Gum (Gingival) Grafting Procedures

When recession of the gum (called the gingiva) 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 often required.

When there is only minor recession, some healthy gingiva will often remain and protect the tooth, so that no treatment other than modifying home care practices is necessary. However, when recession reaches the mucosa, the first line of defense against bacterial penetration is lost. Most importantly, as the gum recedes from the tooth, the underlying bone also ‘recedes’ an equal amount causing loss of support for the tooth.

In addition, gum recession often results in root sensitivity to hot or cold foods as well as an unsightly appearance to the gum and tooth. Gum recession can predispose to worsening recession and expose more of the root surface. The exposed root which is softer than enamel can lead to root decay and root abrasion/gouging.

Recession before Gingival Grafting	After Gingival Grafting

A gingival graft is designed to solve these problems. A thin piece of tissue is taken from just inside of the upper teeth or gently moved over from adjacent areas, to provide a stable band of attached gingiva around the tooth. The gingival graft may be placed in such a way as to cover the exposed portion of the root. We routinely offer custom made, clear, thin plastic stents which are designed to protect the roof of your mouth during the first week of healing. Our patients will tell you that these stents, coupled with specific medications, reduce the post-grafting discomfort to an absolute minimum.

In many cases donor tissue can be used in place of a patient�s own tissue. This donor tissue is called Alloderm. Alloderm is an acellular dermal matrix derived from donated skin tissue that is completely safe and effective. It can be effectively substituted for your own tissue when considering a gingival graft. Studies have shown that it certain situations it can be as effective in covering exposed roots as your own tissue. Please ask Dr. Thomas if Alloderm is the right solution for you.

Recession Before Gingival Grafting	After Gingival Grafting Using Alloderm

The gingival graft procedure is a highly predictable way to cover unsightly, sensitive or exposed root surfaces and to protect the root from decay and eventual loss. It also results in restoration of a stable band of attached gum tissue around the tooth which prevents future gum recession.

Recession Before Gingival Grafting	After Gingival Grafting Using Alloderm
TREATMENT PERFORMED BY DR. THOMAS, 2004

Recession Before Gingival Grafting	After Gingival Grafting Using Alloderm
TREATMENT PERFORMED BY DR. THOMAS, 2006