Gum Grafting
A gum graft (also called a gingival graft or gingival augmentation) refers to several periodontal procedures in which healthy tissue is added to an area of gum recession to cover an exposed root and/or thicken thin gum tissue.
Why Do Gums Recede?
Gum recession can occur for many reasons, including:
- Periodontal disease (advanced gum disease)
- Aggressive tooth brushing
- Naturally thin gum tissue or a thin bony foundation
- Clenching and grinding
- Orthodontic tooth movement
- Smoking
- Malpositioned teeth
- Oral piercings
As the gum tissue recedes, it can expose the root surface. Exposed roots can create both health concerns and cosmetic concerns.
Why Treat Recession?
Gum recession can make teeth look “long,” which is where the expression “long in the tooth” comes from. Beyond appearance, exposed roots are more vulnerable to:
- Sensitivity to cold, hot, and touch
- Root decay (the root surface is not protected like enamel)
- Continued recession in areas with thin or fragile tissue
When teeth become sensitive, everyday things like eating and drinking can become uncomfortable—sometimes enough to affect social life and quality of life.
Healthy gums matter. Periodontal disease is associated with overall health concerns, and maintaining gum health is an important part of maintaining whole-body wellness. Gum grafting can help strengthen and protect areas of recession and support long-term tooth stability.
Common Types of Gum Grafting
1) Free Gingival Graft
A free gingival graft is commonly used to increase the amount of firm, protective gum tissue (keratinized tissue) and thicken fragile areas. Root coverage is not always the primary goal. Tissue is taken from the palate and placed where the gums are thin or receded. Because the outer layer of palate tissue is used, it can sometimes heal with a slightly different color match.
2) Subepithelial Connective Tissue Graft
This is one of the most frequently used techniques for root coverage and tissue thickening. Tissue is taken from beneath the surface of the palate and placed over the exposed root. Because the surface layer is preserved, this approach often provides excellent esthetics and a natural blend.
3) Acellular Dermal Matrix Allograft (AlloDerm®)
This option uses medically processed donated human tissue as a graft material, meaning tissue does not need to be taken from the patient’s palate. The main advantage is typically less postoperative discomfort and fewer surgical sites. Dr. Dianati can review whether this option is appropriate for your specific needs.
What to Expect
Before gum grafting, teeth are typically thoroughly cleaned to remove plaque, calculus, and bacteria. The procedure is performed with local anesthesia, and sedation may be available for patients who prefer it. The exact technique depends on your anatomy, the goals of treatment (coverage vs. thickening), and whether you choose your own tissue or donor tissue—decisions you’ll make after a consultation with Dr. Dianati.
Call our office today at (818) 584-1841 to schedule a consultation and discuss options for protecting your gums and improving your comfort and smile.