Gum graft surgery is a dental procedure for treating thinning gums or gum recession. Gum grafting covers exposed teeth roots and adds volume to your gum line, improving overall oral health. Recovery usually takes one week to two weeks, but it may take longer. Gum grafting has a good success rate and can reduce your risk of severe gum disease.
A gum graft is a type of dental surgery. It treats gum recession, a condition where your gums pull away from your teeth and expose the roots underneath. Exposed teeth roots increase your risk of tooth decay, sensitivity and bone loss around teeth. Gum grafting replaces the lost tissue around your teeth and improves your overall oral health.
Gum grafting surgery is usually done by a periodontist (a gum specialist). In the U.S., a periodontist receives three additional years of focused training after graduating from a four-year dental school.
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Your dentist will likely recommend gum grafting if you have gum recession. In many cases, receding gums are a symptom of severe gum disease, but people can also be genetically prone to thinning gums. You can also develop gum recession if you brush too aggressively.
Gum grafting is one of the most common periodontal procedures performed in the U.S.
If your dentist suspects that you need gum grafting, they’ll refer you to a periodontist for an examination. Your periodontist will check the health of your gums and measure the pockets around your teeth. They’ll also check to see how much recession you have around each tooth.
Depending on the severity of your condition, your periodontist may want to monitor the recession. Or they may recommend moving ahead with gum graft surgery. Your periodontist will discuss your treatment options with you in detail during your consultation.
There are many gum grafting techniques and materials available. Periodontists commonly take tissue from your palate (the roof of your mouth) and move it to the area of recession. In some cases, though, they may use a substitute grafting material, which they can purchase from a licensed bone and tissue bank.
During a gum graft surgery, your periodontist will:
It depends on how many teeth have gum recession. If you only need one gum graft, it usually takes about an hour. If you need multiple grafts in different areas of your mouth, it could take longer.
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.
After your gum graft surgery, you’ll probably have gauze and dressing in place. Typically, you can remove the gauze after about 30 minutes. The dressing may fall out on its own during the first few days or your provider may remove it at your next appointment. Your surgeon will monitor you until it’s safe for you to go home. If you had sedation for your procedure, you’ll need a trusted friend or family member to drive you.
Your periodontist will provide you with detailed post-surgical guidelines. You should follow these closely to reduce your risk of pain and infection.
Your surgeon will probably want to check on your gum graft one week later. Then, you’ll have routine follow-ups until your periodontist releases you back to your general dentist for continuing care.
During this time, they’ll provide you with specific instructions. In general, here’s what you can expect:
Following your procedure, you’ll experience some bleeding, swelling and discomfort. To manage these side effects, take all medications exactly as prescribed by your surgeon. Get lots of rest and avoid strenuous activities.
Eat soft, cool foods, such as yogurt, pudding or smoothies.
Keep the surgical area clean using an antibacterial mouthwash. Don’t brush or floss directly on the gum graft, as this can damage it and lead to failure. (You can brush and floss your other teeth as your comfort level allows.)
Bleeding should subside within the first 24 hours to 48 hours. Swelling will continue for three to four days. You may also develop bruising during this time. These side effects are normal and should subside within the week. Continue taking all medications as prescribed.
You can incorporate more soft foods into your diet as you’re able, including things like eggs, pasta, fish and cooked vegetables.
Gently brush your teeth near the surgical site, but don’t brush directly on your gums. Don’t brush or floss around the gum graft until your surgeon says it’s safe.
Swelling and bruising should begin to fade, and your comfort level should continue to improve. Ask your surgeon when it’s safe to begin decreasing your medication dosage.
As your comfort level improves, you can incorporate more solid foods. However, you should still avoid hard, crunchy or spicy foods until your surgeon clears you.
Once your surgeon says it’s safe to do so, you can resume normal brushing and flossing.
Gum tissue grafts offer a number of benefits. For example, they can:
Complications following gum graft surgery are uncommon, but they can happen. Possible complications include:
If you notice heavy bleeding, pus or anything else that doesn’t look right, contact your surgeon right away.
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. If you notice this or have other concerns, such as pus at the surgical site or a fever over 101 degrees Fahrenheit (38.33 degrees Celsius), call your surgeon immediately.
Every person heals differently. But on average, gum graft recovery takes one week to two weeks. If you had multiple areas treated at once, recovery might take a little longer. Your periodontist can tell you what to expect.
You should avoid exercise, heavy lifting and other strenuous exertions for at least the first week. These activities increase your heart rate and can lead to more discomfort, bleeding and swelling. Be sure to clear it with your surgeon before you resume these activities.
Most people can return to work or school in one day to two days.
Gum grafting boasts high success rates of over 90%. This procedure gives you the best chance of treating gum recession and improving your overall oral health.
Left untreated, gum recession can result in cavities, severe gum disease, tooth mobility and even eventual tooth loss.
Call your dentist if you have thin, painful, bleeding gums or if your teeth roots are visible. In the meantime, be sure to practice good oral hygiene and visit your dentist for routine dental cleanings. These appointments help keep your teeth and gums healthy and allow your dentist to detect issues early on, before they lead to other oral health problems.
A note from Cleveland Clinic
Hearing that you need gum graft surgery might feel scary. The good news is that it offers a number of benefits, including high success rates and a fairly quick recovery. Gum grafting is the leading treatment for gum recession. There are many different gum grafting techniques and materials available that can help replace and regenerate lost gum tissue. Your dentist or periodontist can explain your treatment options in detail during a consultation.
Last reviewed by a Cleveland Clinic medical professional on 07/18/2022.
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