Gum grafts fail (often) because poor conditions weren't detected in advance of treatment. This may be a lack of sufficient supporting bone tissue. This may be because of abnormal tooth position that doesn't favour graft success.
What are gum graft failure symptoms? If your gum graft failed, you'll probably notice a large patch of white tissue that has come off of your tooth. Its lack of color means that the gum graft lost blood supply and is dying.
Your periodontist will inform you of signs to watch out for, such as a large patch of white tissue or the graft appearing to be falling off. When this happens, it means the transplanted tissue has lost its blood supply, leading to its “death”. Another sign of a failed gum graft is an infection.
During healing, sometimes due to severe swelling and/or loosening of the sutures, the graft may move and surgery will not be successful. In such cases, it is necessary to wait until the maturation of the surrounding tissues is complete and try again. This does not happen very often.
You will know that the graft is healing when the swelling subsides and the soft tissues are shrinking. Your gum tissue will begin binding to the root surface and bone. Then, new blood vessels will begin to form to enable blood flow to the graft. This stage takes four to six weeks from surgery.
If you simply graft over the exposed root of a mis-positioned tooth, you will have a 100% failure rate. You haven't changed the conditions that led to recession in the first place. So, in these cases, your Dentist should first improve tooth position with conventional braces or Invisalign.
The gum graft is held in place with very delicate sutures and takes 5-7 days to attach firmly. Repeated pulling back of the cheek, lip or tongue to look at the graft, can cause the graft to move during the first 5-7 days after surgery, which can cause the graft to fail.
You will know that healing has begun when the soft tissues are shrinking and there is less swelling. The gum tissues gradually starts to bind to the root surface and nearby bone surface as well. New vessels will also start to form and the tissues will receive enough blood supply.
You will feel a burning sensation for the first few days, and the discomfort lasts about 14 days. If swelling or tissue removal results in an exposed bone, the healing period may last longer than two months.
The gum tissue will undergo changes for the next 1-2 weeks. The graft color may change from pink to white. This is NORMAL. Then the color will change to red and then back to pink as the swelling decreases.
When can I eat my regular diet after a gum graft? Typically, your gum graft should heal within 14 days. After that, you can resume eating as you wish. However, the only away to know for certain is by consulting with your periodontist.
During the normal healing process, the gum graft site goes through many color changes. It will get red and puffy, then white or gray with sloughing for up to two weeks. The tissue will change to pink or the natural color of your gums as the area heals.
Full recovery from gum graft surgery takes a few weeks. Your body will have to work its way back to full strength in gradual and deliberate steps. Take time off from your exercise routine and other heavy physical activity for at least 5 days after surgery and even more if you need it. Use ice packs for swelling.
Do not look at the surgery site after leaving here. Some areas may remain sore for 5 to 6 days. The grafts may be a whitish or grayish appearance for 4 to 6 days after surgery, but this is normal until full blood circulation is restored.
Gum grafting won't magically change the appearance of previously receded gums overnight. It takes a few weeks to heal and swelling to subside, and during that time the graft will adapt to the area. After that, it will take another few weeks to see the full benefits — the restored appearance of the gums.
3rd day until 2 weeks after surgery: A very soft food diet should only be eaten (Pasta, soups, eggs, fish, cooked soft vegetables, oatmeal, rice, beans etc.) Avoid any hard, spicy, crusty, coffee or acidic foods. Chewing should be done on the side opposite the surgical site.
AVOID PEROXIDE, ALCOHOL, CARBONATED BEVERAGES, AND DRINKING THROUGH A STRAW. After 24 Hours. You may have soft foods, such as cooked vegetables, fish, pasta, and meatloaf, which are easily chewed. You should use utensils and avoid chewing at the surgical site for 2 weeks.
WHAT DOES A FAILED SKIN GRAFT LOOK LIKE? Compromised or failed skin grafts are characterized by continuous pain, numbness, fever, discoloration, redness, swelling, or a breakdown of tissue. The most obvious sign of an unhealthy skin graft is darkening skin that lacks the pink appearance of healthy skin.
The cost of gum grafting starts at $1200. There are other factors, like the severity, that may increase the cost. Remember, we have payment options available to suit your budget. Remember, your gums may recede over time so it's important to keep regular dental appointments so your dentist can keep track of this.
For soft tissue “gum” grafts, the site(s) may appear white during the healing process (up to 2 weeks), this is normal and not a sign of infection. The tissue will change to a pink color as it heals.
Many patients will say it's about a 6-7 out of 10 on a 1-10 pain scale. The reason it's more painful is that they harvest the donor tissue from the surface of the roof of the mouth. This leaves the underlying gum tissues completely exposed and therefore in pain.
As most surgical procedures, gum grafting surgery implicates risk of infection, bleeding, and reaction to anesthesia. Besides, severe pain, bone rejection, inflammation, swelling, nerve injury, bacterial exposure of wounds, loose sutures, uneven healing, and more…
In addition, patients will frequently complain of a bad smell and indicate their graft is “dead.” Because plasmatic circulation is important to graft survival, pooling of blood — sufficient to form a clot at the interface between host and graft tissues — will be detrimental to success.