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Soft Tissue Grafting

Soft tissue grafting is often necessary to combat gum recession.  Periodontal disease, trauma, aging, over brushing, and poor tooth positioning are the leading causes of gum recession which can lead to tooth-root exposure in severe cases.

When the roots of the teeth become exposed, eating hot and cold foods can be uncomfortable, decay is more prevalent and the aesthetic appearance of the smile is altered.  The main goal of soft tissue grafting is to either cover the exposed root or to thicken the existing gum tissue in order to halt further tissue loss.

The three different types of common soft tissue grafts include:

  • Free gingival graft – A strip of tissue is removed from the roof of the mouth and stitched to the grafting site in order to promote natural growth.  This type of graft is most commonly used for thickening existing tissue.

  • Connective tissue graft – For larger areas or root exposure, subepithelial tissue is needed to remedy the problem.  This subepithelial connective tissue is removed from a small flap in the mouth and sutured to the grafting site.  This is the most common treatment for root exposure.

  • Pedicle graft – This type of graft involves the “sharing” of soft tissue between the affected site and adjacent gum.  A flap of tissue is partially cut away and moved sideways to cover the root.  The results of this type of graft are excellent because the tissue that is moved to the adjacent area includes blood vessels that are left in place.

Reasons for soft tissue grafting

Soft tissue grafting is an extremely versatile procedure that has many uses.  Recent developments in dental technology have made soft tissue grafting more predictable and less intrusive.  Here are some of the main benefits associated with soft tissue grafting treatment:

  • Increased comfort – Root exposure can cause substantial pain and discomfort.  Eating hot, cold or even warm foods can cause severe discomfort. Soft tissue grafts cover the exposed root, decreases sensitivity and restore good health to the gum area.

  • Improved aesthetics – Gum recession due to periodontal disease can cause the smile to look “toothy” or the teeth to appear uneven in size.  Soft tissue grafting can be used as a cosmetic procedure to re-augment the gums, and make the smile appear more symmetrical.

  • Improved gum health – Periodontal disease is a progressive condition that can destroy soft tissue very rapidly.  When used in combination with deep cleaning procedures, soft tissue grafting can halt tissue and bone loss, and protect exposed roots from further complications.

What does soft tissue grafting treatment involve?

Initially, deep cleaning will be performed both above and below the gum line to clear the teeth and roots of calculus (tartar).  The grafting procedure itself will generally be performed under local anesthetic, but this will depend on the size of the areas receiving grafts.  A small incision will be made at the recipient site in order to create a small pocket.  A split thickness incision is made in this pocket and the donor tissue is placed between the two sections of this area.  The donor tissue strip is generally larger than the incision, so some excess will be apparent.

Platelet rich growth factors which stimulate natural tissue growth and promote good healing may be applied to the site before suturing.  In addition, tissue-stimulating proteins may be added to encourage quicker tissue growth.  Finally, the wound site will be sutured to prevent shifting, and surgical material will be placed to protect the sensitive area.  Gum uniformity and substantial healing will take place in the first six weeks after the procedure.

If you have any questions about soft tissue grafting, please ask your dentist.

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Testimonials

"I have been seeing Dr. Butler and his staff at BridgeCreek Prosthetic Dentistry for over five
years for regular dentistry and other oral health issues. Dr. Butler's approach to dentistry has
been perfect for my needs, as he understand and treats serious problems when they arise,
but also takes a conservative approach when it is warranted, and does not perform
unnecessary treatments or interventions. This has saved me not only significant sums of
money over what other care providers recommended for my oral health needs, but has also
saved me from a lot of unnecessary procedures and the pain and inconvenience related
thereto.

I would recommend Bridgecreek Prosthetic Dentistry to anyone, no matter what level of oral
health care you need."

J. Swift

Texas A & M
Texas Health Science Center
Baylor College of Dentistry

April 25, 2013

Dr. Dennis Waguespack, DDS

For some reason I cannot explain why I wanted to write you and Baylor College of Dentistry a letter. I am not good at letter writing, so I hope you understand, I am just trying to express my good feelings and appreciation of the professional service I received over the last year or so.

I have been attending the Baylor College of Dentistry for twenty years and been very pleased with all the services. About two years ago, I reached an important decision concerning the reconstruction of my entire mouth. After some careful and professional consulting with Dr. Nagy, we decided to proceed with a complete restoration of all my mouth.

I was very lucky to be picked / assigned to you.

I just wanted you and Baylor to know how pleased I am with all the extensive work you have performed on me for over a year. I now have totally functional teeth, as well as better aesthetics than anytime in my life. I am proud to smile and show all of my new teeth.

Dr. Waguespack, I wish you the very best in your new practice in Denver. I am so very pleased with your professionalism standards, perfect work, and your leadership with my issues. I would highly recommend you to anyone needing dentistry attention.


Regards

Edwin Stanaland

Edwin Stanaland

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