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Soft Tissue Graft
(Subepithelial connective tissue
grafts) When recession of the gingiva occurs, the body
loses a natural defense against both bacterial penetration and trauma.
When gum recession is a problem, gum reconstruction using grafting
techniques is an option. When there is only minor recession, some healthy
gingiva often remains and protects the tooth, so that no treatment other
than modifying home care practices is necessary. However, when recession
reaches the mucosa, the first line of defense against bacterial
penetration is lost. In addition, gum recession often results in root
sensitivity to hot and cold foods as well as an unsightly appearance to
the gum and tooth. Also, gum recession, when significant, can predispose
to worsening recession and expose the root surface, which is softer than
enamel, leading to root caries and root
gouging. A gingival graft is designed to solve these
problems. A thin piece of tissue is taken from the roof of the mouth, or
gently moved over from adjacent areas, to provide a stable band of
attached gingiva around the tooth. The gingival graft may be placed in
such a way as to cover the exposed portion of the
root. The gingival graft procedure is highly predictable
and results in a stable healthy band of attached tissue around the
tooth. When deep pockets between teeth and gums are
present, it is difficult for us to thoroughly remove plaque and tarter.
Patients can seldom, if ever, keep these deep pockets clean and free of
plaque. Consequently, surgery may be needed to restore periodontal
health. In some cases, the
occlusion (bite) may require
adjustment. Patients can expect to be comfortable during the
procedure. With the exception of slight cold sensitivity and tenderness,
discomfort is rare following root planing. Patients can expect to return
to work immediately after the
appointment. |


