Grafting Over Carious Lesions
Before: Patient presents with decay under a class V restoration.
Undermining ledge.
Class V easily removed, showing deep decay.
After: Connective tissue graft and new bonded restoration.
Canines
Before: No attached keratinized gingiva. Significant recession with toothbrush abrasion on the root surface.
After: Root coverage completed with a significant increase in the band of attached keratinized gingiva and no visible incision lines.
Alternative to Root Filling
Before: Plastic restorations were placed to cover over recession defects.
After: Composite is removed and soft tissue grafting accomplished.
Crowns
Before: Patient presents with severe gingival recession and a desire for new crown.
Before: Initially a very thin delicate biotype then following gingival augmentation change tissue was to a thicker biotype.
Before
After
After
After
Decay
Before: Patient presents with root decay and gingival recession with no attached keratinized gingiva.
After: A significant band of attached keratinized is achieved.
Over Implants
Before: Patient presents with multiple metal implant collars exposed.
After: Augmentation to cover metal creates a more esthetic result.
Papilla Reconstruction
Before: Patient presents with deficient interdental papilla and plans for new crowns with recession on tooth #11.
Surgery
After: Root coverage is completed with modifications of the temporary restorations.
