Gum Graft

Gum graft Toronto dentist

What Is A Gum Graft?

Gum Grafting, also known as gingival grafting, is a dental procedure designed to restore and repair receding gums. The gums play a crucial role in supporting and protecting our teeth, and when they recede or pull back, the tooth roots become exposed, leading to a variety of dental problems. Gum recession can be caused by factors such as periodontal disease, aggressive brushing, genetics, hormonal changes, or even certain medications.

During a gum graft procedure, a trained dental professional or periodontist carefully takes grafting tissue, either from the patient’s own mouth or a tissue bank, and transfers it to the area where the gums have receded. This grafting tissue can be sourced from the patient’s palate, nearby gum tissue, or other available sources. The graft is skillfully placed over the affected area, covering the exposed roots and reinforcing the gumline.

The purpose of a gum graft is not only to improve the appearance of the smile but also to prevent further gum recession and protect the tooth roots from potential damage. By restoring the gumline, the procedure helps to reduce tooth sensitivity, enhance oral health, and maintain the integrity of the supporting structures around the teeth.

Before you deciding on whether A Gum Graft are right for you, there are some things you should know:

If you have any further questions about A Gum Graft or other dental services offered at Atlas Dental, please contact us.

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Have questions about improving the health of your gums and repairing your receding smile? Schedule a free phone consultation with our Toronto dentist.

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See for yourself why more and more people are choosing Atlas Dental for a healthy smile using minimally invasive tunnel gum grafts.

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Want to know if you are a candidate for gum grafting for a healthier smile? Book an in-person consultation online ($50 exam fee)

Who Needs A Gum Graft?

Gum grafts are recommended for individuals who are experiencing gum recession, where the gums have pulled back and exposed the tooth roots. While gum recession can occur naturally with age, it can also be a result of various factors that affect the health and integrity of the gum tissue.

Here are some common situations where a gum graft may be necessary:

  • Periodontal Disease: Advanced stages of periodontal disease, such as periodontitis, can cause severe gum recession. When gum disease progresses, it can lead to the destruction of gum tissue and bone supporting the teeth, resulting in gum recession. A gum graft may be recommended to repair the damaged gums and restore a healthy gumline.
  • Overly Aggressive Brushing: Brushing your teeth with excessive force or using a hard-bristled toothbrush can contribute to gum recession. The vigorous brushing motion can wear down the gum tissue over time, leading to gum recession. If gum recession is a result of aggressive brushing habits, a gum graft can help restore the gumline and protect the exposed roots.
  • Genetic Predisposition: Some individuals are more susceptible to gum recession due to genetic factors. If your parents or other family members have a history of gum recession or thin gum tissue, you may be at a higher risk of developing gum recession. In such cases, a gum graft can be beneficial in repairing and reinforcing the gums.
  • Hormonal Changes: Hormonal fluctuations, particularly during pregnancy or menopause, can affect the health of the gums. Hormonal changes can make the gums more sensitive and prone to gum recession. If hormonal shifts have caused gum recession, a gum graft may be recommended to restore the gumline and protect the tooth roots.
  • Orthodontic Treatment: In some cases, orthodontic treatment, such as braces or Invisalign clear aligners, can lead to gum recession. The movement of teeth during orthodontic procedures can cause the gums to recede. If gum recession occurs as a result of orthodontic treatment, a gum graft may be necessary to restore the gumline and protect the teeth.
  • Trauma or Injury: Accidental injury or trauma to the mouth can cause gum recession. For example, a forceful impact or accident that affects the gums can lead to gum recession. In such cases, a gum graft can be recommended to repair the damaged gum tissue and promote healing.

It is important to consult with a dental professional to determine if you are a candidate for a gum graft. They will assess your oral health, evaluate the extent of gum recession, and recommend the most suitable treatment plan tailored to your specific needs. If you have further questions about a Gum Graft, please contact us.

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What Are The Advantages Of A Gum Graft?

Undergoing a gum graft procedure offers several advantages that can improve both oral health and overall well-being. Let’s explore the benefits of gum grafting:

