Gum Graft

Gum grafting is periodontal surgery technique that can help people who have
experienced gum recession. Gum recession is when the gum surrounding the tooth
has pulled away, due to gingivitis, Periodontitis, aggressive brushing, or genetics,
causing the roots of the teeth to become exposed.

o Gum recession can make the teeth more sensitive to hot and cold food and drinks.
Besides pain, receding gums can also make teeth more susceptible to cavities on
the exposed roots. Gum grafts are used to replace gum that has been lost,
alleviating the discomforting symptoms. During a gum graft procedure, a small
strip of gum tissue is taken from your palate or another donor source to cover the
exposed root. This can be done for one tooth or several teeth to even your gum
line and reduce sensitivity. The unique gum graft techniques perfected by Dr.
can correct most gum defects effectively, and comfortably. Gum grafting helps
cover the exposed tooth and root, as well as helps prevent cavities. Gum grafting
can also have a cosmetic effect, reducing the appearance of a “long tooth.”

o Different techniques are available for gum grafting. There are different patient
variables that should be evaluated carefully by the periodontist to determine the
ideal technique for each patient. Ideally, the periodontist should be versed in all of
these techniques so that he or she can use the right technique for each case.
Unfortunately, if a periodontist is only comfortable with one or two techniques
then he or she might use the wrong approach in correcting a gum recession
defect. Periodontists are the only dentists that are properly trained to perform gum
graft procedures. Because gum graft procedures are extremely technique sensitive
it should only be done by periodontist and not by other dentists. When done
properly, and with appropriate follow up care, gum grafts can last a lifetime. The

procedure is also relatively easy on the patient. Quite often, patients return to
work the next day with nothing more than over-the-counter pain pills (ibuprofen)
for post-operative medication.

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A gummy smile exposes a larger than average amount of gum tissue and has a noticeably disproportionate gum-to-tooth ratio.

Causes of gummy smile:
 Abnormal tooth eruption
 Overgrowth of gum tissue
 Altered passive eruption of teeth (short teeth)
 Vertical maxillary excess
 Maxilla protrusion
 Insufficient lip length
 Hypermobile lip

Treatments may include gum contouring/gum leveling, lip repositioning and crown lengthening procedures which are also used to improve the health of gum and prepare the mouth for restorative and cosmetic procedures.

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Dental Ridge Augmentation is a bone grafting technique that refers to re-growing a damaged jaw bone so that it can accept a dental implant.  In order to place a successful dental implant, the jaw bone needs to be of adequate volume and consistency.  If the tooth has been missing for a long time, or the bone was lost as a result of an infection or trauma, then the bone volume is usually inadequate for supporting a dental implant.

Various techniques are utilized for regenerating bone in a deficient ridge.  The selection of the techniques depend on multiple factors, such as the area of the mouth and the volume of the bone that needs regeneration.

Thin wall prior to grafting
Bone grafting
Implant placed


A procedure that is also referred to as “sinus lift” or “sinus graft” or “sinus augmentation” is a commonly used method for growing bone in the upper jaw (maxilla) in the area of the posterior premolar and molar teeth. The maxillary sinuses are hollow cavities that occupy the back of the upper jaw above the posterior teeth. Often the roots of the upper jaw penetrate into the maxillary sinus when they are present.  When these teeth are lost or removed, the bone that is left behind is usually inadequate to support dental implants.


The solution to this condition is sinus augmentation procedure to elevate
maxillary sinus membrane upward and to place bone graft into the floor of the sinus to
improve bone height in posterior maxilla which is more favorable for implant placement.

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How is this procedure performed?

There are two frequently used approaches when performing the sinus graft procedure. The first approach is a lateral sinus graft/external sinus graft approach where a small incision is made on the premolar or molar region on the outside of the maxillary arch to expose the jaw bone. A small opening is made and the membrane lining the sinus is pushed upward and remained up with addition of bone graft.

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The second type of approach is used when patients have at least 5 to 6mm of bone remaining between the ridge crest and the sinus floor. This technique is performed by making an opening through the crest of the ridge and it’s called the crestal/internal sinus graft approach. The implant site is prepared, then bone graft is placed via a carrier.  The hydraulic pressure of the graft material raises the floor of the sinus to the desired length.  The implant is placed in the same visit.

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Periodontal disease is a chronic bacterial infection that affects the gums and bone
supporting the teeth. It is a serious infection that, if left untreated, can lead to tooth loss
Periodontal disease can affect one tooth or many teeth. It begins when the bacteria in plaque (the sticky,
colorless film that constantly forms on your teeth) causes the gums to become inflamed. In the mildest
form of the disease, gingivitis, the gums redden, swell and bleed easily. Gingivitis is often caused by
inadequate oral hygiene. Gingivitis is reversible with professional periodontal disease treatment and good
oral home care.

Untreated gingivitis can advance to periodontitis. With time, plaque can spread and grow below the gum
line. Toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic
inflammatory response in which the body, in essence, turns on itself, and the tissues and bone that support
the teeth are broken down and destroyed.

Gums separate from the teeth, forming pockets (spaces between the teeth and gums) that become
infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed.
Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may
have to be removed without periodontal disease treatment.

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There are different treatments including pocket reduction, regenerative
procedures and non-surgical procedures that are provided depending on the severity of periodontal

 Pocket reduction procedures
 Regenerative procedures
 Crown lengthening
 Gummy smile correction

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Platelet rich fibrin (PRF) is a natural bioactive additive from patient’s own blood to
regulate inflammation and increase the speed of healing process during dental surgical
procedures. 10 CC of patient’s blood is centrifuged to provide the PRF layer rich in
fibrin, platelets and growth factors.


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