GUM GRAFT

Recession of the gum tissue is generally caused by excessive forces on the teeth. Certain habits such as clenching and grinding are the most common reasons but other factors can include over-aggressive toothbrushing, orthodontic treatment, trauma, genetics, acid reflux,  and/or improper fitting restorations or partials.  Recession will lead to loss of the protective barrier (attached tissue) around the teeth which can contribute to bone loss; exposure of the root causing increased sensitivity, root decay and unsightly teeth; and increased mobility of the teeth.

If there is only a small amount of root surface exposed and still sufficient attached gum tissue treatment can be as simple as just improving oral hygiene techniques and using  topical fluorides to strengthen the exposed roots.

When there is more significant exposure of roots and little if no attached gum a “Gum Graft” will be suggested.  The goals of gum grafting are to improve the quality of the tissue and in most cases cover the exposed root surface.  The term Free Gingival Grafting generally implies improving the quality of tissue and Connective tissue grafting implies gaining quality of tissue and covering the exposed roots. In the past the donor tissue was obtained from the palate complicating the surgical procedure and post operative healing.  In most situations we can now use a donor material such as AlloDerm, PerioDerm or DynaMatrixwhich drastically reduces chair time and post operative discomfort.