Board Certified Periodontist, Dr. Scott O. Kissel

Covering Exposed Crown Margins with Connective Tissue Grafts

Smiling elderly couple showcasing healthy teeth, symbolizing successful dental treatments for exposed crown margins.

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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

Close-up of teeth showing exposed crown margins and surrounding gingiva, illustrating gingival response after crown insertion, relevant to periodontal treatment and root coverage techniques.

Post-operative image of anterior teeth showing successful coverage of exposed crown margins after connective tissue grafting, illustrating improved gingival response four months post-surgery.

Post-operative image of dental crowns showing healthy gingival response four months after subepithelial connective tissue graft surgery for coverage of exposed crown margins.

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

Close-up of teeth showing exposed crown margins and surrounding gingival tissue, illustrating gingival response after crown insertion, relevant to periodontal treatment and connective tissue grafts.

Pre-operative photo of exposed crown margins with gingival recession, illustrating the gingival response one year after crown insertion, relevant to periodontal treatment and connective tissue grafts.

Close-up of dental crowns showing healthy gingival tissue and minimal exposure of crown margins, illustrating post-operative results four months after subepithelial connective tissue graft procedure.

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New York Periodontist Scott O. Kissel