Client Profile
• 45-year-old woman
• Single mother of a 4-year-old girl
• Occupation: Administrative Assistant
Chief Complaint
• "My teeth are very sensitive when I eat or drink cold foods and beverages."
Health History
• No significant findings
Pharmacologic History
• Client taking Ortho Tri-Cyclen (norgestimate, ethinyl estradiol)
Dental History
• Regular 6-month continued-care appointments
• Brushes twice daily (uses a hard toothbrush)
Clinical Examination
• Light to moderate dental calculus
• Localized attrition along anterior incisal and canine tooth surfaces
• Localized recession and cervical abfraction evident on teeth 6, 7, 8, 9, 22, 23, 24, 25, 26, 27, 28, and 29
• Occlusal trauma on 6, 7, 8, 9, 22, 23, 24, 25, 26, 27, 28, and 29
Radiographic Findings
• Incipient enamel lesions (distal surface of 3, mesial surface of 15, distal surface of 19)
-All of the following factors from the client's assessment data might be the cause of gingival recession except which one?

Question

Quizplus · Accepted Answer

The presence of incipient caries is not a cause of gingival recession. Factors that contribute to gingival recession include the use of a hard toothbrush, abfraction (which causes eventual loss of cervical tooth structure followed by recession), and occlusal trauma, which can alter the attachment of the gingiva to the tooth.

Client Profile • 45-Year-Old Woman