tissues covering sound, smooth restorative margins. Oct 20, 2016 soft tissue management in the aesthetic zone webinar by expert presenter pd dr. Deepika bainiwal punjab government dental college and hospital, amritsar, punjab. Regarding management of gingival tissues, the goal is to ensure that the. Gingival tissue management defined as the procedure of temporary retraction of gingiva far from the tooth surface or extending of gingival. Inflammation of gingival tissue without loss of connective tissue ada localized delivery of antimicrobial agents. Soft tissue management in the aesthetic zone youtube. Thoma is a head of academic unit at the clinic for fixed and removable prosthodontics and dental. Gingival overgrowth is a major and frequent unwanted effect accompanying the chronic usage of antihypertensive, anticonvulsant, and immunosuppressant drugs. 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 application of conservative retraction cords as a mechanical or chemomechanical system is well recognized in practice because of its comparativepredictability, efficacy, and securityassociated with rotary gingival curettage and electrosurgery. One of the chief goals of periodontal plastic surgery is establishment of ideal pink esthetics through the reconstruction of gingival recessions. Extensive practice and experimentation with various materials can help clinicians determine their preferences and become skilled in this ubiquitous aspect of dentistry.
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. All the periodontal therapy performed, and homecare instruction given, are for the purpose. Thoma is a head of academic unit at the clinic for. What is gingival retraction, different materials and methods used. Ranier adarve defining gingival displacement clinical uses methods and techniques. Successfully producing crowns and bridgework is dependent on effective management of gingival tissue through tissue retraction.
Gingival hyperplasia is an overgrowth of gum tissue around the teeth. Surgical management of gingival recession using autogenous. Gingival tissue management in restorative dentistry. The gingival tissue which is to be retracted needs to be free of any inflammation. This book is designed to serve as a clear and concise clinical manual that covers all aspects of the current management of gingival recession, with a particular focus on surgical techniques with the adjunctive use of autogenous tissues or soft tissue substitutes for recession coverage. Tissue management tissue management in restorative. The prepared finish lines should be clearly duplicated on the cast for the good fit of the prosthesis. Management ol the gingival embrasure lorrn lor patients who have experienced gingival recession varies depending on whether the treatment is either in the anterior or posterior regions ot the mouth. Having read this chapter, the reader should be aware of the contemporary surgical techniques used for the surgical management of gingival. In esthetic areas, it is necessary to carry the interproximal contacts apically toward the papilla to eliminate the presence ot large open embrasures.
Tissue management, gingival retraction and hemostasis. 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 tissue management can be defined as the procedure of. Surgical outcome is largely dependent on the anatomy of the involved area. An acceptable impression must be an exact record of all aspects of the prepared tooth. 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. Periodontal management of cyclosporin ainduced gingival. These gingival management methods encompass ways to displace the gingival tissue and to control gingival hemorrhage. The prosthetic management of gingival aesthetics british. Advancements in gingival retraction techniques in restorative. The periodontal problem of the tooth was treated and the 6month postoperative followup showed attachment gain. Tissue management includes placing the gingival tissues away from the.
Apr 28, 2020 gingival tissue is the area around the root of the tooth that helps keep the tooth in place. Jul 12, 2019 this book aims to serve as a clinical manual for gingival recession management. Dental college and hospital, auranagabad, maharashtra, india abstract. The key to success is effective soft tissue management, and the goal of soft tissue management has been to provide healthy gingival tissues.
In clinical dentistry, patients frequently report with isolatedregional or generalized gingival enlargements, which could fall under varied presentations. A copper band or tube also known as matrix method6. Successful soft tissue management laser gum treatment. A training program saturday morning, october 6, 2018 5125 moos health sciences tower 7. The palategingival grooves are an anatomical anomaly in maxillary incisors, which might result in local periodontal pocket formation, bone loss and sometimes pulpal necrosis. Apr 04, 2016 gingival recession is represented by atrophic periodontal changes. Tissue management tissue management in restorative dentistry.
In the conditions most pronounced form, the crowns of the teeth may be covered. Pertinent management depends on precisely diagnosing the origin of enlargement. Keep in mind soft tissue management is limited to the management of the inflamed gingival component of periodontitis. The main focus is on the surgical techniques used for recession coverage using either soft tissue substitutes or. It is characterized by progressive enlargement of the interdental papillae as well as the marginal and attached gingival. The subepithelial connective tissue is harvested from the palate using a trapdoor technique, being careful to avoid the greater palatine vessels, which are normally located mesial to the second permanent molar. The diagnosis of these lesions is essential for their successful management and of the patient as a whole.
To provide a brief overview of the aetiology of gingival overgrowth, and describe the principles of and techniques for its surgical management. The form and function must be in harmony with the periodontium for a restoration to. Tissue management, gingival health, rubber dam, retraction cords, rotary methods. Sep 16, 2015 gingival enlargement or gingival overgrowth, a common trait of gingival disease, is characterized by an increase in the size of gingiva. Gingivectomy is the excision of gingival tissue, usually to remove the diseased wall of a periodontal pocket true pocket or pseudopocket. However, attached gingiva is important to maintain gingival health in patients with suboptimal plaque control. If the gingival tissues adjacent to the recession are thin, the biotype can be altered to a thicker one by placing a subepithelial connective tissue graft over the root. The expression and the severity of this tissuespecific condition are influenced by a variety of factors, mainly drug and periodontal variables. Gingival tissue management by indiandentalacademy issuu. Gingival tissue management introduction an objective of restorative dental procedures is the placement of dental materials to restore teeth to proper form and function. Gingival tissue management dr shabeel pn slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Mechanical methods of gingival retraction copper band.