  • Restoration of Gumline: One of the primary advantages of a gum graft is the restoration of a healthy gumline. By covering exposed tooth roots and repairing receding gums, the graft helps to create a more aesthetically pleasing smile. It can significantly enhance the appearance of the teeth by achieving a balanced and symmetrical gumline.
  • Protection of Tooth Roots: Exposed tooth roots resulting from gum recession can be highly sensitive to hot, cold, and sweet stimuli. The gum graft serves as a protective barrier, reducing tooth sensitivity and discomfort. It also shields the roots from potential damage, such as tooth decay or root surface abrasion, which can occur when the roots are left exposed.
  • Prevention of Further Gum Recession: Gum grafting not only addresses existing gum recession but also helps prevent its progression. By reinforcing the gumline and adding thickness to the gums, the grafting procedure provides stability and support to the gum tissue. This helps to prevent further recession and protects the teeth from additional gum tissue loss.
  • Improved Oral Health: Gum grafts contribute to improved oral health in several ways. By repairing receding gums, they make it easier to maintain proper oral hygiene practices, such as brushing and flossing. Healthy gums also help prevent the accumulation of harmful bacteria and plaque, reducing the risk of gum disease and tooth decay.
  • Preservation of Supporting Structures: Gum recession can lead to the deterioration of the bone and connective tissues that support the teeth. By addressing gum recession through a graft, the procedure helps preserve these crucial supporting structures. Preserving the underlying bone and tissue integrity is vital for maintaining the long-term health and stability of the teeth.
  • Enhanced Self-Confidence: Gum recession can negatively impact a person’s self-confidence and willingness to smile. By restoring a healthy gumline and improving the aesthetics of the smile, gum grafting can boost self-esteem and provide a renewed sense of confidence. Feeling more comfortable and proud of your smile can positively impact various aspects of your life.
  • Tailored Treatment Options: Gum grafting procedures offer various techniques and approaches tailored to individual needs. Your dental professional will evaluate your specific condition and recommend the most suitable grafting technique, ensuring optimal results and long-term success.

It is essential to consult with a qualified dental professional to assess your specific situation and discuss the advantages of gum grafting in your particular case. They will explain the benefits in further detail, address any concerns or questions you may have, and guide you through the entire treatment process. If you have further questions about the benefits of a Gum Graft, please contact us.

What Are The Different Types Of Gum Graft?

Gum grafting procedures offer several different techniques, each suited for specific situations and patient needs. Here are the most commonly used types of gum grafts:

Minimally Invasive Tunnel Graft

In certain cases, a connective tissue graft material from a tissue bank may be used as an alternative to autogenous grafts (grafts taken from the patient’s own body). Allografts are made from donated human tissue and undergo a rigorous screening and sterilization process to ensure safety. This option is suitable for patients who prefer not to have tissue harvested from their own mouth or do not have enough donor tissue available. Tunnel grafting is an alternative to traditional gum graft techniques that is quick, comfortable, and gets beautiful healthy results in many cases.

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Free Gingival Graft

Similar to the connective tissue graft, the free gingival graft involves harvesting tissue from the roof of the mouth. However, in this technique, a thicker layer of tissue is taken from the palate and directly placed onto the recipient site without removing a connective tissue layer. Free gingival grafts are ideal for individuals with thin gum tissue, as they provide additional thickness to the gumline.

free-gingival-gum-graft

Connective Tissue Graft

The connective tissue graft is a commonly performed procedure whereby a small flap is created in the roof of the mouth (palate) to access the connective tissue underneath. A thin layer of tissue is then carefully removed from the palate and grafted onto the area where gum recession has occurred. The graft is secured in place with sutures. This method is effective in covering exposed tooth roots, restoring gum volume, and providing a natural-looking gumline.

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Lateral Pedicle Flap Graft

Unlike connective tissue and free gingival grafts, the pedicle graft technique uses nearby gum tissue adjacent to the affected area as the graft source. In this procedure, a flap of gum tissue is partially cut and shifted to cover the exposed tooth root. It remains attached on one end, maintaining its blood supply. Pedicle grafts are often used when there is sufficient gum tissue available near the site of recession. This technique eliminates the need to harvest tissue from the palate.

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The choice of gum grafting technique depends on various factors, including the extent of gum recession, the condition of the surrounding tissues, and the desired outcome. Your periodontist or dental professional will thoroughly evaluate your situation and recommend the most appropriate type of gum graft for your specific needs. If you have further questions about the different types of Gum Graft, please contact us.

Cost of Gum Graft

Gum Grafts (For root or implant coverage) can vary in cost from one dental office to another. At Atlas Dental, we charge $1500 plus material expense ($250) per tooth site using a minimally invasive soft tissue grafting technique. The codes relevant to gum grafting in the Ontario Dental Association’s Suggested Fee Guide appear as follows:

  • 42552 – Allograft, for root coverage – per site: $1500 + Dental Material Expense ($250)
  • 42557 – Allograft, adjacent to an implant – Per site: $1500 + Dental Material Expense ($250)

The Ontario Dental Association’s Suggested Fee Guide is a proposed fee structure that dentists in Ontario may or may not follow. Please consult with your dentist about fees before going ahead with treatment. 

