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.
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.
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 know if you have failed gum graft because the graft will be very white. Immediately see your periodontist see what the next step is.
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.
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.
Patient may experience pain, described as a constant dull ache or sharper pain during mastication or speaking (movement of oral and peri-oral tissues). Patient experiences anxiety over procedure and perceived lack of success.
Typically, the white stuff is granulation tissue. It is essential to the healing process of the extraction site. Other times, the white stuff is pus or a dry socket. A dry socket is often painful, and it occurs when the blood clot does not form correctly.
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.
Gum grafting recovery
Healing usually is quick. Most patients are fully healed in just one to two weeks. Most people do return to work the day after their procedure though. After gum grafting, your teeth may feel more sensitive than usual.
Hard foods – chewing may dislodge the gum graft. Chewy foods – even vegetables. Although they are healthy, they may require more chewing than is recommended as you heal from your surgery. Hot foods –they will burn your gums, increasing sensitivity and pain.
It is not unusual to have discomfort for at least the first week following your surgical procedure, though for most procedures and most patients the first night, and first 2-3 days will have the worst pain/discomfort.
Infection – this is very rare but it can be a complication associated with gum grafts. This will be evident with pain, inflammation, and also most importantly pus coming from the area of the graft. Please do not be confused by just having pain and swelling from the area as this is normal.
Once the clot forms, your body will start building granulation tissue to cover the wound. This tissue often appears a creamy white color and consists of collagen, white blood cells, and blood vessels.
You may have a pink putty band-aid lying across the surgical site. This should be left on for at least 2 to 3 days. It allows gums to heal a bit before exposing to air, liquids and food. You may remove the putty yourself after 3 days by gently picking or peeling it loose.
A gum graft is a highly successful procedure that does not usually lead to complications. Rarely, a patient may develop an infection or the graft will fail to integrate with the existing gum tissue.
Protection of the gum graft is VERY IMPORTANT to ensure a successful “take” of the procedure. CARE OF MOUTH: DO NOT brush or floss in the graft site for TEN days after surgery. Then you may begin gentle brushing with a soft toothbrush for another two to four days and finally return to normal brushing.
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.
It's not uncommon for people to experience an itchy feeling in their gums after having surgery. People who just had their wisdom teeth removed report having an itch in the area where the incisions were made and is a result of the healing process.
Recovery. The gum grafting procedure has a 90% success rate, therefore patients can feel confident the procedure will benefit them. Recovery from this procedure normally takes 4-6 weeks, during which patients will be asked not to brush or floss near the newly repaired area.
Avoid Talking (As Much As Possible)
Talking causes your mouth's muscles to stretch, which, in turn, can loosen up the gauze and increase the chances of bleeding. Refraining from speaking is hard, but try to remain silent as much as possible for the first two to three days after gum grafting surgery.
Success or survival of the graft tissue depends on the blood supply that comes from the surrounding bone (there aren't any blood vessels on tooth surfaces). The stability of the grafted tissue directly impacts success rates. If the graft moves, the graft will have failed and the procedure will need to be repeated.
The clinical clues suggesting graft infection especially those placed superficially include an inflammatory perigraft mass, overlying cellulitus, presence of exposed prosthetic graft, a sinus tract with persistent purulent drainage and/or bleeding and/or a palpable anastomotic pseudoaneurysm, graft thrombosis and ...
At first, the colour of the grafted skin may appear red or purple, but it should begin to look more like your surrounding skin over time. It can take a year or two for the appearance of the skin to settle down completely.
Graft failure can be caused by factors such as: Poor formation of the graft union due to problems with anatomical mismatching (when the rootstock and scion tissue is not lined up properly), poor grafting technique, adverse weather conditions and poor hygiene. Mechanical damage to the graft union. Graft incompatibility.