Since gum recession is a mechanical problem (tooth position relative to the jaw) the only correction of the problem is also mechanical, known as soft-tissue grafting ie. surgical.
Soft tissue grafting is an in-office procedure requiring only local
numbing (IV sedation can be used
No discomfort is evident once the anesthetic takes effect.
1. Root Coverage (Connective Tissue
and Sub-Epithelial are also names for this type of graft)—this type of graft has become the most commonly used grafting method because it is the best type of graft to try and esthetically cover some of the root surface at the same time as stopping gum recession. Indicated where coverage of a sensitive root and/or esthetics are needed.
We use a commercial product called Alloderm® for
the graft which eliminates having to take the
graft tissue from the palate. Much more comfortable!
Types of Grafts
2. “Functional”—this graft adds enough new gum to keep the tooth healthy and to prevent continued recession. No attempt is made to cover the exposed root. The intent is to add enough gum tissue so that the recession does not continue. This graft is usually very predictable, easiest to do, and heals quickly. Indicated where keeping the tooth healthy is the primary goal.