Gum Grafting / Gingival Grafting
When recession of 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 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, 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 of the gum and tooth. When significant, gum recession can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries.
before and after gum grafting
Connective Tissue Graft (Sub-Epithelial Graft)
In many cases it is possible to cover part or all of the exposed root while returning strong, protective tissue to the area through connective tissue grafting. A small incision is made at the site of the recession, preparing the site to accept the graft. The existing tissue is loosened so it can be repositioned to cover the root. A small piece of tissue is removed from the palate (roof of the mouth) and placed in the graft site. The graft is closed with several stitches. Stitches are used to close the donor site on the palate as well.
Most patients tolerate this procedure very well, however it is not uncommon to experience post-operative swelling, bruising, and, depending on the location of the graft, even a black eye. Your diet will be limited during the healing period.