Periodontics

Gum Grafting Procedures (Subepithelial connective tissue grafts)

When recession of the gingiva (gum tissue) occurs, the body loses a natural defense against both bacterial penetration and trauma. When gum recession is a problem, gum reconstruction using grafting techniques is an option.

When there is only minor recession, some healthy gingiva often remains and protects the tooth, so that no treatment other than modifying home care practices is necessary. However, when recession reaches the mucosa (cheek tissue), the first line of defense against bacterial penetration is lost.

In addition, gum recession often results in root sensitivity to hot and cold foods as well as an unsightly appearance to the gum and tooth. Gum recession, when significant, can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries and root gouging.

A gingival graft is designed to solve these problems. A thin piece of tissue is taken from inside the roof of the mouth, or allogenic (donor tissue) can be used which is inserted within a “pouch” where recession has occurred, to provide a stable band of attached gingiva around the tooth. The graft and overlying pouch is then slid up so as to help cover the exposed portion of the root.

The gingival graft procedure is highly predictable and results in a stable healthy band of attached tissue around the tooth