Gum Grafting Procedures (Subepithelial connective tissue grafts)

When gum recession reaches the mucosa, the first line of defense against bacterial penetration is lost.

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 no treatment other than modifying home care dental hygiene practices is necessary. However, when recession is more severe, 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. 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. In most cases, Dr. Imberman has pioneered a predictable technique using Alloderm (acellular dermal matrix) as a donor tissue to avoid ausing second surgical site. Click here to learn about Alloderm.