Park Avenue Oral & Facial Surgery

GINGIVAL GRAFTING

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 gum grafting or gingival grafting techniques becomes an option. Many times gum recession also results in a cosmetic defect and a “long in the tooth” look !

When a patient only has minor gum recession, some healthy gingiva often remains and protects the tooth, so modifying some home care is all that may be required. However, when recession reaches the mucosa, the first line of defense against bacterial penetration is lost and gum grafting often becomes the solution.

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.

Gingival grafting 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.   Some patients may choose to use donor skin (Alloderm) instead of having tissue harvested from their palate.  This option has the advantage of being pain free in the palate and having a more comfortable healing time.  The graft is placed over the exposed portion of the root to which it will attach.

The gingival grafting procedure is highly predictable and results in a stable healthy band of attached tissue around the tooth. Furthermore it helps protect the exposed and soft root surface.