Gingival Grafting

What causes gum recession ?

Aggressive tooth brushing, periodontal disease and a history of orthodontic tooth movement are the most common contributing factors to advancing gum recession. When gum recession is a problem, gum reconstruction using grafting techniques is an option.

When there is minor recession, often there is still a small amount of keratinized tissue (thick firm tissue as it contains keratin) that remains and protects the tooth, and no treatment other than modifying home care practice is necessary. However, when recession reaches the lining mucosa (less resistant and weaker as it does not have any keratin),then it can become unstable and recede quickly. Often it is more uncomfortable to brush and keep the area clean. We tend to avoid these areas which may result in further deterioration of the gingival tissues. In addition, gum recession can result in root sensitivity to hot and cold foods as well as an unsightly appearance of the gum and tooth ( as the tooth appears longer). Exposed root surfaces are softer than enamel and can lead to root caries and root gouging.

A gingival graft 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. The gingival graft may be placed in such a way as to cover the exposed portion of the root.

Dr Rosenberg and his associates may also discuss with you the option of using Alloderm which is a regenerative tissue matrix which can be used instead of harvesting tissue from the palate.This grafting material is sourced from a tissue bank.

The gingival graft procedure is highly predictable and results in a stable healthy band of attached tissue around the tooth.