Gum graft - what works better, alloderm vs palate tissue?

Palatal tissue: In my opinion palatal tissue is always a better choice.. My success is almost 100% with palatal tissue vs a much more unpredictable result with alloderm.

Palate: Both alloderm and palate tissue work predictably for gum grafts. However, since the palatal tissue is from your own body and is vascular to begin with, it tends to work 'better' in my hands.

Alloderm: Palatal tissue is limited, and patient will suffer from the discomfort of donor site. Alloderm is a good alternative allowed for larger graft, less morbidity (eliminate the donor site), andhas a comparable sucess rate.

Alloderm, probably: Alloderm works just as well as natural tissue grafting in many instances, and it requires less injury to your gums for placement. There are some cases where it may not be the better solution, but those are few. If your dentist/periodontist feels alloderm will work, it is the option i would choose.

The Palate is better: The final result is thicker and better looking tissue form the palate. The sub-epithelial connective tissue graft reduces the palatal wound over the older free graft.

Both: Both grafts are highly successful. There really is not a "better" one. I do these grafts all week long, and they are appropriate for different tissue types and areas, as well as different patients. Depending on the size, and location of the recipient site, one may be indicated where the other is not. Consult your periodontist and they can advise you which is better for a particular situation!