Gum Grafting

When recession of the gingiva (gums) 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 of the gum and tooth. When significant, gum recession 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. The gingival graft may be placed in such a way as to cover the exposed portion of the root. It is highly predictable and results in a stable healthy band of attached tissue around the tooth.

A gum graft covers the exposed root of a tooth,
protecting and stabilizing it.

Receding Gums, Before Treatment

Receding Gums, After Treatment

Gum Graft Before - performed at Orange County CA Periodontist
Gum Graft After - performed at Orange County CA Periodontist
Gum Graft Before - performed at Orange County CA Periodontist
Gum Graft After - performed at Orange County CA Periodontist

A thin piece of connective tissue can be taken from the roof of the mouth to provide a stable band of attached gingiva around the tooth. An alternative is Alloderm regenerative tissue. It is a dermal matrix that allows Dr. Marlene Miller to give you the tissue graft that you need, without the limitations associated with harvesting the graft material from somewhere else in your mouth.

AlloDerm provides the collagen structure and proteins that help your body’s own tissue grow and remodel. The collagen serves as a scaffold into which your cells can grow. The proteins act as recruiters, drawing your cells into the graft, and telling them how to remodel it.

As the body’s natural processes take over, your own cells move into the AlloDerm. Over time, your cells transform the AlloDerm into your own healthy gum tissue. Once recovery is complete, you won’t be able to tell the AlloDerm was ever there.