Exposed tooth roots are the result of gum recession. Gum graft surgery will repair the defect and help to prevent additional recession and bone loss.

Gum grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession. During gum graft surgery, your periodontist takes gum tissue from your palate or another donor source to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.

What happens during the procedure?

Three different types of gum tissue grafts are typically performed. Which type will be used on you will depend on your specific needs. The graft procedures include:

  • Connective-tissue grafts: This is the most common method used to treat root exposure. During the procedure, a flap of skin is cut at the roof of your mouth, and tissue from under the flap, called subepithelial connective tissue, is removed and then stitched to the gum tissue surrounding the exposed root. After the connective tissue, the graft has been removed from under the palatal flap, the flap is stitched back down.
  • Free gingival grafts: Similar to a connective-tissue graft, free gingival grafts involve the use of tissue from the roof of the mouth. But instead of making a flap and removing tissue under the top layer of flesh, a small amount of tissue is removed directly from the roof of the mouth and then attached to the gum area being treated. This method is used most often in people who have thin gums, to begin with, and need additional tissue to enlarge the gums.
  • Pedicle grafts: In this procedure, instead of taking tissue from the palate, it is grafted from gum around or near the tooth needing repair. The flap, called a pedicle, is only partially cut away so that one edge remains attached. The gum is then pulled over or down to cover the exposed root and sewn into place. This procedure can only be done in people who have plenty of gum tissue near the tooth.

What are the benefits of gum graft surgery?

A gum graft can reduce further recession and bone loss. In some cases, it can cover exposed roots to protect them from decay. This may reduce tooth sensitivity and improve the esthetics of your smile. Whether you have a gum graft to improve function or esthetics, patients often receive the benefits of both: a beautiful new smile and improved periodontal health – your keys to smiling, eating, and speaking with comfort and confidence.

How long is the healing process?

The healing process is often quick, taking 1 to 2 weeks for the mouth to heal fully but may take longer. People can take over-the-counter pain relievers or prescription medications to help manage any discomfort.

Will I need another gum graft?

While gum tissue grafts are effective at repairing gum recession and preventing further damage, there is no guarantee that gum problems won’t develop again in the future. However, with regular dental checkups and careful dental care at home, serious damage requiring surgery can be prevented.

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