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When recession of the gingiva occurs, the root of the tooth becomes exposed. This makes the site(s) more susceptible to decay, plaque build-up, sensitivity, and gum tissue irritation. It can also present an esthetic problem for the patient. Grafting techniques are available which can restore health and esthetics by replacing lost gum tissue coverage over the root.
Before Soft Tissue Graft
After Soft Tissue Graft
When there is only minor recession, some healthy thicker (keratinized) gingiva often remains and protects the tooth, so that no treatment other than modifying home care practices is necessary. However, when recession is advanced (3 mm or more), the first line of defense against bacterial penetration is weakened or lost. The site is then more susceptible to infection and continued bone loss.
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. Gum recession, when significant, can predispose an area to worsening recession. The exposed root surface, which is softer than enamel, can develop root decay and root gouging.
A gingival graft is designed to solve these problems. There are basically two types of gum grafting to treat this condition.
A donor tissue is also available for these procedures, which eliminates the need to take tissue from the patient’s palate.