Doctor insights on:
Alloderm Gum Graft
Let it heal: If it was just done now you have to let it heal. Typically I keep the tiny sutures in place for about a month. I would recommend trying not to disturb the graft area as much as possible and rinse with salt water several times a day. I would check with your dentist when he/she wants you back to check on the graft. ...Read more
Replacement of lost gum tissue with gum tissue from another part of your mouth. Different techniques available depending on the area and the reason the gum tissue was lost. Most commonly done to cover sensitive or exposed unattractive roots and defects in the tissue hampering your ability to clean the area, and to help maintain the bone around the tooth, ...Read more
Depends on size: The white patch is the alloderm. Your gums "crawl" over the alloderm until they have covered it. This is a slow process, and the length depends on how much alloderm is exposed. Ask your surgeon and they have an accurate idea of how long it usually takes for a case your size. ...Read more
Call your surgeon!: Call the dentist/surgeon who performed the procedure. They need to take a look. ...Read more
High: If the procedure is properly done you should get a high success rate. ...Read more
Depends: It all depends on a proper diagnosis, the skill and the techniques of the periodontist. In the proper situation, with a skilled surgeon it can be successful. ...Read more
I have recently had an alloderm gum graft two weeks ago. There was a white substance up to the tooth which fell of yesterday. Has my graft fallen off?
Alloderm: The white substance is the alloderm and it is quite common for some of it to become exposed during the healing process. It is possible that the excess has sloughed off which could be fine. It is also possible you have lost the whole graft. I would recommend you consult with your dentist as soon as possible ...Read more
Periodontist question: do alloderm gum grafts usually lead to any added vertical millimeter covering of teeth roots?
That's the intention: Alloderm has several uses in periodontal surgery: root coverage, gingival augmentation, soft tissue ridge augmentation, soft tissue augmentation around implants. The procedure is relatively successful in competent surgical hands, proper case selection and with patient cooperation. ...Read more
Need some encouragement with 6 teeth to be alloderm gum grafted at several visits and a sinus lift for a molar after gum grafts heal (had 2nd opinion)?
Procedures: If you need those procedures and are in the hands of a talented surgeon, by all means have it done. I would if I were in your place. If you don't trust or have confidence with the advice and ability of your dentist, try to find one with whom you do. Get some referrals. ...Read more
Would alloderm gum grafting for recession be performed before or after composite resin to fill in front teeth black triangles at the gumline?
A rule of thumb: The grafting is always first, because grafting can adhere only to natural tooth structure and root surface. ...Read more
Can a dentist make a nightguard so that it barely covers over teeth, stays in place, for upcoming upper and lower alloderm gum grafting due to bruxism?
Yes!: And, that's a good idea.Get a more detailed answer ›
Depends on Size: Both grafting techniques have advantages. If you need a graft just on one tooth, the palatal wound of the donor site isn't too bad. In fact, most patients will come report that the roof of the mouth was not a big deal. If you need 3 or more teeth in a row grafted, you may want to consider the alloderm. ...Read more
One healing site: With alloderm, you don't need to have tissue removed from the roof of your mouth, so you only have one surgical site that needs to heal as opposed to two sites. ...Read more
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! ...Read more
Receding gums. Want to avoid recommended gum graft w/alloderm. How likely is it to lose teeth from this in the future if I choose not to have surgery?
No way to predict: It's always hard to predict the future. It depends upon so many factors including but not limited to: the extent of the recession, your oral hygiene, the type and amount of the remaining gum, your brushing habits, your general health over time, habits such as bruxism, and the luck of the draw, etc. Your own periodontist can give you the best prediction. Monitor it & reconsider your decision! ...Read more
What can cause alloderm graft failure? I am thinking about alloderm for esthetic dental work, following advise by my dentist. I need a gum graft on my front two bottom teeth. He explained the procedure to me, it looks pretty safe but he mentioned that gra
Alloderm failure: See a different periodontist or oral surgeon for an evaluation. ...Read more
I need a lot of gum grafting. I prefer alloderm. Is there a procedure that is less invasive than another? Maybe, there is an old way and a new way?
Gingival graft: Using your own tissue is usually the best option, but comes with some post-op pain or soreness. Alloderm can work well with the right surgeon. Ask the periodontist for their opinion. ...Read more
How many millimeters long, along the length of a tooth root, can alloderm and other types of gum grafts cover so that less of the root is shown?
Depends: The amount of tissue regain depends on the level of the bone interproximally (between the roots). ...Read more
I am scheduled for gum grafting with alloderm due to recession. I have just read about a pinhole gum rejuvenation technique. This is a proven method?
Variation: The "pinhole gum rejuvenation technique" is merely a variation of proven gum grafting techniques ; promoted as "unique". Personally I strongly believe the knowledge, experience and skill of the periodontist is much more important than the specific technique. I would opt for a master carpenter with the oldest tools rather than a newbie with the most up to date ; sophisticated tools to do work 4 me. ...Read more
In the hands of a competent periodontist how traumatic to a patient is a 2 tooth gum grafting with alloderm due to recession?
Little trama: The grafting surgery has been done for many years with great success. Use of alloderm material in grafting allows for less trama since there will be no additional surgical site to harvest the graft gingiva. There is minor discomfort following with a few restrictions. Follow your doctor's orders. These are highly successful corrections. Two teeth graft site is considered simple. ...Read more
I feel a gum graft is needed but it will not re-attach to a very long & front crown. It would form a "pocket". I do not show this area when smiling.?
See the dentist.: Gum grafts are usually done for two reasons. Either there is not enough of the "attached" gum present to protect the underlying bone from disappearing due to trauma or it is done for cosmetic reasons. Since you do not show this spot, I would only recommend it if you need more attached gum tissue. ...Read more
It CAN be, but...: But it doesn't have to be.! . ..It depends on the technique, ; the experience of the periodontist, as well as the patients. That means, depending on the source of the donor tissue, whether it is from the roof of the mouth or from tissue bank (allograft) can make a huge difference. Please beware that you can`t use allograft tissues for all cases, ; there are specific cases that are more successful. ...Read more
Not a scam: A gum tissue graft can help in many ways. First, the cause of the lost or receeded tissue must be identified and corrected. Sometimes we simply do not have the answer for this, but it is important to try to find out. Ex: occlusal trauma, chewing tobacco, incorrect /hard brushing, etc. Covering an exposed root, or establishing a healthy area of bound down tissue around a tooth is excellent treatment. ...Read more
Replace lost gum: Replacement of lost gum tissue with gum tissue from another part of your mouth. Different techniques available depending on the area and the reason the gum tissue was lost. Most commonly done to cover sensitive or exposed unattractive roots and defects in the tissue hampering your ability to clean the area, and to help maintain the bone around the tooth, to keep the tooth. ...Read more
Your dentist: Or periodontist would be better evaluators of success or failure. Sorry no cut and dry answer to your question. Hope this helps. ...Read more