Understanding gum recession
Gum recession occurs when the gum margin moves away from its usual position and exposes more of a tooth or its root. You may notice sensitivity, a longer-looking tooth, or a change near the gumline. Recession can have different causes, and grafting is not right for every case.
An assessment helps identify contributing factors, evaluate gum and tooth health, and discuss options. Depending on findings, care may include monitoring, home-care changes, treatment of inflammation, or a periodontal procedure.
What is gum grafting?
Gum grafting is a group of procedures that add or reposition tissue in selected areas. Depending on the clinical goal, a graft may help cover an exposed root or increase the amount of firm gum tissue. The amount of coverage varies and cannot be guaranteed.
Connective tissue graft (CTG)
A connective tissue graft uses tissue placed beneath the gum, often obtained from the roof of the mouth when suitable. It may be considered to improve tissue thickness or address selected areas of recession. The clinician will explain the donor site and alternatives.
Free gingival graft (FGG)
A free gingival graft uses a thin layer of tissue placed directly at the treatment site. It may be considered when increasing the width or thickness of firm gum tissue is a priority. Its purpose differs from a CTG in some cases.
CTG and FGG: how do they differ?
Both are graft procedures, but the type and placement of tissue and the treatment goals differ. A CTG is commonly placed under existing gum tissue; an FGG is placed directly at the recipient site. The recommendation depends on the site, tissue, clinical objective and individual assessment.
Assessment and treatment planning
The treating clinician reviews your medical and dental history, examines your teeth and gums, and considers factors such as brushing technique, inflammation, tooth position and bite. Imaging may be recommended. Your plan will identify who provides the procedure and where; referral may be appropriate.
What happens during surgery?
If grafting is recommended, the clinician explains the steps, anesthesia, tissue plan, risks, alternatives and aftercare before treatment. Tissue is positioned and secured at the planned site. Details vary with the technique and clinical findings.
Healing and aftercare
Follow the treating clinician’s instructions. These may include protecting the surgical area, choosing suitable foods, avoiding disturbance of the graft and attending follow-up. Temporary soreness, swelling or sensitivity may occur. Healing varies; your clinician will advise when to resume normal brushing and activity.
Limitations and alternatives
Grafting cannot address every cause of recession or guarantee a particular appearance. Alternatives may include monitoring, managing gum inflammation, changing home-care technique or addressing contributing factors. Discuss benefits, limitations and risks for your case.
Gum grafting FAQs
Does every area of recession need surgery?
No. Treatment depends on symptoms, progression, tissue health, risk factors and your goals. An assessment helps clarify the options.
Is a graft always taken from the roof of the mouth?
No. Tissue source depends on the technique and clinical assessment. Your clinician will explain the proposed donor site and alternatives.
How long does healing take?
Healing differs by person and procedure. Follow-up is important, and the treating clinician will give guidance based on your surgery.
Will a graft completely cover an exposed root?
Coverage varies with the starting condition and other factors. A specific amount cannot be promised.
Can I discuss sedation?
Mulberry Dental offers sedation options for suitable patients. Read about sedation dentistry and discuss your medical history and procedure with the treating dentist.
Discuss gum health in Kingston
Call 613-766-9977 or request an appointment online to discuss an assessment at Mulberry Dental, 351 Montreal Street, Kingston. Free on-site patient parking is available.