Board Certified Periodontist, Dr. Scott O. Kissel

Covering Exposed Crown Margins with Connective Tissue Grafts

Mature Couple Leaning On Each Other While Sitting On Couch

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Even after recent crown insertion, patients often present with exposed crown margins.  I am frequently surprised when I see ample width and thickness of keratinized tissue, associated with gingival recession.  This dilemma can be predictably resolved with root coverage techniques.  Using a subepithelial connective tissue graft and microsurgical techniques can result in coverage of the crown margin with little to no discomfort or swelling.  Below are pre-operative photos showing the gingival response one year after crown insertion.  The post-operative photos were taken at four months after surgery.

Below are pre-op photos showing the gingival response one year after crown insertion

PreOp1

PreOp2

PreOp3

These post-op photos were taken at 4 months after surgery

PostOp1

PostOp2

PostOp3

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