Quick Answer
Gum graft surgery is the most effective treatment for significant gum recession, involving transplanting tissue to cover exposed tooth roots. This procedure stops further recession, reduces sensitivity, and prevents root decay and tooth loss.
Key Points:
- Three main types: connective tissue grafts, free gingival grafts, and pedicle grafts
- Success rate is over 90% with proper aftercare and oral hygiene
- Recovery typically takes 1-2 weeks with some discomfort and dietary restrictions
If you are researching the best treatment for receding gums, you have likely reached the point where preventative care is no longer enough and you are considering a definitive solution. Gum recession—the process where gum tissue pulls away from the tooth, exposing the root—is a serious condition that can lead to sensitivity, root decay, and ultimately, tooth loss.
For significant or progressive recession, particularly cases where the exposed root requires coverage, Gum Graft Surgery remains the gold standard. This procedure is a predictable and long-lasting way to restore healthy gum tissue, protect the vulnerable tooth roots, and improve the aesthetics of your smile.
This guide is designed to provide you with a clear, informed introduction to gum graft surgery, explaining why it’s often considered the most effective treatment, the different types of procedures available (like connective tissue, free gingival, and pedicle grafts), and what you should know as you consult with a periodontist to determine the right path for your health.
Gum Graft Surgery
A gum graft is one of the simple and quickest ways of fixing damaged gum, due to gum recession. It is one of the most recommended best treatments for receding gums out there. As gums recede, they expose the teeth and its roots underneath causing damage to the supporting bone, teeth sensitivity to cold and hot drinks and eventually teeth loss.
To restore a worn-out gum, a periodontist also referred to as a gum doctor perform a gum graft surgery that involves cutting a flap and remove healthy tissue from the roof of your mouth or nearby gums and implant it to the damaged area. When this is done well it can reduce tooth sensitivity and improve your smile, and confidence while preventing further recession and bone loss.
There are 3 main types of gum
graft surgery namely connective tissue grafts, free gingival grafts and pedicle
grafts. Which one will be applied to you depends on your personal needs (how badly
your gums are and the chart you have with the Periodontist before the surgery.
Before the procedure you are more likely to undergo tooth scaling and root planing also called deep cleaning where your gums are lifted and get cleaned.
Connective Tissue vs Free Gingival Graft Surgery
The connective tissue and free gingival graft surgery are more the same. They all involve taking tissue from the roof of your mouth, stitching the area back and then applying the removed tissue to the damaged area. However, what differentiates these two procedures is how they are done. In connective grafts, tissues are extracted from the top of your mouth through a little opening also called flap or trap door or tunnel. With gingival graft no opening is done rather tissues are taken directly from the top layer of the palate.
In severe cases where
no enough tissues can be extracted from your own mouth, alternative tissue from
the bank tissue will be used instead. This comes with an extra cost to you.
Pedicle Grafts
Instead of removing tissues from the roof of your mouth as in connective tissue grafting, the pedicle also called lateral graft involves grafting tissue from nearby gums. The removed tissue is then inserted and stitched to the affected gum. Sometimes your doctors may take tissue from the tissue bank instead of removing it from your gums.
Does Gum Surgery Hurt?
It does not hurt during the gum surgery. This is because
before the surgical procedure, you will get a few shots of local anesthesia
into your gums causing them to numb. But, in case it hurts, tell your doctor
who will inject more anesthetic to numb the painful area.
You will however feel
pain after surgery when the numbness starts to clear out. The pain is like that
of hot burn pizza, some people describe it as ‘horrible pain’. It is just some kind of pain that you can
manage to live with while the wound get healed.
How Long Does Pain Last After Gum Graft Surgery?
If the attached tissues are taken from the roof of your
mouth, you will feel pain for few days, you need atleast 3 days off-work.
However if the graft tissue are taken from the tissue bank, the pain will be very
minimal; you can go to work on the next day.
How Long Does A Gum Graft Take to Heal?
It takes one to two weeks to heal if the flesh was taken
from the roof of your mouth; and 2 to 4 days if it is taken from the bank
tissue. It sometimes takes longer depending on your health condition and how
well you follow your Periodontist instructions on caring your gums after
surgery.
