White band along gingival margin

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Posted on By Steven Berkowitz In Periodontics

This patient presents with a white band along the palatal gingival margin of tooth #8. The band comes and goes on the facial also, but the palatal is pretty constant. The white tissue can be scraped off with a scaler, but reappears. The patient complains that it feels "thick" and "stiff" like a "cuticle".
She is healthy, non-smoker. She wears a Vivera retainer, which has been cut short to make sure there is no contact irritation. She had a resin bonded bridge for many years, could it be that some residual bonding or composite is causing this lesion?
I appreciate your input.
Steve


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4 Comments

Steven, it could be an etched area that attracts plaque or a tissue irritant..have you tried polishing the tooth in this area? Did the patient have orthodontics with resin attachments or it could be leftover resin from the resin bonded bridge...let us know what you find.


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Gingival retreat is related with the nearness of supragingival and subgingival analytics and demonstrated that the lingual surfaces of the lower front teeth were most often influenced in 20– 34 year age amass in Tanzanian grown-up populace.

Use of antibiotic medication HCL or citrus extract to root surface before arrangement of delicate tissue unite.

Patients who have a few teeth with retreat may have unaesthetic appearance due to dark triangles. In these cases, where surgical methodology is not suitable, silicone adaptable gingival polish or veil might be utilized.


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Red lesions are a large, heterogeneous group of disorders of the oral mucosa. Traumatic lesions, infections, developmental anomalies, allergic reactions, immunologically mediated diseases, premalignant lesions, malignant neoplasms, and systemic diseases are included in this group. The red color of the lesions may be due to thin epithelium, inflammation, dilatation of blood vessels or increased numbers of blood vessels, and extravasation of blood into the oral soft tissues. You can visit at http://etoms.com/ for more details.


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It's very common to see them form right at a tooth's gum line, which is an area people often miss when brushing. (See picture above.)
In similar fashion, if you're not flossing well enough (either not as often as you should or you aren't being effective) you may discover that white spots have formed in areas where your teeth touch together.
And since cleaning around dental braces can be difficult, they frequently form next to where a person's orthodontic brackets are bonded to their teeth (see picture below). (We discuss the increased risk of white spot lesions with orthodontic patients at http://etoms.com


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