A gum graft not only makes a smile more proportionate, but it also looks completely natural. Once you fully recover from this restorative and cosmetic procedure, onlookers will not be able to tell that you have had some work done. Long-lasting results.
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.
The grafted material can often look gray until a blood supply is established. Gum tissue requires a blood supply, this gives it pink/red color. The grafted material is not connected to the blood supply. Without a blood supply, it looks pale.
In the next 24-48 hours following surgery the gum tissue will begin to heal, which involves the formation of granulation tissue. This tissue is typically white or cloudy over the incision, which sometimes causes concern for patients, but it is normal for healing gum tissue. Regeneration of tissue.
A gum graft is a surgical cosmetic dentistry procedure during which your periodontist takes synthetic tissue or tissue from your palate to replace gum tissue that is receding from your teeth. It is often used on patients with periodontal problems caused by: Severe gum disease. Vigorous brushing.
Gingivectomy: This cosmetic surgical procedure shortens exposed gums and lengthens your teeth to achieve a balanced smile. It improves the smile of people with gummy smiles (smiles that reveal too much gum area and lesser teeth).
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 some cases, it may be too late for gum grafting to save the gums. If your gums are severely damaged, receding so far back that they expose the tooth's root, or if there is significant bone loss from advanced gum disease, gum grafting may not be able to restore them to their healthy state.
Following your gum grafting surgery, you can expect to feel some discomfort, especially on your palate (the roof of your mouth). The tissue at the graft site may feel tight, and the graft itself will look very red and may go through several color changes as it receives a blood supply and heals.
Most patients will be fully healed from a gum graft procedure within two weeks but could take up to a month. A follow-up appointment with the doctor a week after the procedure will be needed to ensure the graft was successful and patient is properly healing. After two weeks, regular flossing and brushing can resume.
Does gum graft surgery hurt? You'll be numb during your gum graft surgery, so you won't feel anything during the procedure. You'll probably have mild soreness after your procedure, but your periodontist will give you medications and post-surgical instructions to help minimize your discomfort.
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.
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.
Root Re-Exposure.
When gum grafts fail, they may peel away, or recede from, root surfaces. You will notice exposure of these surfaces and gradual recession over time.
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.
Brushing: You may brush the CHEWING surfaces of your teeth beginning the day AFTER surgery. PLEASE do NOT brush your gum tissue in the areas of surgery at all for the first week. DO NOT USE A DENTAL IRRIGATOR, WATER FLOSSER OR WATER-PICK for 3 full weeks following surgery.
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.
The reason it is white is that the transplanted tissue has lost its vascularity (blood supply) and therefore the tissue has died. If the tissue is hanging outside your tooth, you will need to go see your periodontist immediately so they can assess what the next stage may be.
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.
About 15-20% of the patients ages 20-35 have some sort of gum recession and may require grafting. About 75% of people older than 50 will require some form of gum grafting due to age and normal chewing.
With a gum graft, you can expect it to remain in place for a lifetime, but you will need to take care of your oral health on a daily basis. This means brushing with a soft-bristled toothbrush and being mindful of how much pressure you're using while brushing.
If you use your own tissue, the most teeth you can typically graft at once would probably be somewhere in the neighborhood of 7-8 teeth. With alloderm, you could graft every single tooth in your mouth in one sitting!
Someone whose gums are free of gum disease
If a gum graft is performed on unhealthy gums, then it is likely that the procedure will fail. Good gum health is essential to a successful gum grafting.
Gum grafting procedures can be a great solution for those experiencing gum recession, tooth sensitivity, and other oral health issues. These procedures can help to restore the gums to their natural state, providing a strong and healthy foundation for your teeth.
Throughout your surgery, you can expect to feel no pain whatsoever, as the anesthesia will ensure you are thoroughly numb. However, once you are home and the effects have worn off, it is not uncommon to experience some soreness and discomfort. Fortunately, there are ways to manage the pain and avoid complications.