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Gum Grafting

A gum graft (also known as a gingival graft or periodontal plastic surgery), is a collective name for surgical periodontal procedures that aim to cover an exposed tooth root surface with grafted oral tissue.

Exposed tooth roots are usually the result of gingival recession due to periodontal disease.  There are other common causes, including overly aggressive brushing and trauma.

Here are some of the most common types of gum grafting:

  • Free gingival graft – This procedure is often used to thicken gum tissue.  A layer of tissue is removed from the palate and relocated to the area affected by gum recession.  Both sites will quickly heal without permanent damage.

  • Subepithelial connective tissue graft – This procedure is commonly used to cover exposed roots.  Tissue is removed fairly painlessly from the outer layer of the palate and relocated to the site of gum recession.

  • Acellular dermal matrix allograft – This procedure uses medically processed, donated human tissue as a tissue source for the graft.  The advantage of this is procedure is that there is no need for a donor site from the patient’s palate (and thus, less pain).

Reasons for gum grafting

Gum grafting is a common periodontal procedure.  Though the name might sound frightening, the procedure is commonly performed with excellent results.

Here are some of the major benefits associated with gum grafting:

  • Reduced sensitivity – When the tooth root becomes exposed, eating or drinking hot or cold foods can cause extreme sensitivity to the teeth.  Gum grafting surgery permanently covers the exposed root, helps reduce discomfort, and restores the good health of the gums.

  • Improved appearance – Periodontal disease is characterized by gum recession and inflammation.  Gum recession and root exposure can make the teeth look longer than normal and the smile to appear “toothy.”  Gum grafting can make the teeth look shorter, more symmetrical and generally more pleasing to look at.  In addition, adjacent tissue can be enhanced and augmented during the procedure for aesthetic purposes.

  • Improved gum health – Periodontal disease can progress and destroy gum tissue very rapidly.  If left untreated, a large amount of gum tissue can be lost in a short period of time.  Gum grafting can help halt tissue and bone loss; preventing further problems and protecting exposed roots from further decay.

What does gum grafting treatment involve?

Once the need for gum grafting surgery has been determined, there are several treatments the dentist will want perform before gum grafting takes place.  First, the teeth must be thoroughly cleaned supra and subgingivally to remove calculus (tartar) and bacteria.  The dentist can also provide literature, advice and educational tools to increase the effectiveness of homecare and help reduce the susceptibility of periodontal disease in the future.

The gum grafting procedure is usually performed under local anesthetic.  The exact procedure will depend much on whether tissue is coming from the patient’s palate or a tissue bank.

Initially, small incisions will be made at the recipient site to create a small pocket to accommodate the graft.  Then a split thickness incision is made and the connective tissue graft is inserted into the space between the two sections of tissue. The graft is usually slightly larger than the recession area, so some excess will be apparent.

Sutures are often placed to further stabilize the graft and to prevent any shifting from the designated site.  Surgical material is used to protect the surgical area during the first week of healing.  Uniformity and healing of the gums will be achieved in approximately six weeks.

If you have any questions about gum grafting, please ask your dentist.

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Testimonials

Dr. Beaty is an awesome Dentist! She also has a terrific Team of assistants who go above and beyond to make all patients feel comfortable. I would probably be the youngest person in history to have dentures if it wasn’t for Dr. Beaty. My family and I have been going to Dr. Beaty for over 20 years. I was looking for a pediatric dentist and when I called the office to make an appointment for another dentist, I was informed that Dr. Beaty had taken over the practice. I was assured she was great with children and she definitely did not disappoint! Dr. Beaty and her staff are excellent with children. My son was 3 and my daughter was 8 when we became patients of Dr. Beaty’s and since that union, my children have always looked forward to going to the dentist. Dr. Beaty – as well as her entire staff – have awesome personalities, terrific bedside manner and just overall kindness and concern for their patients. I have never been to a more dedicated, compassionate dentist who deeply cares about preserving your teeth. Dr. Beaty has always explained all treatment options, procedures, and the costs involved for those procedures. DB Dentistry follows-up with their patients to make sure there are no complications from procedures and that the patient is doing well. Even when she referred my children to the Orthodontist for braces, she made sure to check on their progress and to make sure we (especially the children) were comfortable with her referral. Dr. Beaty made sure that the excellent care her office provided was also being provided by her referral. To add to the excellent patient care, the amenities offered are above and beyond – from the chair massage, to the paraffin hand wax, to the warm neck wrap, to the mellow music. Feels more like going to a spa instead of seeing the dentist. Over the years, I have referred many family members and co-workers to Dr. Beaty and they remain patients. While Dr. Beaty is not an in-network dentist through my insurance, it is WELL worth the few dollars more to have peace of mind, comfort, and awesome care. I often think, I called looking for a dentist and gained a well-trusted and most respected friend. My family loves Dr. Beaty and DB Dentistry. They are THE BEST!!

Sandra

Naturally I spent the weekend on FACEBOOK sharing your artistry! The results are still unbelievable! The transformation is literally life-changing and I can't begin to thank you and your team of professionals enough for making it happen.

Michael

Dear Dr. Beaty,

What I appreciate most about your dental practice is your focus on the future. Rather than scold a patient for poor past dental care, you work with the patient to build better habits going forward.

I also appreciate your efforts to relieve patients’ anxiety about visiting the dentist. Some days the hot neck wrap, paraffin hand dip, or just the pleasant view turn a stressful experience into a relaxing one.

Matthew

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