Then, new blood vessels will begin to form to enable blood flow to the graft. (647) 360-6650 Yes in a heartbeat as I truly appreciate the experience and I am quite satisfied with my outcome. It is generally accepted that an exudate consisting of plasma, erythrocytes and white blood cells infiltrates the interface between the graft and periosteum to establish plasmatic circulation.12,13,16 During this period, the graft shows signs of epithelial disruption and desquamation, characterized by a change in color from pink to an opaque white and a edematous surface texture (Figure 4 and Figure 5). The service was appropriate for my needs and the experience not as scary as I had envisioned. Usually, discomfort ceases after around 14 days, when the skin over the removal site has thickened sufficiently. Did you know that the donor site takes longer to heal than the graft itself? Revascularization and shrinkage a one year clinical study. Given the nonelastic character of thin mucosa and lack of facial bone, a mucoperiosteal flap reflection to accommodate a CTG was considered a risky procedure subject to further tissue loss and an increased chance of failure. Figure 2 shows the prepared recipient site, achieved by a split-thickness incision, allowing for periosteum retention over the root surfaces. The situation may become even more problematic due to a prominent labial midline frenulum, gingival recession (with varying degrees of root exposure), gingival inflammation, and complicating treatments, such as orthodontic therapy. Sometimes, periodontal surgery may be needed to treat certain gum diseases and conditions, such as gingivitis or periodontitis. Gum recession is one of those problems that start out slow and small. I was very impressed with the professionalism of the staff at Periodontal Associates. In case of bleeding, apply a cotton ball to the surgical site for 20 minutes with light pressure. While clinicians can find literature explaining surgical grafting technique,18,19 this paper will focus on the progression of healing and correlate its appearance with the histology of the healing wound. Read More. Use a saltwater rinse (1/2 teaspoon for 1 cup). PMID: 17209793. They made sure I was comfortable throughout and after the surgery. Systematic reviews report an association of thin phenotype with diminished thickness of underlying bone and an increased risk of gingival recession.35 Conversely, a thick phenotype appears more resistant to gingival recession and is associated with more favorable clinical outcomes following surgical root coverage.46. See our complete guide to gum grafting costs. The type of gum graft you receive will impact the healing process. New Patient Registration / Medical History Form, Periodontist & Dental Implants Burlington. Maintain these food restrictions until your sutures have dissolved, which can take up to a week. dataLayer.push( dataLayer_content ); gtag('js', new Date()); A peer-reviewed journal that offers evidence-based clinical information and continuing education for dentists. Gum graft surgery is generally a safe procedure. Lastly, the issue of graft contraction during healing should be addressed. A diplomate of the American Board of Periodontology, Cobb is retired after 15 years in private practice and 40 years as an academic. Dr. Su and her team were amazing. Update my browser now, Before we go into the recovery process, lets quickly go over the. Also, on days 3 through 6 (Figure 5 and Figure 6), any graft tissue overlying enamel may exhibit a yellow-cream color and appear necrotic. What are the healing stages of a gum graft? Ask our periodontists in Oakville. '//www.googletagmanager.com/gtm. Note that even at this point the graft tissue exhibits a pale color due to loss of blood supply. Everyone in the office was so helpful and patient. dr Gangbar explained the procedure in detail and answered every question thoroughly. The doctor was able to solve a problem that had been bothering me for weeks in literally two minutes. Thank you for a very positive experience! Click here for our refund/cancellation policy. The discomfort should be mild enough to treat with over-the-counter pain relievers. It usually takes 3 to 4 days for the swelling to subside. (function(d,h,w){var gist=w.gist=w.gist||[];gist.methods=['trackPageView','identify','track','setAppId'];gist.factory=function(t){return function(){var e=Array.prototype.slice.call(arguments);e.unshift(t);gist.push(e);return gist;}};for(var i=0;i