Guided Tissue Regeneration - The before x-ray shows avery large periodontal defect on the last molar. The original pocket depth was 12mm. Guided Tissue Regeneration was accomplished in the site resulting in a significant amount of bone regeneration in the periodontal defect. Post surgical pocket depth was 4mm. This procedure allows what previously would have been a hopeless tooth to be saved and continue to function as it was intended.
Lateral Pedicle Gum Graft - The Problem: An insufficient band of pink, firmly bound down, fibrous tissue that naturally makes up the edge of gum where the tooth comes through the gum tissue. Without this proper tissue present, the tooth is vulnerable to recession of the gum tissue. Due to local inflammation, some of the supporting bony tissue is destroyed prior to the gum receding. The Solution: A graft of gum tissue that is taken from the immediate adjacent tooth. This will re-establish sufficient width of firm pink tissue that is necessary for tissue health. The adjacent tooth has to have sufficient pink tissue enabling the donor site to heal without adverse affect from donating the graft tissue. This procedure is reasonably predictable for covering recession.
Crown Lengthening for Restorative Purposes - Due to a congenital defect in the enamel (amelogenesis imperfecta) the teeth have worn very severely. This results in loss of occlusal vertical dimension and inadequate crown length for sufficient crown retention. Crown lengthening for restorative purposes lowers the level of both hard and soft tissues exposing sufficient tooth structure for improved crown retention. This enables good margins to be established between the restoration and the tooth without violating biologic width. Additionally, the patient has access to the margins for cleansing purposes which will reduce the chances for further problems to occur in this site.
Gingival (Gum) Graft - The Problem: An insufficient band of pink, firmly bound down, fibrous tissue that is naturally at the edge of gum where the tooth comes through the gum tissue. Without this proper tissue present, the tooth is vulnerable to recession of the gum tissue. Due to local inflammation, some of the supporting bony tissue is destroyed prior to the gum receding. The Solution: A graft of gingival (gum) tissue to re-establish sufficient width of the proper type of gum tissue in the area. It should be noted that this type of gum grafting is not primarily directed at covering recession, but rather to re-establish the proper type of tissue in the affected area.
Connective Tissue Graft - The Problem: Gum recession that can result in sensitivity to touch or temperature changes. Additionally, this can create cosmetic compromise. The root surface that is exposed can be vulnerable to decay or abrasion from tooth brushing. The Solution: A minor surgical procedure that involves a specialized graft of gum tissue (connective tissue graft).
Connective Tissue Graft for Multiple Teeth - Gum recession on multiple teeth can occur from occlusal trauma, an inadequate zone of pink (keratinized) tissue or both and result in sensitivity to touch or temperature changes. Additionally, this can create cosmetic compromise. The root surface that is exposed can be vulnerable to decay or abrasion from tooth brushing. The connective tissue graft was accomplished on multiple teeth to cover numerous areas of recession. The color match of connective tissue grafts is generally very good. A good zone of keratinized tissue is re-established creating good stability of the result. If sufficient occlusal trauma is present, placement of a hard acrylic bite guard may be necessary.
Connective Tissue Graft for Multiple Teeth - Gum recession on multiple teeth can occur from occlusal trauma, an inadequate zone of pink (keratinized) tissue or both and result in sensitivity to touch or temperature changes. Additionally, this can create cosmetic compromise. The root surface that is exposed can be vulnerable to decay or abrasion from tooth brushing. The connective tissue graft was accomplished on multiple teeth to cover numerous areas of recession. The color match of connective tissue grafts is generally very good. A good zone of keratinized tissue is re-established creating good stability of the result. If sufficient occlusal trauma is present, placement of a hard acrylic bite guard may be necessary.
Gingival (Gum) Graft - The Problem: An insufficient band of pink, firmly bound down, fibrous tissue that is naturally at the edge of gum where the tooth comes through the gum tissue. Without this proper tissue present, the tooth is vulnerable to recession of the gum tissue. Due to local inflammation, some of the supporting bony tissue is destroyed prior to the gum receding. The Solution: A graft of gingival (gum) tissue to re-establish sufficient width of the proper type of gum tissue in the area. It should be noted that this type of gum grafting is not primarily directed at covering recession, but rather to re-establish the proper type of tissue in the affected area.
Onlay Gum Graft - The onlay gum graft is present between the arrows. You will notice the gum graft tissue is slightly lighter in color than the natural gum tissue. You’ll also notice this individual has home care that is somewhat less than ideal. In a compromised home care situation, gum graft tissue is more resistant to bacterial invasion than the poor quality tissue that was initially present in the area.
Onlay Gum Graft - This photo demonstrates to gum grafts that but up to each other. The two arrows on the right point to one graft, the two arrows on the left point to the other. Again, you will notice that the graft tissue is slightly lighter in color. This person had numerous teeth that needed gum grafting. This tendency can be an inherited phenomena.
