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.
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.
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.
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.
You should be fully healed from a gum graft in one to two weeks. You'll need to schedule a follow-up appointment with your periodontist a week or so after the procedure so that they can make sure you're healing properly and the graft is successful. After about two weeks, you should be able to brush and floss again.
It is recommended that you do not look at the site until after the first post-op appointment. Muscles in your lip and face may manipulate the location of the newly placed graft. Avoid any contact of the graft with your fingers or toothbrush. The whole healing process averages 4-6 weeks.
In most cases the dressing is left in the mouth for a period of 7-14 days and may be changed once or more by the doctor during this time. Try to keep the dressing in placed until your next appointment. If the dressing becomes loose or comes off, do not try to push it back.
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.
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.
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.
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.
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.
Gum grafting surgeries have a success rate of up to 90%. Besides, with local anesthesia, you should not experience any pain during your treatment. Afterward, your dentist will prescribe pain medication to help you manage your soreness after the numbing wears off.
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.
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.
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.
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.
Within the first day following your tooth removal, a blood clot forms to stop the bleeding. Granulation tissue helps to protect the clot until the formation of the new bone. This bone formation will take approximately eight weeks.
Healthy gums are usually pale pink and firm to the touch.
Healthy gums should look a pinkish color and be firm. This is likely a good sign that your oral care routine is working. However, if your gums are anything other than pink in color and firm, it's time to consult with a dental professional.
The black area may just be your blood clot or if a laser was used during the surgery it can often make the gums appear black and scabbed. Call your dentist to discuss it.
The periodontal dressing, if placed, should not be disturbed. If the dressing falls off, after the first 24 hours, this is not a cause for concern. Simply continue with the postoperative protocol as recommended. If a Chlorhexidine rinse (Peridex®) was prescribed, rinse for a 3 full minutes pre-operatively.
Surgical area is covered with periodontal dressing for 3-14 days following periodontal surgery whenever necessary.
Sutures (stitches) will usually have to be removed approximately 10 days to 2 weeks following your surgery. Do not disturb the sutures with your tongue, toothbrush or any other device. Displacement of sutures will impair healing and affect the success of your procedure.
Some swelling may be present and may peak at 48-72 hours after surgery. Warm compresses will reduce swelling and bruising after 36 hours if needed.