Periodontics · single question
A patient on bisphosphonates has a tooth with gingival recession. What is the BEST management?
Show answer and explanation
Correct answer: B. Free gingival graft
✓ B) Free gingival graft is the answer as given.
While bisphosphonates complicate surgical decisions (MRONJ risk), the clinical question asks for the best management of gingival recession specifically. A free gingival graft (or connective tissue graft) is the definitive treatment to cover exposed root surface and increase attached gingiva. Note: in a bisphosphonate patient, surgical risks must be weighed — for Class IV-V MRONJ risk patients, conservative management may be preferred. If surgery is chosen, proper MRONJ precautions should be taken. A Class V restoration addresses the exposed root surface but does not restore gingival coverage.
While bisphosphonates complicate surgical decisions (MRONJ risk), the clinical question asks for the best management of gingival recession specifically. A free gingival graft (or connective tissue graft) is the definitive treatment to cover exposed root surface and increase attached gingiva. Note: in a bisphosphonate patient, surgical risks must be weighed — for Class IV-V MRONJ risk patients, conservative management may be preferred. If surgery is chosen, proper MRONJ precautions should be taken. A Class V restoration addresses the exposed root surface but does not restore gingival coverage.