Doctor insights on:
Gum Graft Healing Process
Is the platelet rich plasma (PRP) method approved by the ADA and do most periodontists now use it to accelerate the gum graft healing process?
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
What is the healing process for a periodontal gum graft like? I am going to be needing a gum graft, and am wondering about long like it will take to heal, and what the process will be like..
Dr: Dr funari was rather complete in his answer. The only thing that can be added would be that discomfort after a graft is normally very low. It is just a matter of moving soft tlissues around into better, more advantageous (to you) places, so it is not very incapacitating. When the roof of the mouth is the donor site we make a clear upper stint (invisible plastic cover) that you can wear while the healing takes place. You can wear it until the site feels normal & comfortable. It is much like an orthodontic (braces) retainer. It makes eating easy. Stayng away from the sites is very helpful & after a week we take out the sutures & then you're well on your way. ...Read more
Advice to avoid playing with stitches after gum graft surgery? I know I should leave them alone, but they feel so strange. I find myself rubbing them with my tongue without thinking about it. I’m worried i’m going to stop them from healing.
Try and stop: The tongue almost has a mind I it's own and it is difficult to stop. You can interfere with the healing by playing with the stitces. Try just placing the tip of your tongue on the roof of your mouth behind your front teeth. Good luck. ...Read more
Can a gum graft on the lingual side of my gums be successful? Or does the tongue prevent healing? Two periodontists disagree on the potential result
More challenging: Grafts of the lingual (tongue) side can be done. Healing can be more challenging and less predictable. If you are in need, consult with a third periodontist. ...Read more
How do I stop teeth grinding (the cause) at night during the healing phase following allograft gum grafting?
Bruxism cause: The cause of bruxism is not well understood. It might be related to stress, sleep disorder, occlusal dysharmony, etc. Appliance can be made to minimize or eliminate the damage caused by these habits on teeth and jaw joints. Discuss this issue with your own general dentist and periodontist. ...Read more
How is treating gum recession different for someone with disproportionately large teeth relative to the gums and mouth? Periodontists don't seem capable of helping me even after I had orthodontic treatment. Gum grafts never last for me.
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
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
1-2 weeks: The donor site usually is 100% within 2 two weeks. The length of time depends upon the technique the dentst used. ...Read more
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
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
Maybe: It is fairly common for a graft to differ in appearance from the adjacent tissue. If you can get back to the original surgeon for evaluation, that's the best way to be sure. Failing that, go to another dentist to have it examined. I have seen several that appear fairly white many years later ...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
How long ago was it done?
Let it heal for 2 weeks and should be good to go.
Why not ask the dentist who did it how long to wait? ...Read more
Variable: The dentist can make the gums look normal but it depends what the surgery looks like. Sometimes free gingival grafts can look like a patch on a tire. There are techniques to blend the tissue so it looks like the patch was never there. Often the procedure can be done so there are no esthetic concerns at all. ...Read more
What do you advise if I had a gum graft, can I play paintball. Read on for needed details to answer.?
Just recently had gum graft surgery, looks like my gums are still receding, worry that the graft didn't take, or is that normal?
Time for a follow up: Gum graft surgery can reduce the amount of recession and lessen the chance that gums will receed further in the future, but there is no guarantee that it will entirely eliminate what was already present. If you are not sure what you are seeing, schedule a follow up with the dentist or periodontist who did the procedure for you. ...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
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
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
Very unlikely.: If the looseness of the tooth, or teeth, are due to loss of bone supports around them, I am afraid that's the gum graft would be the last thing that you would need. The reason behind the looseness of the tooth or teeth needs to be established first. Gum grafts are mainly geared toward repair or regeneration of the gum tissues around the recessed teeth. They will not repair the bone ...Read more
Inflammation: Controlled inflammation is a normal and necessary process of healing. Wound healing required vasodilation of blood vessel and neovascular genesis to activate chemotaxis of the inflammatory cells. Inflammation is considered as a primary mechanism of innate immunity, referred to as the nonspecific immune system or the first line of defense. It is considered noral within the first two weeks. ...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
You personally, no: Depending on the location and size of the defect, there may be alternatives which may include repositioning if the tissue. Your periodontist should explain the pro's and con's of all your options. Get a second opinion from another local periodontist if you still have concerns. ...Read more