Covering Exposed Crown Margins with Connective Tissue Grafts

Covering Exposed Crown Margins with Connective Tissue Grafts

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

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

PostOp1

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