When recession of the gingiva (gum) occurs, the body loses a natural defense against both bacterial penetration and trauma. Recession results in exposed root surfaces and bone loss. When gum recession is a problem, gum reconstruction using grafting techniques is an appropriate therapy.
In case of 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 abrasion.

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. In certain cases, it is possible to use different materials for the grafting procedure, thus avoiding the tissue of the roof of the mouth.
The gingival graft procedure is highly predictable and results in a stable, healthy band of attached tissue around the tooth.
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Louis F. Rubino, Jr., DMD practices Periodontics and Implant Dentistry in Phoenixville PA
650 Valley Forge • Phoenixville, PA 19460 • Telephone: 610-933-1236 • Fax: 610-933-4675
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