There is an option to have the procedure done under general anesthesia, which is something you can talk to your periodontist about. Then your periodontist can get to work: They'll start by preparing the recipient site, which for a connective tissue graft requires separating a bit of the gums from the bone and exposing a bleeding area where the donor tissue will attach. Then they'll turn to the donor site on the roof of your mouth, usually on the same side of the mouth as the recipient so you only have to avoid one side while it heals.
Your periodontist will harvest the graft tissue and move it over to the recipient site, suturing it in place. If you're having a connective tissue graft, it will have to be placed under a flap of tissue at the recipient site, Dr. Papapanou explains. The donor site will also get sutured up. Depending on your periodontist's preferences, they may cover the sutures on both sites with a clay-like dressing for protection or just let them heal and instruct you to use the palatal stent.
You shouldn't feel much if any pain right after but you will still be numb. As the local anesthesia wears off, the pain may start to creep in. So, if you can, get your prescriptions immediately following the procedure.
That way, you can take your first dose of pain medication before the anesthesia completely goes. When it comes to pain, "those first two days are the most bothersome," Dr. But swelling tends to peak around day three before going down.
In my experience, the pain was very minimal the entire time, but I did have a lot of swelling that made it a little difficult to talk with the periodontal dressing for the first few days. You may notice some bleeding the first day through the morning after, Dr. But if it's anything beyond the level of pink saliva in the sink, that's not normal and worth a call to your provider's office.
And it probably comes as no surprise that you'll have to avoid brushing and flossing in the surgical areas for at least week.
During that time you may be instructed to use an antiseptic mouthwash to keep the area clear of bacteria, Dr. But the biggest issue, of course, is eating. Different periodontists have different rules, but in general, you'll have to avoid eating anything on the affected side of your mouth for at least a week or two. And you'll likely also be asked to avoid eating anything hard or potentially irritating, like hot soup.
If you were given a palatal stent, this is where it comes in really handy. The amount of coverage depends on the shape of the root and the type of soft tissue defect, which is also related to the amount and type of underlying bone loss. Sometimes it is known from the beginning that it would be impossible to cover all of the exposed surfaces. And sometimes multiple surgeries may be done to move the newly created soft tissue toward a crown.
How is gum graft surgery performed? During gum grafting surgery, a periodontist will commonly take connective tissue from the roof of the mouth palate and suture it to the affected gum-line.
This allows more tissue to grow and close the exposed root surface gum recession. There is the surface tissue, which you can touch with your tongue, and there is connective tissue, which is the layer of tissue that is between the surface tissue and bone. With this procedure, a periodontist will make an incision and remove the tissue that is under the surface, thereby leaving a much smaller wound on the surface of the roof of the mouth.
The procedure is similar to opening a sandwich and removing connective tissue from inside the sandwich. The benefit of this procedure is that although it requires sutures at the roof of the mouth, it is less painful since the wound where the tissue was removed is closed during healing. You may still have sutures placed at the roof of the mouth to hold the edges of the wound together. However, the procedure leaves the wound exposed, and it is generally more painful and tends to bleed more.
Thus, periodontists generally use the first procedure connective tissue only if there is enough thickness at the donor site. When there is not have enough thickness, the second procedure surface and connective tissue is used. This treatment is dependent upon having enough soft tissue at the recipient site to hold the material. How successful is gum graft surgery?
Given the right indication and right surgical technique, gum graft surgery works very well most of the time. Factors that help to predict success of the procedure are the type of defect that needs treatment and the amount of stress put on the graft after surgery. The type of defect is important for graft survival. Narrow defects with intact tissue between the teeth interdental areas have a greater chance of success since the root surface does not have any blood supply and adjacent tissue will help the graft tissue to survive.
Complete root coverage is the predictable outcome when this type of defect is present. The success rate of root coverage decreases with increasing interdental bone loss. Anything that will cause the grafted tissue to move during healing, such as muscle pulls from inside the lip, will affect the healing. Do this four to five times daily. You can brush and floss normally on the teeth and areas not involved in your gum graft. You can use mouthwash, but dilute it by half with water. These procedures have high success rates, but occasionally a graft will fail.
The stability of the grafted tissue directly impacts success rates. If the graft moves, the graft will have failed and the procedure will need to be repeated. This is rare, but can happen.
Moskowitz is one of the few periodontists in the U. But the pinhole technique cannot be used for all patients suffering from receding gums. The cost of your gum graft at Baltimore Periodontics has a few variables that will affect the cost. Grafts with donor tissue usually will cost more. Once we get an idea of your unique situation, we can give you as estimate of what gum grafting will cost.
If you have experienced gum disease and suffer from gum recession, gum grafting may be the perfect treatment for you. To learn more, contact our office at to schedule a consultation with Dr. Request An Appointment. Call Us Message Us To request an appointment. Locate Us Get directions to our office.
This field is for validation purposes and should be left unchanged. Quick Links Dr. Gum grafts help reverse these adverse effects and restore gums' health so that they can maintain their protective seal around the teeth. Gum grafting involves harvesting a piece of tissue from the roof of the mouth or nearby healthy gum tissue. This piece is then grafted — or attached — where the gum tissue has receded.
There are several gum grafting techniques, each designed to address specific periodontal concerns. Each type of gum graft is recommended based on the degree of gum recession, the extent to which the cheek can pull on the surgical site during daily activities, and whether or not your gums have receded in between the teeth or just on the front surface.
All gum graft surgeries involve harvesting donor tissue from another part of the mouth and attaching it where the gums have receded. Your periodontist will walk you through each of these gum grafting techniques and recommend the best type based on your specific case and oral health history. Your periodontist then uses this trap door to find and remove a piece of connective tissue underneath, and stitch it on the spot where your gums have receded.
Out of all the gum grafting techniques, this is the most commonly performed. The difference is that the tissue used is from the top layer of the palate and grafted onto the area that needs more gum tissue due to thinning. This technique prevents further recession by taking a piece of gum tissue from one place and grafting it onto another.
A pedicle graft involves grafting tissue harvested closer to the site of recession using a flap. The only requirement is, you need to have a lot of healthy gum tissue surrounding the receding area — perhaps less than ideal when the recession is already wide. In severe cases where much of the gums have receded, or if your periodontist has to cover the gum area of upwards of five teeth, an alternative graft may be recommended.
Largely receded gums would require harvesting a sizable portion of the palate tissue, which then becomes unsafe. Instead, cadaver or porcine harvested from pigs grafts are used to ensure full coverage of the receded areas.
It simply involves a consultation with your periodontist to understand how severe your recession issue is, and the best gum grafting technique for your case.
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