Soft Tissue Graft (Subepithelial connective tissue grafts)
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 to the gum and tooth. Also, 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 the roof of the mouth, 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.
The
gingival graft procedure is highly predictable and results in a stable healthy
band of attached tissue around the tooth.
When
deep pockets between teeth and gums are present, it is difficult for us to
thoroughly remove plaque and tarter. Patients can seldom, if ever, keep these
deep pockets clean and free of plaque. Consequently, surgery may be needed to
restore periodontal health. In some
cases, the occlusion (bite) may require adjustment.
Patients
can expect to be comfortable during the procedure. With the exception of slight
cold sensitivity and tenderness, discomfort is rare following root planing.
Patients can expect to return to work immediately after the
appointment.
