Gum Grafts

Healthy gums are an important protector for the health of teeth. Healthy gums protect our teeth from periodontal disease and sensitivity. Although it is necessary for our gums to be healthy for an aesthetic smile, they also play an important role in the full function of our teeth. Necessity of gum graft operations; gingival recession, trauma, periodontal diseases may be caused. The primary purpose of gum grafts is to stop gum recession. In the secondary stage, if possible, it is to close the gingival recession and return it to its original position.

There are a wide variety of gingival graft operations. And the form of the operation is determined by the amount of gingival recession, the severity of gingival recession and the wishes of the patient. The gingival specialist informs the patient about which method is or may be the most suitable for the patient when the options are in question.

Before starting the operation, the gum specialist applies local anesthesia to the operation area so that there is no pain during the procedure. Sometimes, some gingiva can be removed during the operation to better see the roots.

Gum Grafts – Short in Short

  • Gum grafts are generally used in cases with gingival recession.

  • It is not possible to cover every gingival recession with gingival grafts.

  • Gum grafts can also be applied to stop gingival recession.

  • In the tissue area taken from the mouth, new tissue is formed within 4-12 weeks.

  • Optimum oral hygiene before and after is a very important factor in the success of the operation.

 

Various gingival graft operations;

Connective Tissue Graft

In this operation, the gum specialist,

  • It usually opens a certain part of the palate tissue, which is the roof of the mouth, like an envelope, and obtains the connective tissue here.

  • fixes the removed connective tissue to the recipient area with special sutures that vary according to gingival recession.

  • The palate tissue, which is the donor area, is covered with sutures. In some cases, some special agents are placed in this area.

Free Gum Graft

It is a preferred gingival operation for people with thin gingiva and who need to increase the amount of gingiva.

During this surgery, the gum specialist;

  • It takes the gum tissue from the superficial layer of the palate tissue, which is the roof of the mouth.

  • fixes the gingival tissue to the prepared area with very thin sutures.

Stem Grafts

Stem grafts are applied when there is sufficient amount of gingiva in the area adjacent to the gingival deficient area. Thanks to the fact that the connection of the transferred tissue is not completely disconnected from the donor tissue, the nutrition of the operation area is provided at the maximum level. For these reasons, when the conditions are suitable, the first choice of the gingival specialist is the stem grafts.

Although all these operations are performed using the tissues of the individuals, they can also be performed with tissues obtained from tissue banks. However, it should be known that the individual’s own tissue is the structure with maximum compatibility.

 

Preparations Before Gum Graft

When the patient and his doctor decide to have a gingival graft operation, there are some procedures that must be done before this operation. First of all, oral hygiene should be maximized, dental calculus, if any, should be cleaned, if necessary, root surface smoothing should be done and pockets should be removed. After it is determined that the individual can maintain oral hygiene, gingival operation can be performed.

During gingival operations, there is no pain since the operation areas are anesthetized by local anesthesia. After the surgery, individuals can easily go home, but if they are going to drive, it is generally recommended that they come with a person and that person drives the car. Because although there is no pain, people may have a feeling of discomfort because it is after an operation.

The gingival specialist who performed the surgery explains in detail what should be done after the operation and how to use the drugs.

 

Recovery Period

During the recovery period, the first things that the individual should pay attention to should be;

  • The operation area should not be brushed or floss should be used.

  • Use of mouthwash prescribed by a gum specialist

  • Heavy exercises should be avoided.

  • Hard foods should be avoided.

  • Soft, cold and warm foods should be consumed

  • Smoking should not be used.

The feeling of pain and discomfort after the operation varies from person to person. If the gum specialist uses a tissue taken from the tissue bank, the patient may feel less pain.

Recovery is usually rapid. Within 1-2 weeks, the tissue heals and the stitches are removed. In some individuals, this recovery period may be prolonged. It takes 6-8 weeks for the transferred tissue to fully merge with the tissue in the recipient area.

After the operation, an increase in sensitivity may occur in the teeth in this area, and this sensitivity will decrease as the healing progresses.

You can go to work or school the day after the surgery.

One week after the operation, the gum specialist will make a control appointment to see the operation area. If he sees fit, he will take some of the stitches at this appointment.

Do Complications Occur After Gum Surgery?

Complications after gingival surgery are very rare and are usually minor. These complications are;

  • bleeding gums

  • swelling of the gums

  • teeth may feel like they are loosening more

  • sensitivity may increase

  • spaces between teeth may increase

  • infection

can be sorted.

Rarely, gingival grafts may fail to adhere to the recipient site. In this very rare case, the operation can be performed again.

When Should I Call the Doctor?

Since an unusual process occurs after the operation, it is necessary not to be afraid of every symptom.

  • Bleeding that continues for 30 minutes despite the tampon application when there is increased bleeding (bleeding in the form of leakage is a natural process)

  • unreported pain and swelling,

  • fever and inflammatory discharge

In such cases, the clinic should be contacted and informed about the situation.

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