Doctor insights on:
Tissue Graft For Receding Gums
Need gum surgery for receding gums, which is better, donor gum tissue or using gum graft from the roof of the mouth?
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
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
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
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
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
Are the gums usually sutured back for better attachment following a periodontal pocket reduction procedure using a gum flap?
Need tooth root coverage due to recession. Want allograft and never again a gingival gum graft. What is success rate for an allograft?
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
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
Front tooth extracted and canine removed from palate. No damage to nerves but had bone graft. The 2 teeth next to extracted tooth are loose. Normal?
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?
alloderm failure: See a different periodontist or oral surgeon for an evaluation. ...Read more
Can a periodontist bone graft to stabilize a tooth that has a deep sulcus without always extracting teeth?
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
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