Why it's needed
You may need a gum graft to restore soft tissues that have deteriorated due to gum disease, or you may simply want to improve the aesthetics of
Receding gums are a sign that gum disease is taking hold. Other factors that can cause or contribute to recession are smoking, poor nutrition or
other systemic disorders.
Plaque is a sticky film containing bacteria that covers teeth and creeps below the gum line. If it is not eliminated daily with brushing and
flossing and regular cleanings, it can spread. The results are gums that bleed, swell, and pull away from teeth. This in turn exposes the tooth root
to decay. Further progression leads to more diseased gums, deteriorating bone and eventually, tooth loss. We are certified
experts in handling gum disease and restoring gums to a healthy condition.
What is gum grafting?
When it comes to periodontal disease, we can often reverse it
with scaling and planing, a procedure that cleans out the hardened plaque above and below the gum line. Sometimes that is all that is needed to help
the gums spring back to their healthy state where they are pink and once again hug the teeth tightly.
However, if there is excessive root exposure and/or insufficient gum tissue to protect the root, it may be necessary to perform gum grating.
How Our Periodontal Specialists Treat Gum Recession
Our board-certified periodontists in Beverly Hills specialize in treating gum recession. Basic procedures include:
- Reducing initial inflammation. Making certain that teeth are clean of plaque and tartar is an important first step. This will allow for less bleeding and swelling post-operatively and a better grafting result.
- Soft tissue grafting may be recommended if the gum recession is extensive and/or there is insufficient supporting gingiva. Various methods of grafting are available. Upon consultation, Dr. Moshrefi or Daneshmand will advise you of the least invasive and most effective method of repairing any soft tissue deficiencies.
Auto-grafts are grafts sourced from the patients themselves. Donor sites for grafting include the palate, retro-molar pad, the graft site itself, or adjacent sites. The most common grafting methods are free-gingival graft, and connected tissue grafting.
Connective tissue grafts
Connective tissue grafts are the gold standard in grafting procedures. They are used to replace missing and/or insufficient gum tissue on root surfaces. A surgical incision is made in the palate, a flap of tissue is reflective, and another incision is made to remove tissue from under the flap. The original flap is then sutured back into place. The harvested tissue is inserted over the exposed root and under the existing gum, and sutured into place. Healing is fast with minimal discomfort and virtually no scarring. The results are extremely predictable and there is a very high rate of success.
Free gingival graft
A free gingival graft is similar to a connective tissue graft, except that the tissue is taken from the surface of the palate, not from under a flap. The harvested tissue is then sutured to a prepared tissue bed in the area of the recession. This kind of grafting will stimulate gum growth to increase the amount of supporting tissue and may be repositioned to obtain root coverage. In contrast to connective tissue grafting, this procedure takes longer to heal in the donor site due to the presence of an open wound and may result in possible scar tissue in the recipient site.
Our periodontists also use high tech platelet-rich plasma technology, which allows them to draw a small amount of the patient's own blood and process it in order to harvest platelets. These platelets, added to the graft, are used to speed up the healing process, as they help blood to clot as well as help the body to regenerate new tissue faster.
Allo-grafts are grafts that are externally sourced. Most allo-grafts are of human origin. Donor grafts are processed in a lab where the tissue undergoes strict and rigid protocols to be sure it is sterile and all the live cells have been removed.
Allo-grafting may be the method of choice in situations where patients don't have sufficient tissue to graft extensive areas of recession. When done properly, excellent outcomes can be anticipated.
Pre-planning and follow up
We take the time to plan out all procedures ahead of time to minimize any surprises as well as the duration of the procedure. Our doctors make sure that there won't be any problems with medications, antibiotics, or anti-inflammatories prior to any procedure. Our staff follows up on any procedures we perform, especially if surgery is involved.
Quite often, many of our patients are able to eat and drink normally the next day, while some may take a bit longer. You will need to avoid chewing on the side where the surgery took place until healing is completed.
Leading Periodontists Beverly Hills
Gum treatment, whether it's for periodontal disease, grafting, reshaping, or enhancement, is a specialty that our board certified periodontists are
highly qualified to administer. We are confident you will be happy with the top level of professionalism, care, comfort, and results we provide
when you come to us for periodontal treatment.