Pdf role of gingival tissue biotype in periodontal. Esthetic considerations in gingival tissue management. This book aims to serve as a clinical manual for gingival recession management. Jun 20, 2018 however, attached gingiva is important to maintain gingival health in patients with suboptimal plaque control. A gold standard treatment approach for coverage of gingival recession with predictable esthetic outcomes is the transplantation of autogenous soft tissue grafts. There are a number of causes for this condition, but its often a symptom of poor oral hygiene or a side effect of using. 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. Gingival recession is associated with oral exposure of the root surface due to a displacement of the gingival margin apical to the cementoenamel junction. Role of gingival tissue biotype in periodontal management. The goal for management of gingival tissues and gingival esthetics is to maintain the normal appearance of healthy gingival. Recent advances on gingival tissue management in restorative. Depending on where the gingival tissue is in relation to the tooth, it may be called one of two names. Gingival tissue in the oral cavity is the most important tissue of the orofacial region for dental professionals to know and understand, and the most interesting as well. Pdf on jun 1, 2015, s sreedhara and others published gingival tissue management in restorative dentistry find, read and cite all the research you need on researchgate.
Tissue management, gingival retraction and hemostasis oral. Gingival recession is represented by atrophic periodontal changes. This article revises the existing knowledge of different types of enlargements and highlights some important diagnostic. Gingival architecture whether thin or thick has an influence on the disease progression as well as treatment outcome. Sep 14, 2017 the key to success is effective soft tissue management, and the goal of soft tissue management has been to provide healthy gingival tissues covering sound, smooth restorative margins. Jan 21, 2011 outlines the various management techniques for the improvement of gingival aesthetics. The underlying bone loss and bony defects are not affected or resolved by soft tissue procedures other than limited marginal tissue shrinkage. Pdf on jun 1, 2015, s sreedhara and others published gingival tissue management in restorative dentistry find, read and cite all the research you need on. Outlines the various management techniques for the improvement of gingival aesthetics. Biologic width is defined as the dimension of soft tissue which is attached to the portion of the tooth coronal to the crest of alveolar bone. Various surgical techniques can be used in combination with autogenous soft tissue.
A clinical manual pdf this book is designed to serve as a clear and concise clinical manual that covers all aspects of the current management of gingival recession, with a particular focus on surgical techniques with the adjunctive use of autogenous tissues or soft tissue substitutes for recession coverage. Oct 30, 2019 one of the chief goals of periodontal plastic surgery is establishment of ideal pink esthetics through the reconstruction of gingival recessions. Surgical outcome is largely dependent on the anatomy of. Tissue management in fixed prosthodontics pdf free download. Used to carry the impression material as well as to displace the gingival to expose the finish line. The initial part of the management of the patient with gingival recession should be directed towards correcting the etiological factors.
Jul 23, 2009 gingival tissue management dr shabeel pn slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Such increased volume of gingiva may compromise normal oral functions, aesthetics in addition. Gingival tissue retraction is an important step in the fabrication of a crown and or bridge. A healthy periodontium is a prerequisite for gingival tissue management and maintaining the biologic width is mandatory. Feb 25, 2020 management ol the gingival embrasure lorrn lor patients who have experienced gingival recession varies depending on whether the treatment is either in the anterior or posterior regions ot the mouth.
The management of gingival recession and its sequelae is based on a thorough assessment of the etiological factors and the degree of tissue involvement. Gingival hyperplasia secondary to infiltration of the gingival tissue with leukemia cells is thoroughly described in the literature. Gingival recession management a clinical manual adrian. Role of gingival tissue biotype in periodontal management chandulal dhalkari1, pallav ganatra1 department of periodontology, govt.
The expression and the severity of this tissue specific condition are influenced by a variety of factors, mainly drug and periodontal variables. Download pdf gingival recession management dencyclopedia. One of the primary goals of a long term successful restorative therapy is to establish a physiologic periodontal climate that facilitates the maintenance of periodontal health. If you continue browsing the site, you agree to the use of cookies on this website. Soft tissue management in the aesthetic zone webinar by expert presenter pd dr. The role of smoking as a contributory factor in the progression of the periodontal disease process has long. Attached gingiva refers to the gum tissue that is found toward the top of.
Periodontitis is inflammation of the gingiva and the adjacent attachment apparatus and is characterized by loss of. It is not only used as a means of carrying the impression material but also a mechanism for displacing the gingiva to insure that the gingival finish line is. Soft tissue management, therefore, is not an endtherapy for patients with bone loss. The form and function must be in harmony with the periodontium for a restoration to become an integral component of total oral complex. Pdf gingival tissue management in restorative dentistry. Gingival tissue is the area around the root of the tooth that helps keep the tooth in place. During the 1970s, due to a misinterpretation of the definition of biological width, for over four decades, it was mistaken to be an absolute value rather than an arithmetic mean.
Fda approved subgingival delivery devices containing antimicrobial medications that are inserted into periodontal pockets to suppress the pathogenic microbiota. Diagnosis and treatment of gingival recession decisions in. Download as pptx, pdf, txt or read online from scribd. Management of gingival tissue during indirect impression.
1401 149 1267 1043 173 37 120 202 1204 978 259 1024 1305 497 946 737 1472 279 110 836 1085 119 1024 349 34 808 1217 152 910 1257 1242 1004 1065 20 437 556 542 31 32 394 1382 265