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Periodontal Surgery, Soft Tissue Graft


Why is this procedure done?


Normally, your gums cover the roots of your teeth. If the gums pull away, the roots begin to show and can be sensitive to hot or cold. Other times, your gums may be red and swollen and bleed easily. This may be due to periodontal disease. As more of the tooth starts to show, you may have problems with the bone around the tooth. If it is destroyed, your teeth may loosen or even fall out. ‚  
Periodontal graft surgery is done to: ‚  
  • Cover tooth roots and improve how your teeth look
  • Decrease tooth sensitivity to hot and cold foods
  • Protect the tooth, gum, and bone

What will the results be?


The roots of the teeth that are visible will be covered. ‚  

What happens before the procedure?


  • Your dentist will take your history and look at your teeth and gums. An x-ray of your mouth may also be done.
  • Your general dentist may refer you to a specialist to help care for your mouth. This is a periodontist. They have special training in treating gum disease.
  • Talk to your dentist about:
    • All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the dentist about any drug allergy. Bring a list of drugs you take with you.
    • Any bleeding problems. Be sure to tell your dentist if you are taking any drugs that may cause bleeding. Some of these are Coumadin ‚ ®, ibuprofen, Aleve ‚ ® (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your dentist about them.
  • Your dentist may give you antibiotics to take before and after the procedure.
  • If you took anything to calm your nerves, you will not be allowed to drive right away after the procedure. Ask a family member or a friend to drive you home.

What happens during the procedure?


  • The length of time for this procedure depends on the damage of the gums.
  • Your dentist will numb the area so that you will not feel any pain.
  • Your dentist will remove a small piece of tissue from the roof of your mouth or use another donor source. This is called the graft.
  • Your dentist will add the tissue over the roots of the teeth where the problem is and stitch it into place.

What happens after the procedure?


  • You can go home after the procedure.
  • It is important to follow any instructions your dentist gives you.
  • You will need to return for a postoperative examination and regular dental visits to maintain your oral health.

What drugs may be needed?


The dentist may order drugs to: ‚  
  • Help with pain and swelling
  • Prevent or fight an infection

What problems could happen?


  • Infection
  • Bleeding that is not controlled
  • The graft does not stay on your gums

What can be done to prevent this health problem?


  • Take good care of your teeth. Brush and floss your teeth each day.
  • Use only a soft or extra soft toothbrush.
  • Get regular dental checkups and cleanings at least twice a year.
  • Eat a healthy diet.

Where can I learn more?


American Academy of Periodontology ‚  
http://www.perio.org/consumer/procedures.htm#2 ‚  
http://www.perio.org/consumer/grafts.htm ‚  
American Dental Association ‚  
http://www.mouthhealthy.org/en/az-topics/p/Periodoncia ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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