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Dentistry · Caries, pulp and periodontal disease: periodontal biotype and recession
Sample itemA young woman has a thin, scalloped gingival margin, triangular crowns and a narrow zone of keratinised tissue. She is about to start orthodontic proclination of the lower incisors. Which complication is she most prone to?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Gingival recession
A thin, scalloped biotype has thin bone plates and fragile gingiva, so it is prone to recession after trauma, restorative margins or tooth movement. A thick, flat biotype instead tends to form pockets and responds with fibrous enlargement.
Option by option
A. Hyperplasia of the interdental papillae
Papillary hyperplasia is not the expected response of a thin biotype.
B. Gingival recession (correct)
Correct. Thin tissue over thin bone responds to insults with recession.
C. Deep intrabony pocketing
Deep intrabony pockets are more typical of the thick, flat biotype.
D. Fibrous gingival enlargement
Fibrous enlargement is a feature of thick gingival tissue.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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