Gum Recession
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 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 to the gum and tooth. Also, 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.
The gingival graft procedure is highly predictable and results in a stable healthy band of attached tissue around the tooth.
Soft Tissue Grafting
Various anatomic abnormalities can result in a need for soft tissue grafting to help reestablish the health of the attachment of a tooth or teeth. Most often this is characterized by receding gumline, but it also may be required prior to restoration of a tooth if the gum and bone structure is thin. Many factors can contribute to a mucogingival defect which requires treatment. Often the bone and gum housing of an affected tooth is this to begin with as a result of tooth position determined by genetics predisposing it to recession. Aggressive toothbrushing or brushing with a medium or hard toothbrush can aggravate the situation. plaque accumulation in the area can also result in increasing recession and inflammation.
Soft tissue grafting is an attempt to repair the defect and create a situation which is much more resistant to further damage and potentially a situation which is much more stable over the long term. This type of grafting is rarely performed for the primary teeth, but is may become necessary as soon as the permanent teeth erupt (age 6), or the need may develop over time. It is not unusual for soft tissue grafting to become necessary during or following orthodontic treatment. A single tooth or multiple teeth may require treatment.
Successful tissue grafting usually has a long term beneficial effect. It is rare that it needs to be repeated. We will advise you of any changes you need to make with the care of your teeth on a daily basis or professional dental care.
|
