Periodontist Dr.Ten

Periodontist Dr.Ten Periodontist (Gum Specialist). Founder of JDental Specialists Clinic, Johor Bahru

Gingival Recession Treatment – 3-Year Stability: One of the most common questions patients ask is: “Will the graft last?...
05/03/2026

Gingival Recession Treatment – 3-Year Stability: One of the most common questions patients ask is: “Will the graft last?”

Research shows that mucogingival surgery can provide predictable root coverage and increased tissue thickness, with studies reporting stable outcomes even after 5–10 years (Carbone et al., 2024).

This case shows multiple gingival recessions affecting the upper and lower right teeth, treated with mucogingival surgery.

Graft: Autogenous de-epithelialized FGG (CTG)
Root conditioning: PrefGel® ( )
Donor site care: Collagen sponge + Periacryl ( )

📅 3-year follow-up:
• Stable gingival margins
• Healthy soft tissue 
• Increased soft tissue thickness

The key to long-term stability is phenotype modification — thicker tissue is more resistant to future recession.

☎️ +6018-7888150
🔎 jdentalspecialists.com

Periodontitis is one of the common causes of gingival recession.Following stabilization of the periodontal condition, ro...
01/02/2026

Periodontitis is one of the common causes of gingival recession.
Following stabilization of the periodontal condition, root coverage surgery may be considered to address the recession.

In this case, buccal bone loss, a prominent root, and mild root rotation added to the clinical challenges.
A conventional approach using CAF + CTG was performed, aiming for a predictable and stable outcome.

🦷 Graft: Autogenous de-epithelialized FGG (CTG)
🦷 Root conditioning: PrefGel® ( )
🦷 Donor site care: Blue®M gel ( .malaysia )
🦷 Recipient site care: Gengigel® mouthrinse twice daily for 4 weeks (.my )

Thank you to my nurse team for the great support 🤍

☎️ +6018-7888150
🔎 jdentalspecialists.com

Tooth #35 presented with a perio-endo lesion and recurrent periodontal abscess, leading to extraction. CBCT after 6 mon...
25/01/2026

Tooth #35 presented with a perio-endo lesion and recurrent periodontal abscess, leading to extraction.
CBCT after 6 months showed buccal and crestal bone loss.
Implant placement was done with simultaneous GBR.
At 4 months post-op, bone regeneration was satisfactory, but buccal soft tissue deficiency remained. A free gingival graft (FGG) was performed to improve the soft tissue phenotype.
Final screw-retained implant crown was delivered after another 3 months.

Grateful for the healing and the final outcome. Each case is a reminder to me that implant dentistry is always a learning journey.

Implant:
CBCT: .my
Implant crown:

Thank you to my nurse team for the great support 🤍

☎️ +6018-7888150
🔎 jdentalspecialists.com

Excisional Biopsy – Complete lesion removal is essential for accurate diagnosis and to reduce the risk of recurrence. Hi...
21/01/2026

Excisional Biopsy –
Complete lesion removal is essential for accurate diagnosis and to reduce the risk of recurrence. Histopathologic examination remains the gold standard for definitive diagnosis.

✔️ Deep incision to bone to ensure complete excision
✔️ Removal of the palatal papilla to eliminate residual lesion on the palatal surface
✔️ Elimination of local contributing factors: subgingival calculus on the proximal surfaces of teeth 23 and 24, removed with thorough deep scaling and debridement
✨Oral hygiene demonstrations - ensure good healing and reduce risk of recurrence

💡 Discussion point:
A crack line was observed on tooth 24. The patient is asymptomatic and pulp sensibility is normal. Could this have contributed to the gingival overgrowth?

A fulfilling way to conclude the year 2025.Replacement of two lower molars with dental implants—missing tooth #36 and a...
29/12/2025

A fulfilling way to conclude the year 2025.
Replacement of two lower molars with dental implants—missing tooth #36 and a hopeless endo-perio lesion at #37.
Completed just in time for the New Year, sending the patient off ready to enjoy all the food.

