Definition:A gum graft is a procedure to treat receding gums. Known technically as “subepithelial connective tissue grafting” or simply “connective tissue graft,” this method is the most reliable solution for severe gum recession, especially when limited to one or two areas.
Procedure:
Tissue Removal:Tissue is taken from beneath the gums on the roof of the mouth.
Tissue Placement:This tissue is then placed over the recession area.
Healing:The graft integrates with the existing gum tissue, permanently thickening and strengthening the gum attachment to the exposed root.
Alternative Treatments:
Pinhole Procedure:For multiple affected teeth, the pinhole procedure can repair the gum line without grafting if detected early.
WHY SOFT TISSUE GRAFTING?
Soft Tissue Grafting Improves
Aesthetics and Prevent the Bone Loss
Gum Grafts — Small pieces of tissue taken from other areas such as the palate and surgically implanted to correct severe gum disease, cover exposed roots, stop bone loss and gum recession, and even reduce pain-causing root sensitivity.
Replacement of Lost Gum Tissue — Gum tissue can be augmented or replaced by a variety of means, including soft tissue grafts.
Excessive or Uneven Gums – Gum lifts or soft tissue grafts can be used to even gum lines, or cover an exposed root.
Ridge Augmentation — A procedure that can shore up dents and other abnormalities in your gum line.
Achieving Naturally Beautiful Teeth: Soft Tissue Health
Main Aesthetic Problems due to Gums:
Gum Recession:Loss of gum height exposes tooth roots due to aggressive brushing, prominent roots, strong muscle attachments, thin tissue, or occlusal trauma.
Indications: Esthetic concerns, sensitivity to hot or cold, and root caries risk.
Loss of Gum Height: After tooth loss, it leads to aesthetic issues like black triangles.
Solution: Recreate gum tissue before restoration.
Treatment Approaches:
Free Gingival Grafts: Uses palatal tissue but may cause scars and painful recovery.
Sub-Epithelial Connective Tissue Grafts: Provides better color and texture matching with less pain.
Restoring Lost Gum Height: Similar to connective tissue grafting, may need repeat procedures based on defect size.
BEFORE
AFTER
Soft Tissue or Gum Grafts
Gum recession, causing unaesthetic black triangles
Soft tissue or gum grafts effectively address unaesthetic black triangles by closing gaps & restoring a more pleasing gum line
Black Triangle Teeth
Black triangle teeth, are gaps between teeth and the gum line.
Causes:Common with aging, gum disease, and smoking.
Aesthetic Concerns: Can make smiles unattractive and add years to appearance.
Health Risks:Act as traps for food and plaque, increasing the risk of gum disease and tooth decay.
Functional Issues:May affect speech, causing spitting when talking.
How to Fix Black Triangles
Between Teeth
Gum Surgery: Suitable candidates can consider surgical options like the pinhole technique.
Crowns/Veneers: Can address the issue for long term.
Orthodontic Treatment: Realign teeth to eliminate or reduce gaps.
Aesthetic Bonding: A painless technique using composite resin to fill gaps.
Bioclear Matrix Technique: Aesthetic bonding, ideal for lower teeth.
Do Nothing: If gum disease is inactive and the gaps are not a concern, no action is needed.
Consultation: Book an examination to discuss treatment options for black triangles.
Gum Grafting Overview
Definition: Gum grafting, also known as gingival graft or periodontic plastic surgery.
Aesthetic Concern: Gum recession can make teeth appear longer, leading to cosmetic issues.
Causes:
Gum disease
Genetics
Teeth grinding
Other factors
Consequences:
Exposed sensitive tooth roots
Increased discomfort with hot and cold foods
How to Prevent Triangle Gaps
Between Teeth
Maintain Good Oral Hygiene: Practice regular brushing and flossing.
Use a Soft Brush: Gently massage teeth and gums with a small brush head.
Daily Interdental Cleaning: Follow your dentist’s instructions for cleaning between teeth.
Regular Check-ups: Visit the dentist to catch potential gaps early.