Soft Tissue Grafting

Soft Tissue Grafting Allentown - Philadelphia, PA

Teeth which have developed angular notches or abfractions, near the gumline, can be very sensitive and collect plaque. Those with narrow or thin keratonized tissue over the bone and root are at risk for developing gingival recession.  Perhaps gingival recession has already occurred. In teeth like these, a connective tissue graft may be among the treatment options. 

The tough keratonized tissue of the patients own pallate is an excellent source for graft tissue because of its durability and the fact that it already contains the patients own blood vessels and living cells.  Harvesting the graft typically requires two parallel incisions to be made and removal of the approriate quantity of tissue.  The pallatal incision is closed with sutures, which may dissolve on their own or be removed by the dentist.  Often the incision will be protected with  a thin removable vinyl tray worn over the teeth for anchorage. 

The graft tissue is properly contoured to fit the host site.  The gingiva over the area to be treated are elevated slightly from the exposed root and tooth supporting bone to accomodate the donor graft tissue.  The root surface will be cleaned and may be conditioned with etches and locally applied anti-biotics to prepare it for adhesion of the grafted tissue.  The graft is trucked into position and retained with sutures.  Over a period of several weeks the graft will integrate with the host tissues and completely remodel the proper contour.   Even if complete root coverage is not achieved, a more durable zone of keratonized tissue usually results. 

A bite adjustment may also be needed following connective tissue grafting to reduce any off access tipping forces on the tooth that may have lead to the need for treatment.  Because of the way teeth are oriented in the dental arches, biting may introduce tipping forces, this can lead to abfractions and gum recession.  A minor adjustment to the non-sensitive enamel layer of the tooth can properly align biting forces and eliminate tipping and abfractions.  This increaes the likelihood of success with the graft.  For soft tissues gum grafting in Allentown or Philadelphia, call Dr. Potter today.