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 of the gum and tooth. When significant, gum recession can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries and root gouging.
There are several ways to treat Gum Recession when necessary. In addition to the conventional options for grafting gums, Drs. Mandel and Joseph also utilize a Minimally Invasive Tunnel Approach to Gum Grafting.
Minimally Invasive Tunnel Approach to Gum Grafting is a technically demanding but effective grafting procedure to augment or replenish lost or compromised tissue. An accellular dermal matrix is tunneled across the root structures of the lower front teeth. A tunneling procedure is superior to conventional gum grafting procedures because no incisions are made in the areas of recession.
A tunneling technique maintains the blood supply to the gum tissue which greatly increases the success rate and provides for a more esthetic result.
A proprietary suturing technique is used to create the normal snug fit for each tooth while simultaneously raising the gum line higher, thereby reversing the appearance of a minor receding gum line.
before and after gum grafting
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.