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Gum Grafting

A gum graft (also known as a gingival graft or periodontal plastic surgery), is a collective name for surgical periodontal procedures that aim to cover an exposed tooth root surface with grafted oral tissue.

Exposed tooth roots are usually the result of gingival recession due to periodontal disease.  There are other common causes, including overly aggressive brushing and trauma.

Here are some of the most common types of gum grafting:

  • Free gingival graft – This procedure is often used to thicken gum tissue.  A layer of tissue is removed from the palate and relocated to the area affected by gum recession.  Both sites will quickly heal without permanent damage.

  • Subepithelial connective tissue graft – This procedure is commonly used to cover exposed roots.  Tissue is removed fairly painlessly from the outer layer of the palate and relocated to the site of gum recession.

  • Acellular dermal matrix allograft – This procedure uses medically processed, donated human tissue as a tissue source for the graft.  The advantage of this is procedure is that there is no need for a donor site from the patient’s palate (and thus, less pain).

Reasons for gum grafting

Gum grafting is a common periodontal procedure.  Though the name might sound frightening, the procedure is commonly performed with excellent results.

Here are some of the major benefits associated with gum grafting:

  • Reduced sensitivity – When the tooth root becomes exposed, eating or drinking hot or cold foods can cause extreme sensitivity to the teeth.  Gum grafting surgery permanently covers the exposed root, helps reduce discomfort, and restores the good health of the gums.

  • Improved appearance – Periodontal disease is characterized by gum recession and inflammation.  Gum recession and root exposure can make the teeth look longer than normal and the smile to appear “toothy.”  Gum grafting can make the teeth look shorter, more symmetrical and generally more pleasing to look at.  In addition, adjacent tissue can be enhanced and augmented during the procedure for aesthetic purposes.

  • Improved gum health – Periodontal disease can progress and destroy gum tissue very rapidly.  If left untreated, a large amount of gum tissue can be lost in a short period of time.  Gum grafting can help halt tissue and bone loss; preventing further problems and protecting exposed roots from further decay.

What does gum grafting treatment involve?

Once the need for gum grafting surgery has been determined, there are several treatments the dentist will want perform before gum grafting takes place.  First, the teeth must be thoroughly cleaned supra and subgingivally to remove calculus (tartar) and bacteria.  The dentist can also provide literature, advice and educational tools to increase the effectiveness of homecare and help reduce the susceptibility of periodontal disease in the future.

The gum grafting procedure is usually performed under local anesthetic.  The exact procedure will depend much on whether tissue is coming from the patient’s palate or a tissue bank.

Initially, small incisions will be made at the recipient site to create a small pocket to accommodate the graft.  Then a split thickness incision is made and the connective tissue graft is inserted into the space between the two sections of tissue.  The graft is usually slightly larger than the recession area, so some excess will be apparent.

Sutures are often placed to further stabilize the graft and to prevent any shifting from the designated site.  Surgical material is used to protect the surgical area during the first week of healing.  Uniformity and healing of the gums will be achieved in approximately six weeks.

If you have any questions about gum grafting, please ask your dentist.

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"Dr. Bohlke deserves more than 5 stars. He has been my dentist for the past 18 years and I can say there has never been a bad experience. His attention is always on the patient and the patient's comfort. He is so gentle that I usually have no pain at all. He clearly knows you individually and you can tell that you are getting an excellent level of dental work as well as the high level of genuine care. I just wish I had more family members so that I could insist they all see him."

Julie Johnson Anaheim, California

"I moved out to Long Beach from Michigan and for about a year I would still fly home to see my dentist, as I was paranoid to try a new one. WELL... I needed something done that would take more than one visit and my dentist in Michigan said I would need to find someone in Long Beach to handle it. I was sad... and very nervous. However, after meeting once with Dr. Bohlke, I was completely put to ease, and I no longer have to fly home for cleanings.

The office is very clean, organized, quiet and peaceful... the perfect combo for a dental office. Dr. Bohlke takes great care and time with his patients, and his assistant Nicole is just the sweetest ever. I look forward to my visits and HIGHLY recommend Dr. Bohlke for all dental needs."

Brittany Poston Long Beach, California

"I just changed my insurance companies and had to find a new dentist, and was lucky to find Dr. Bohlke. He is the most informative, attentive dentist I have ever had the pleasure of being a patient of. You do not feel like you are just another number and being pushed in and out the door. He takes his time, which I love, as he is a perfectionist. He takes great care in making sure that his patient's experience is the best possible. I have been in to see him twice and my son has seen him once, and I can tell you even after the first visit I felt complete trust with him. He will not recommend work you don't need. Love him!"

Julie Monical Long Beach, California

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