I need some assistance with these assignment. patient with moderate to severe gingival recession- gingival tissue graft Thank you in advance for the help!

I need some assistance with these assignment. patient with moderate to severe gingival recession- gingival tissue graft Thank you in advance for the help! It is often necessary to have surgery to correct these types of problems. fortunately, there are a number of treatment options available. Many people, as in the case study provided, suffer from other health conditions, like hypothyroidism and hypercholesterolemia. these conditions and needed medications must be considered when reviewing treatment options. Fortunately, most conditions and their related medications, will not threaten or prevent one from receiving the surgical dental treatment needed to repair gingival recession. Background What exactly is gingival recession and what causes it? The most concise definition of gingival recession is, “exposures of root surfaces due to apical migration of the gingival tissue margins and gingival margins migrate apical to the cementoenamel junction” (Pradeep, Rajababu, Satyanarayana & Sagar, 2012). In other words, the gums climb away from the teeth exposing more of the tooth surface or potentially the root itself. The results of which include painful infections, sensitivity to hot and cold, development of dental caries, aesthetic unpleasantness,, and, potentially, tooth loss. The cases of gingival recession increase in numbers and severity as people get older. There is a growing majority, nearly, 90% of adults, who are over the age of 50, have had or are having issues with gum recession (Johal, Katsaros, Kiliaridis & et. al., 2013). There are a number of conditions and causes that can result in gingival recession. Obviously, periodontal disease, which can be contributed to by Diabetes, for example, genetics, and dental habits can make a difference. In this patient’s case she, also, has a specific disadvantage when it came to dental problems, hormonal changes and imbalances, like those that accompany menopause, can contribute to instances of gingival recession. There are other contributors to gingival recession, including physical trauma to the mouth and gums, erosion of gum tissues due to chemical or medications taken, malpositioning or poor positioning of teeth, along with other genetic predispositions and outside influences. There are a different means of classifying the different kinds of recession. the most popular is the “Miller Classification” system. There are 4 classes within the Miller system. Class I, details a dental condition where the tissue loss is marginal and there is no internal bones loss currently present. The second, Class II, the recession extends beyond the MGJ, mucogingival junction, but with limited or no bone loss. The third, Class III, the recession extends well beyond the MGJ and shows loss of bone and soft tissues. Class IV represents the most severe recession and loss of bone and soft tissue (Kumar & Surendra Masamatti, 2013). This system is both, diagnostic and prognostic, studies both hard and soft tooth surfaces, and is the first determinant in deciding the best sort of grafts the patient is a candidate for (Lee, 2008). There are three different treatment disciplines that can successfully treat gingival recession. Pocket Depth Reduction: This procedure involves the folding back of gum tissue and manually removing the bacteria found in the pockets. The gum tissue is stretched across the root surface, effectively diminishing or eliminating the existing pockets (Tonn, 2012). Regeneration: This procedure helps the body to regenerate bone and new tissues.

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