Doctor insights on:
Soft Tissue Graft Gums
The body is composed of tissue that are classically described as beiing derived from three basic embyonic layers known as the endoderm, mesoderm and ectoderm that then differentiate into the structures that compose the body such as skin, soft tissues, bone, muscle, organs, etc. Stem cells are not differentiated and have the potential to ...Read more
Gum recession: Which hurts the most post op. A subepithelial connective tissue graft or a free gingival tissue graft also from the palate?
Pinhole hurts less: There is a newer approach known as the Piinhole Technique for gum recession. It is minimally invasive and less painful. You can look it up online. ...Read more
Can be: Yes. It is possible that scar tissue from an extraction can create a "bump" that can become tender if traumatized by a crust if toast, bacon, chop whatever. Mine's been there for 33 years--right side only--and can be quite painful at times. Get it checked to be sure of what it is, then you'll know the symptoms forever. Good luck! ...Read moreSee 2 more doctor answers
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
Yes: Recession of the gums = bone loss. The root of your tooth should be covered by gums and bone. Attached tissue is needed to avoid further recession and bone loss. Gum grafts increase the attached tissue on a tooth. If healthy, the attachment is strong and prevents further bone loss. If not properly cleaned, the gums get inflamed and the attachment becomes weaker. ...Read moreSee 3 more doctor answers
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 moreSee 5 more doctor answers
Allograft: If your gum is grafted with tissue from your palate is called an autograft. If it is tissue from another human being it is an allograft. Alloderm is connective tissue from a cadaver. It is an allograft that is used to increase the amount of gum tissue over a tooth where gum is lacking. It is stitched in place. ...Read moreSee 1 more doctor answer
Need gum surgery for receding gums, which is better, donor gum tissue or using gum graft from the roof of the mouth?
See below: When a tooth is removed/extracted the socket is like an empty glass. It will partially fill with bone and partially with gum tissue - leading to incomplete healing. A bone graft/bone regeneration will stimulate the bone to more fully heal - filling about 96%+ of the socket/glass. ...Read moreSee 3 more doctor answers
My molar had no mobility. Extracted due to failed flap surgery. Gum abscess. How common to loose this tooth's bony buccal wall via extraction trauma?
Requires a consult: The question is a simple one but the answer is complex and beyond the scope and word limitation of this forum. There are many things that can be done to correct teeth that appear short or are not symmetric or harmonious with the adjacent teeth. You need to have your general dentist or prosthodontist examine you and discuss treatment options. ...Read moreSee 6 more doctor answers
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
Major recession bottom teeth. Gingival grafting help to save futher bone loss or just pull them all out? Teeth pretty solid in place. Bone graft to?
Why?: It is important to determine the factors contributing to the root exposure as well as the severity. Root exposure is accompanied by bone loss. A periodontist is best suited to handle this and should complete a thorough assessment. Once you are informed of the options, you may feel differently. At 72, with no mobility to the teeth, your bone is likely good enough for many years. ...Read moreSee 3 more doctor answers
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