Gum Grafts are sometimes considered a supplementary service by dental insurance plans and may or may not be covered by your dental insurance. Be sure to find out from your dental insurance plan provider how much you are eligible for before going ahead with dental treatment. Your dentist can help you submit an predetermination to your dental insurance.

For patients without dental insurance, Atlas Dental is pleased to offer dental financing through Dentalcard. Affordable payment plans start at 7.95% for terms of 6 months to 6 years. To learn more about Dentalcard dental treatment financing, follow this link.

What Are The Steps In The Gum Graft Procedure?

The gum graft procedure is typically performed by a periodontist or a specialized dental professional who has expertise in gum tissue regeneration and oral surgery. The process involves several steps to restore the gumline and address gum recession effectively. Here’s an overview of the typical steps involved in a gum graft procedure:

  • Initial Consultation: The process begins with an initial consultation with your dental professional. They will examine your oral health, assess the extent of gum recession, and discuss the treatment options available to you. This is an opportunity to ask questions, address concerns, and understand the details of the procedure. Please review these pre-operative instructions before your visit.
  • Preparation and Anesthesia: On the day of the procedure, you will be prepared for the gum grafting surgery. The area to be treated will be thoroughly cleaned, and the dental professional will administer a local anesthetic to numb the area. This ensures that you remain comfortable and pain-free throughout the procedure.
  • Graft Harvesting (if applicable): Depending on the chosen grafting technique, tissue may be harvested from the roof of the mouth (palate) or obtained from a tissue bank. If your own tissue is used, the dentist will create a small incision in the palate and carefully remove a thin layer of connective tissue or a thicker layer of free gingival tissue. The incision site in the palate will be closed with sutures.
  • Graft Placement: The next step involves placing the graft onto the area with gum recession. The dentist will create a small incision in the recipient site, carefully position the graft over the exposed tooth roots, and secure it in place using sutures or other fixation methods. The graft is positioned to cover the exposed roots and blend with the existing gum tissue seamlessly.
  • Suture Placement: Once the graft is in place, the dentist will carefully suture the incisions, ensuring proper alignment and stability of the graft. Sutures help hold the graft in position while the healing process takes place.
  • Postoperative Instructions: After the procedure, your dental professional will provide you with detailed postoperative instructions. These instructions may include information on managing pain and discomfort, maintaining oral hygiene, eating a soft diet, and avoiding activities that may disrupt the graft healing process. It is essential to follow these instructions to promote optimal healing and recovery.
  • Healing and Follow-up: The graft will gradually integrate with the existing gum tissue over time, stimulating the regeneration of new gum cells. It is normal to experience some initial discomfort and swelling, which will subside as the healing progresses. You will have follow-up appointments with your dental professional to monitor the healing process, remove sutures if necessary, and ensure the success of the grafting procedure. Please review these post-operative instructions to ensure proper care for your new gum graft.

It’s important to note that each gum grafting procedure may vary depending on the specific case and chosen technique. Your dental professional will guide you through the entire process, explain the details of your procedure, and address any concerns you may have. If you have further questions about the Gum Grafting procedure, please contact us.

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Can I Have A Gum Graft If I Am Pregnant?

If you are pregnant and considering a gum graft procedure, it is important to consult with your obstetrician and dental professional to make an informed decision. While every case is unique, here are some points to consider regarding gum grafts during pregnancy:

  • Consultation with Healthcare Providers: Before making a decision, it is crucial to consult with both your obstetrician and dental professional. Their expertise will help assess your specific situation and provide guidance on the best course of action.
  • Timing and Urgency: Elective dental procedures, including gum grafts, are typically postponed during pregnancy unless there is an urgent need for treatment. This approach minimizes potential risks and prioritizes the well-being of both the mother and the developing baby.
  • Hormonal Changes and Gum Health: Hormonal changes during pregnancy can affect the gums, making pregnant women more susceptible to gum problems, including gum recession. Maintaining good oral hygiene practices and regular dental cleanings are essential to manage gum health during pregnancy.
  • Case-by-Case Evaluation: If significant gum recession during pregnancy is causing discomfort or affecting oral health, a gum graft may be considered. However, the decision will depend on various factors, such as the severity of gum recession, the impact on oral health, and the stage of pregnancy.
  • Anesthesia and Medications: Local anesthesia used during the gum graft procedure is generally considered safe during pregnancy. However, specific medications or sedation techniques may be avoided or modified to minimize potential risks. It is essential to discuss these details with your healthcare providers.
  • Overall Well-being: Maintaining good overall health during pregnancy is crucial. Certain medical conditions, such as diabetes or immune disorders, may impact the healing process and the success of a gum graft. It’s important to follow medical advice and manage any underlying health conditions.

