Connective Tissue Graft
Gingival recession can lead to increased sensitivity of the tooth, increased incidences of root surface caries, impairment of oral hygiene measures and an unappealing look. Individuals that get recession tend to have thinner tissues and consequently are more vulnerable to developing these recessions. In addition, periodontal disease and/or excessive trauma could contribute to the development of recession.
Connective tissue graft is a gingival augmentation procedure that uses the patient’s own tissue (usually taken from the palate) to graft directly onto the recessed area. As a result, the graft will cover the denuded area, reduce further recession, and protect the tooth against decay. We can also use alternatives to the patients own palatal tissue, e.g. AlloDerm, Mucoderm and Mucograft.
The lack of adequate width of gingiva in conjunction with restorative procedures, orthodontic therapy, or poor oral hygiene could lead to the resorption of the gingival margin. The free gingival graft will provide an adequate zone of attached gingiva that will allow proper long-term maintenance. The tissue is usually harvested from the palate and placed onto the affected area.
Frenectomy is the removal of the frenum which is a fold in the gingiva that passes from the lip to the gingival margin. A high frenum insertion sometimes retracts the gingiva when the lip is stretched. This stretching and distention can be associated with spacing between teeth, malalignment, recession and impairment of proper hygiene.
The removal of this frenum is done under local anesthesia, the frenum base is separated from the gingiva and sutures are placed to close the wound.
Gingivectomy/Gingivoplasty is the surgical removal and recontouring of the gingiva in cases of excessive gingival display (gummy smile) or drug induced gingival overgrowth. This procedure will provide a cosmetic enhancement of the gingiva as well as improved access for proper hygiene and maintenance.