Grateful for the opportunity to learn from every case along the journey, and thankful for the excellent lab support from lab

#植牙

☎️ +6018-7888150
🔎 jdentalspecialists.com

A quick review of a soft tissue graft before my Christmas and New Year break begins. Wishing everyone a Merry Christmas ...
25/12/2025

A quick review of a soft tissue graft before my Christmas and New Year break begins. Wishing everyone a Merry Christmas 🎄 and a Happy New Year 2026 filled with health and smiles! 😊

Case: Deep isolated mandibular gingival recession - Before and 4 weeks after surgery ✨

Causes / risk factors :
* Thin gingival phenotype – limited buccal bone & thin keratinized tissue
* Poor plaque control → inflammation
* Prominent root 

Surgical Treatment:
* Laterally Closed Tunneling technique (Sculean & Allen, 2018) + connective tissue graft (CTG) 
* Palate donor site managed with BlueM gel, collagen sponge, and sutured with nylon & Periacryl 
*Post-op care: Gengigel mouthwash for 2 weeks .my

Healing Timeline:
* Week 1: Stable flap, mild swelling, normal early healing
* Week 2: Inflammation decreases as the graft integrates, and root coverage remains stable with improved tissue firmness.
* Week 4: Stable, healthy soft tissue adaptation with near-complete root coverage of the lower incisor.

☎️ +6018-7888150
🔎 jdentalspecialists.com

Attended the APAC Experts Meeting on Oral Probiotics 2025, hosted by the Faculty of Dentistry, The University of Hong Ko...
13/12/2025

Attended the APAC Experts Meeting on Oral Probiotics 2025, hosted by the Faculty of Dentistry, The University of Hong Kong! Learned from top speakers, explored cutting-edge research, and networked with experts over a delicious authentic Hong Kong dinner 🍜🍹

Before-and-after of an FGG (free gingival graft) at an implant site with limited keratinized tissue. The graft enhanced ...
03/12/2025

Before-and-after of an FGG (free gingival graft) at an implant site with limited keratinized tissue. The graft enhanced the buccal contour and created a wider, healthier band of keratinized tissue—improving long-term peri-implant stability.

在种植体周围有限角化组织部位进行自由龈瓣移植（FGG）前后对比。移植术改善了颊侧组织轮廓，增加了更宽且健康的角化组织带，有助于提高种植体周围组织的长期稳定性。

#自由龈瓣移植 #种植牙 #种植体健康 #软组织管理 #角化组织 #牙龈移植 #牙周医生 #牙龈专科

☎️ +6018-7888150
🔎 jdentalspecialists.com

Periodontal regeneration is usually performed with bone grafts plus a membrane or Emdogain. In this case, the site had t...
28/11/2025

Periodontal regeneration is usually performed with bone grafts plus a membrane or Emdogain. In this case, the site had thin tissue and limited keratinized gingiva, so we included a connective tissue graft (CTG) alongside the procedure.

Three months post-op, the healing looks encouraging, and the donor site has healed well. The tooth still tests vital, and the patient reports no discomfort. Grateful to see how careful soft-tissue management can support good regeneration outcomes.


☎️ +6018-7888150
🔎 jdentalspecialists.com

A great time at the Osstem Implant Meeting Sydney — filled with excellent lectures, new friendships, amazing food, and a...
16/11/2025

A great time at the Osstem Implant Meeting Sydney — filled with excellent lectures, new friendships, amazing food, and an unforgettable Sydney tour. Thank you for the wonderful experience!

Grateful for the opportunity to learn about anterior implant esthetics from the ever-inspiring yet humble Prof. Joseph K...
29/10/2025

Grateful for the opportunity to learn about anterior implant esthetics from the ever-inspiring yet humble Prof. Joseph Kan (U.S.) during an enriching three-day lecture and workshop. 🌟

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JDental Specialists , 71, Jalan Harimau Tarum, Taman Abad
Johor Bahru
80250

Telephone

+60187888150

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