Gum Treatment

Gum grafts: Restoring your gumline and protecting your smile

A gum graft is a procedure used to correct receding gums. Gum recession is a common dental problem in which the gum tissue around the teeth wears away or pulls back, exposing more of the tooth or the tooth’s root. This can happen for various reasons, such as periodontal (gum) disease, aggressive tooth brushing, genetics, and teeth grinding.
 
If left untreated, gum recession can lead to serious problems, including tooth sensitivity, tooth decay, bone loss, and even tooth loss. A gum graft can help prevent further damage, reduce sensitivity, and improve the appearance of your smile.
 

Types of gum grafts

There are several types of gum grafts, and your periodontist (a dentist who specializes in gum tissues) will recommend the best one for your specific needs.
 

1. Connective-tissue graft

This is the most common type of gum graft.
  • Your periodontist creates a small flap on the roof of your mouth (palate) to remove a layer of subepithelial connective tissue from under the surface.
  • The flap is then stitched back in place.
  • The removed tissue is then grafted onto the area of recession and stitched over the exposed roots.
 

2. Free gingival graft

This method is similar to a connective-tissue graft but uses a small piece of tissue taken directly from the palate’s surface. This is often used for patients with thin gums who need thicker tissue to prevent further recession.
 

3. Pedicle graft

In this procedure, a flap of gum tissue is partially cut away from a healthy gum area near the receding tooth. The flap, or “pedicle,” is then pulled over to cover the exposed root and stitched in place. This method is typically performed only when there is plenty of healthy gum tissue available near the affected tooth.
 

4. Donor tissue (Allograft)

If tissue cannot be taken from your own mouth, a medically processed, donated human tissue (acellular dermal matrix) can be used instead. This eliminates the need for a donor site in your palate, which can reduce discomfort during recovery.
 

What to expect during and after treatment

During the procedure

Gum graft surgery is usually an outpatient procedure done under local anesthesia to numb the treatment area. If you have dental anxiety, sedation options can also be discussed with your periodontist. The procedure can take between 45 to 90 minutes, depending on the number of areas being treated.ё
 

Post-surgery care and recovery

  • Diet: You will need to stick to soft foods for the first week or two. Your periodontist may recommend yogurt, soup, eggs, and pasta.
  • Oral hygiene: You will be advised to avoid brushing or flossing the surgical site for a period of time to allow the graft to heal. A special antimicrobial mouth rinse may be prescribed to help keep the area clean.
  • Pain and swelling: It is normal to experience some discomfort and swelling. This can typically be managed with over-the-counter pain medication or a prescription from your periodontist. Applying an ice pack to your face for the first day can also help reduce swelling.
  • Avoiding tobacco: Smoking and other tobacco products can significantly interfere with the healing process and should be avoided.
  • Rest: Avoid strenuous physical activity for at least the first week to prevent excessive bleeding and discomfort.
 

The long-term outlook

With proper care and maintenance, gum grafts have a high success rate and can provide long-lasting results. Following a good oral hygiene routine and attending regular dental check-ups are crucial for monitoring the graft and maintaining your overall gum health.
Your One-Stop Solution for All Dental Care Needs

Comprehensive Dental Services at Hendersonville Perio