Gum Grafting Procedures
Gum Grafting Overview
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Many people have some degree of gingival recession. It is one of the most under diagnosed pathologies of the oral cavity.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
More importantly, recession means that bone loss has occurred. Fortunately, a secondary benefit of gum grafting is bone regeneration. Once the gum tissue is regenerated the lost bone will return.
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. Treatment involves making an incision around the tooth, relaxing the tissue then inserting new tissue under the recessed tissue. Tissue is taken from the roof of the mouth or sterilized donor tissue (Alloderm) can be used. It is like filling a pita pocket/taco. Healing with either tissue source is the same, i.e., the tissue is resorbed and new tissue regenerated. The result is a gain of gingival tissue and secondarily bone.
Alloderm Tissue Grafting
The gingival graft procedure is highly predictable and results in a stable healthy band of attached tissue around the tooth.