To help with the healing and pain, your dentist will
prescribe you some medicines and antibiotics to reduce pain and infection.
You will also be given some instructions to follow like you
should:
- Eat soft foods, and eat food using the other
side of your mouth to avoid disturbing the wounds. - Not brush the treated area for 30 days but
rather use mouthwash instead from day two onwards for four weeks. - Avoid pulling your lips to view the area
- Avoid physical activities
After surgery, you will also be given
a dissolvable dressing or a mouth guard also called a stent to prevent the food
and your tongue from reaching the roof of the mouth where the flesh were taken
from. The stent also help preventing bleeding from the site.
In the third week or so, you will have a follow up checkup
with your dentist to check the healing process and remove the stitches.
What to Eat After Gum Graft?
In a week to two weeks after surgery, you are advised to eat only soft foods such as mashed potatoes, cooked vegetables, pasta, yogurt, meatballs, smoothie, avocado, banana, cheesecake, custard, pudding, scramble or poached eggs, soups and any other soft food and liquids that you are comfortable with.
Try to avoid diets that are acidic, spicy, sticky or hard such as chips, nuts, and popcorns. Also avoid drinking alcohol and chewing on the surgical site. It is also advisable to use a suitable electric toothbrush.
Can You Talk After Gum Graft Surgery?
Yes you can talk but with difficulties especially for the first three days after surgery. If you can avoid talking, or do it to bare minimum, that is good. It helps reduce pains and the healing process.
Is Gum Grafting Necessary?
The gum grafting is necessary if:
- The tooth sensitivity is unbearable due to
exposed tooth roots - You don’t want to lose your teeth due to extreme
gum recession - Want to improve your smile and general
confidence - And if this is the only option you have to
improve gum health.
Before doing any grafting, you need first to identify and treat if possible the root cause of gum recession: is it brushing too hard, grinding teeth, age or poor oral hygiene? If the cause is not addressed, you are more likely to experience the same problem in the near future.
How Much Does Gum Grafting Cost?
The grafting cost range from $600 to $10,000 per one tooth
base. The price you end up paying depends on many factors:
- Your location
- How severe your gum recession is
- The type of surgery: is it taking tissues from
your own mouth or from tissue bank. From a tissue bank cost more? - The number of teeth need grafting
- Extra procedures like contouring, shaping the
gum into more pleasing appearance. - Initial diagnosis exam and X-Rays cost
You can save some money by opting for dental schools.
Is Gum Graft Surgery Covered By Insurance?
The medical insurance companies cover only part of operation that is deemed medically necessary for instance gum infection. It may cover the treatment for periodontal diseases but not gum grafting procedure. They do not cover surgical procedures that are cosmetic aiming at improving smile and self-confidence such as gum reshaping. However, the gum graft surgery has multiple stages including diagnosis, examination, consultations, x-rays, and infection treatment. Let your doctor submit preauthorization forms for each treatment stage or consult your insurer to see which part of gum graft surgery do they cover.
References
https://www.webmd.com/oral-health/guide/gum-tissue-graft-surgery#1
https://www.medicalnewstoday.com/articles/322115.php
https://www.self.com/story/gum-graft-surgery
https://www.healthline.com/health/dental-and-oral-health/gum-graft
https://www.perio.org/consumer/gum-graft-surgery
http://www.docvlee.com/2014/50-foods-eat-dental-surgery/
https://www.gumdoc.net/instructions-post-op-care/soft-tissue-gum-graft/
https://patientslounge.com/procedures/How-to-Recover-Quickly-from-Gum-Grafting-Surgery
https://health.costhelper.com/gum-tissue-grafts.html
Similar Posts:
- Tooth Scaling and Root Planing -Advanced Gum Disease Treatment
- Sensitive Teeth: Causes and Solutions
Dr. Tom Bell has a PhD in Medical Anthropology. He has a keen interest in oral health topics and is the founder of dentalrave. He has been an oral health researcher and electric toothbrush enthusiast for over 10 years. Tom works with Awin and others in his research. When not talking about dental hygiene and gadgets, Tom likes spending time outdoors hiking.