Doctor insights on:
Tissue Graft For Receding Gums
Can it happen to many people who have advanced gum recession that any type of soft tissue grafting just would not help? Where do the gums go to?
Gum disease: Recession is a sign of gum disease. You have lost bone. Grafting can only help if you have enough bone to maintain your teeth. Grafting is done to be able to maintain the soft tissue attachment to protect the bone. A periodontist can evaluate your situation to help you keep your teeth. ...Read more
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
Typically recession: Sometimes teeth can be moved to help slow down or stop recession, but there are rare instances that the gums will come back on there own. ...Read more
A free gingival graft for gum recession leaves one with 2 wounds and 14 days to heal. Alloderm leaves with 1 wound but heals 2 to 6 mos. Choose which?
Some periodontists don't recommend gum grafting despite substantial gum recession on the lingual side. Why is this?
Varying Factors: Each situation is slightly different... your post infers that "gum grafting" and "gum recession" are exactly the same in every patient: they are not. Your own periodontist can best explain why or why not the procedure is right for your situation. ...Read more
I plan on getting clearcorrect in the near future I need to have a graft done on gum recession as well as 4 molar extrations which operation should I do first?
Depends: Is your gum recession caused by severe crowding if so get the teeth straightened first. Are the wisdom teeth erupted or erupting? Orthodontists like to take them out up front but it depends on the position of them and how they are affecting the rest of the teeth. ...Read more
I use a soft manual brush with soft stroke, use niteguard, floss. What situation is grafting not an option when there is significant gum recession?
Gum grafting: I am not exactly sure of your question. If you have sufficient attached gingiva, no muscle pulls, no sensitivity, good bone support, no esthetic concerns and a healthy periodontal condition, you don't necessarily require gum grafting. Your own dentist, whom I hope you trust, can answer your question best as he\she can actually see you and your x-rays. If necessary, get a referral to a periodontist. ...Read more
Should I have a general dentist do the Pinhole Surgical Technique? I normally get gum grafts from a periodontist for my constantly receding gums.
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
I have receding gums. Don't have period disease, don't want gum grafting. Dr wants to put filling above canine in notch. Is this a good plan? Should I?
See below: Ask your dentist or periodontist about the Pin Hole technique, site unseen it is hard to comment but this new technique may be more beneficial that grafting. ...Read more
I have severely receding gums due to overbrushing-NOT gumdisease. Declined gum grafting. Oral health ok. How likely is it I will lose teeth due to this?
Probably Not: I hav seen many cases of brushing caused problems but they tend to be localized. If you have gum recession see your dentist and perhaps a periodontist for an evaluation. ...Read more
I have bottom front teeth gum recession and told that there is a lack of good blood supply. Can recession still be treated with grafting?
Periodontics: As dentists, we treat teeth based on the symptoms we see. If there's a cavity then a filling is needed, etc. A periodontist follows the same protocols when dealing with unhealthy gums. If there is advanced gum disease, then a graft is one of many possible solutions that can be recommended. If a 'gum specialist' has recommended a grafting surgery (and you trust his opinion) then heed his advice. ...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 depends: This will vary depending on where you live, how many teeth need grafting, etc. You should get opinions from two different periodontists. ...Read more
Two issues: The larger the graft the less it shrinks and the color of the tissue is determined by the donor site. Folks to tend to scar or get keloids, tend to wind up with lumpier grafts. If that disturbes a patient, it can be trimmed later. I would not do that for three to six months after the graft. ...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
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
What can I expect after a soft tissue graft? I'm going to have a free gingical graft to thicken the gum tissue around the area where a crown is going. From reading a bit about, it sounds to me like it might be a painful procedure. Is there much special ca
There are a few different techniques to thicken the gum. If the gum is transplanted from your palate, the roof of your mouth will be painful for a few days. Patients often compare the pain to a pizza burn.
Your periodontist should send you home with written instructions that you should review together before you leave the office. ...Read more
Receding gums, also known as gingival recession, is the loss of gum volume due most commonly to gingivitis (inflammation of the gums). Other causes of gum recession include inherited genes, aggressive tooth brushing, tobacco and other drug use, as well as vitamin ...Read more