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.