DR. SKENE’S CASES
Recession
BEFORE
This patient’s gum tissue is so thin that you can see her roots through her gums. She is sensitive to cold and has discomfort during brushing.
AFTER
Notice how thick her tissue is after her gum graft. She is comfortable brushing, and her roots are not longer sensitive to cold.
BEFORE
This patient has thin gums and the roots on his molar are exposed.
AFTER
The gum graft protects his root surfaces and increases the thick tissue along the gum-line making it less susceptible to recession.
BEFORE
This patient has decay on her root surfaces. Exposed roots are more susceptible to decay because the surface is softer than enamel.
AFTER
The decay was removed and gum grafts were placed over the roots. No fillings were required. The thicker gum tissue now protects the roots and prevents decay.
BEFORE
This patient has exposed roots and prominent notching on the side of her molar.
AFTER
Gum grafting has helped to protect her teeth from toothbrush abrasion.
BEFORE
This patient has exposed metal on his dental implant. The tissue is inflamed and unsightly.
AFTER
After gum grafting the tissue is thicker and healthier. The implant surface is protected and the gum-line is esthetic.
BEFORE
This patient has exposed roots that are difficult to clean and are unsightly when she smiles.
AFTER
Gum grafting has created an esthetic gum-line and smile.
BEFORE
This patient has severe recession on his front teeth. The exposed roots are yellow and unsightly.
AFTER
After gum grafting the roots are covered and his smile is more esthetic.
Crown Lengthening
BEFORE
This patient has thick gums that cover her teeth.
BEFORE
This patient has excess gum tissue that is making it difficult to clean around her braces.
AFTER
After crown lengthening her teeth are exposed revealing a brilliant smile.
AFTER
After crown-lengthening oral hygiene is facilitated and her teeth are visible.
Dental Implants
BEFORE
This patient has been missing teeth since birth.
AFTER
Implants with temporary crowns were placed in one visit.
Implants that Secure Full Over-Dentures
This patient had multiple failing teeth. All of her teeth were extracted and implants were placed the same day. She left with a full set of teeth.
BEFORE
AFTER
Periodontal Pocket Reduction Surgery
BEFORE
This patient has deep periodontal pockets between his molars. The numbers above his teeth represent the pocket depths. Pocket depths of 3 millimeters or less are considered healthy.
AFTER
These are the new pocket depths 6 weeks after corrective gum surgery. Notice that there is space between his teeth so that he can access the roots to clean between them.
Bone Grafts
BEFORE
This patient has been missing teeth since birth. Notice how the gums are thin and concave.
AFTER
After bone grafting the tissue is thick and the underlying bone is wide enough to accommodate implants.
BEFORE
This patient has a deep infection in the bone behind his back molar. The defect was measured with an instrument and the x-ray displays significant bone loss.
DURING SURGERY
During surgery the defect is cleaned and a bone graft is placed into the space. Note: Bone graft material is purchased and is packaged in bottles. It does not require a separate surgical site.
DURING SURGERY
A collagen sheet is placed over the bone graft to hold it in place and stitches are used to secure the gum tissue.
AFTER
After two weeks of healing the tissue is pink and healthy. Stitches are removed.
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