Remember, every pregnancy and dental situation is unique. Consultation and coordination between your obstetrician and dental professional are essential to make the most informed decision regarding gum grafts during pregnancy. They will consider your specific circumstances and ensure your safety and the well-being of your baby. If you have further questions about a Gum Graft during pregnancy, please contact us.

How Long Does A Gum Graft Last?

A gum graft is a dental procedure that aims to repair receding gums and restore gum tissue. While the longevity of a gum graft can vary from person to person, there are several factors that can influence how long the results of a gum graft last. Here are some key considerations:

  • Oral Hygiene: Proper oral hygiene practices are essential in maintaining the longevity of a gum graft. Regular brushing and flossing, as well as routine dental cleanings, help prevent gum disease and maintain the health of the gum tissue. Maintaining good oral hygiene habits can contribute to the long-term success of a gum graft.
  • Underlying Causes: Addressing and managing the underlying causes of gum recession is crucial for the long-term success of a gum graft. If factors such as periodontal disease, aggressive brushing, or hormonal changes continue to affect the gums, there is a risk of further gum recession and potential damage to the graft. Working with your dental professional to identify and address these underlying causes can help maximize the lifespan of the gum graft.
  • Personal Habits: Certain habits, such as smoking or tobacco use, can negatively impact the health of the gums and compromise the success of a gum graft. Smoking slows down the healing process, increases the risk of infection, and can lead to gum disease. Avoiding or quitting such habits can significantly contribute to the longevity of a gum graft.
  • Overall Health: General health conditions can affect the success and lifespan of a gum graft. Systemic conditions like diabetes or immune disorders can impact the healing process and the health of the gum tissue. Maintaining overall good health, following medical advice, and managing any underlying health conditions can help support the long-term stability of the gum graft.
  • Maintenance and Follow-up Care: Regular follow-up visits with your dental professional are crucial to monitor the health of the gum graft and address any potential issues promptly. Your dental professional may recommend specific maintenance techniques or prescribe medications to support the long-term success of the gum graft. Adhering to these recommendations and maintaining consistent dental care can extend the lifespan of the graft.

While a gum graft is intended to be a long-lasting solution for gum recession, individual results may vary. It is important to consult with your dental professional to assess your specific case and understand the expected outcomes and potential lifespan of a gum graft. If you have further questions about the longevity of a Gum Graft, please contact us.

What Are Common Problems with A Gum Graft?

While gum grafting is generally a safe and effective procedure, there are some potential problems or complications that may arise. It’s important to be aware of these possibilities and discuss them with your dental professional. Here are some common problems that can occur with a gum graft:

  • Swelling and Discomfort: It is normal to experience some swelling, discomfort, or mild pain after a gum graft procedure. This can be managed with prescribed or over-the-counter pain medication, as recommended by your dental professional. Swelling and discomfort typically subside within a few days to a week.
  • Bleeding: Minor bleeding from the graft site is normal immediately after the procedure. Your dental professional will provide instructions on how to control and manage any bleeding. If bleeding persists or becomes excessive, it is important to contact your dental professional for further guidance.
  • Infection: In rare cases, an infection may occur at the graft site. Signs of infection may include increased pain, swelling, redness, or pus. If you suspect an infection, it is crucial to contact your dental professional promptly. They can prescribe antibiotics or recommend appropriate treatment to address the infection and promote healing.
  • Graft Failure: While gum grafts have a high success rate, there is a small possibility of graft failure. Graft failure may occur if the graft does not properly integrate with the surrounding gum tissue or if complications arise during the healing process. In such cases, additional grafting procedures or alternative treatments may be necessary.
  • Gum Sensitivity: Some individuals may experience temporary increased sensitivity to hot, cold, or sweet stimuli after a gum graft. This heightened sensitivity is typically transient and resolves as the gums heal and adapt. Using desensitizing toothpaste and avoiding extreme temperature or irritating foods can help manage sensitivity during this time.
  • Gum Recession Recurrence: In some cases, there may be a possibility of gum recession recurrence over time, particularly if the underlying causes of gum recession are not adequately addressed. Maintaining good oral hygiene practices, following the recommendations of your dental professional, and addressing any contributing factors can help minimize the risk of gum recession recurring.

It is important to note that while these problems can occur, they are relatively rare. Most gum graft procedures are successful, and patients experience positive outcomes with long-term benefits. By closely following the postoperative instructions provided by your dental professional, attending follow-up appointments, and maintaining good oral hygiene, you can minimize the likelihood of complications and promote optimal healing. If you have further questions about common problems with Gum Grafts, please contact us.

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