Gum Grafting, also referred to as 'Subepithelial Connective Tissue Grafts' refers to when there is a recession of the gingiva (the gum around the neck of the tooth that is firmly attached to the tooth and the underlying bone) occurs, the body loses a defense against bacterial infection. If left untreated, tooth loss can occur. When gum recession is a problem, gum reconstruction using grafting techniques is an option.

With a minor recession, the tooth is often protected because some gingival remains to shield it from any potential problems. In small recession cases, only modifying home care may be necessary. However, a substantial recession will require advanced periodontal treatment. This occurs when the gum recession reaches the mucosa (it is a looser gum tissue that is right below the attached gingiva). At this point, the gum is no longer able to prevent bacterial penetration. This can lead to exposure of the root of the tooth, leading to root caries and root gouging.

The gum grafting procedure is designed to remedy the significant gum recession problems. If the gum muscle is pulling down the gums, the muscle will be repositioned to stop further gum recession. Dr. Hogan will use a thin piece of gum tissue, either donor tissue or gum tissue located at the roof of the mouth that is adjacent to the back teeth, and place it in the area with substantial gum recession. This gum tissue then serves as the gingival because it firmly attaches itself to the tooth to prevent further problems. With proper oral hygiene, the new gum will ensure for one’s lifetime that the gum is properly protected just like a normal gingival would provide.

1:2 After cleaning, the graft material is packed into the area where the bone has been lost. A special membrane may also be placed between the gum and bone.

2:2 The gum is then closed. The graft may stimulate new bone growth. New bone tissue fills in the crater, providing strong support for the tooth. After healing, stitches dissolve or are removed.