Soft Tissue Grafting

Soft tissue grafting is often necessary to combat gum recession.  Periodontal disease, trauma, aging, over brushing, and poor tooth positioning are the leading causes of gum recession which can lead to tooth-root exposure in severe cases.

When the roots of the teeth become exposed, eating hot and cold foods can be uncomfortable, decay is more prevalent and the aesthetic appearance of the smile is altered.  The main goal of soft tissue grafting is to either cover the exposed root or to thicken the existing gum tissue in order to halt further tissue loss.

The three different types of common soft tissue grafts include:

  • Free gingival graft – A strip of tissue is removed from the roof of the mouth and stitched to the grafting site in order to promote natural growth.  This type of graft is most commonly used for thickening existing tissue.

  • Connective tissue graft – For larger areas or root exposure, subepithelial tissue is needed to remedy the problem.  This subepithelial connective tissue is removed from a small flap in the mouth and sutured to the grafting site.  This is the most common treatment for root exposure.

  • Pedicle graft – This type of graft involves the “sharing” of soft tissue between the affected site and adjacent gum.  A flap of tissue is partially cut away and moved sideways to cover the root.  The results of this type of graft are excellent because the tissue that is moved to the adjacent area includes blood vessels that are left in place.

Reasons for soft tissue grafting

Soft tissue grafting is an extremely versatile procedure that has many uses.  Recent developments in dental technology have made soft tissue grafting more predictable and less intrusive.  Here are some of the main benefits associated with soft tissue grafting treatment:

  • Increased comfort – Root exposure can cause substantial pain and discomfort.  Eating hot, cold or even warm foods can cause severe discomfort. Soft tissue grafts cover the exposed root, decreases sensitivity and restore good health to the gum area.

  • Improved aesthetics – Gum recession due to periodontal disease can cause the smile to look “toothy” or the teeth to appear uneven in size.  Soft tissue grafting can be used as a cosmetic procedure to re-augment the gums, and make the smile appear more symmetrical.

  • Improved gum health – Periodontal disease is a progressive condition that can destroy soft tissue very rapidly.  When used in combination with deep cleaning procedures, soft tissue grafting can halt tissue and bone loss, and protect exposed roots from further complications.

What does soft tissue grafting treatment involve?

Initially, deep cleaning will be performed both above and below the gum line to clear the teeth and roots of calculus (tartar).  The grafting procedure itself will generally be performed under local anesthetic, but this will depend on the size of the areas receiving grafts.  A small incision will be made at the recipient site in order to create a small pocket.  A split thickness incision is made in this pocket and the donor tissue is placed between the two sections of this area.  The donor tissue strip is generally larger than the incision, so some excess will be apparent.

Platelet rich growth factors which stimulate natural tissue growth and promote good healing may be applied to the site before suturing.  In addition, tissue-stimulating proteins may be added to encourage quicker tissue growth.  Finally, the wound site will be sutured to prevent shifting, and surgical material will be placed to protect the sensitive area.  Gum uniformity and substantial healing will take place in the first six weeks after the procedure.

If you have any questions about soft tissue grafting, please ask your dentist.

Testimonials.

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Testimonials

I've had the privilege of going to Dr. Howard since young (decades). Now my entire family has chosen Dr. Howard and Dr. Alan Igasaki as our dentists. Both are calm, soothing, gentle and amazing dentists. Dr. Alan also specializes in periodontics which helped the extensive gum work we had to do over the years. The entire staff is super friendly and fun. There wasn't one visit I didn't leave laughing or encouraged by some one on the staff.

The doctors work well together and often seek each other's opinion. I appreciate that they're always educating themselves and using the latest technology. Dr. Alan used the laser on my son's gum procedure with no bleeding and minimal pain. They also allow you to bring your own music in and can play movies on a special eyeglass video screen. We often didn't want to leave since the "movie wasn't over." I get pretty anxious with any dental work. I watched a relaxing movie about Hawaii and the ocean. Both doctors are soothing and often talk to you a long time previous to treatment. It helps a lot. They're gentle also and will ask you for feedback if there's pain or discomfort. Very empathetic doctors as well as being brilliant clinically is rare. Highly recommended!!!

M D.

I cannot believe I am giving ANY dentist that I have personally seen any stars. But I must say Dr. Howard Igaskai, deserves every single one of them. I am not an easy person to get into a dental office let alone a dental chair! My fear of dentist started as a child & never went away. Dr. Howard aka Papa Howard, knew of my anxiety & went as far as unbuttoning his top collar & removing his coat just to make me feel at ease. I honestly have major trust issues w/dentist. I have horrible teeth due to the lack of dental care. I need a lot of work & it took a lot for me to even make this appointment. With that being said Dr. Howard took his time to explain & examine everything. I have to admit I didn't trust him from the get go & had a stink face but as the appointment went on he made me feel comfortable enough to make me want to return to his office. Yes, you read that right. I will go BACK....WILLINGLY! I'm still afraid & nervous as heck but from the front desk ladies, to the dental assistants & Dr. Howard....thank you! Thank you for NOT giving up on me. Thank you for making me feel comfortable enough to want to return. I'll see you again (still anxious) but I will be there.

Diana A.

I am SO honored to be able to rate and provide information on my dentist's office. In a world where people freak out about seeing the dentist, I LOVE mine! The front staff is great (very welcoming and informative), Elsie is my favorite hygienist (very inviting and great to talk to - even with tools in your mouth!), and Dr. Howard is da bomb! This is the one doctor I see religiously!

My parents were smart in taking me with them to the dentist (they are patients here, as well) when I was very young. I don't recall what age I was when Dr. Howard first started treating me, but I don't ever recall not knowing or feeling comfortable with him. And, now that I'm old, he still asks about my migraines, my family, and is just very pleasant to speak with any time I do.

I wanted to whiten my teeth and he told me no - that mine are naturally bright. He could have done it anyway, but that's just one way he is always looking out for me.

God willing, I will NEVER not have the wonderful folks here as my dental professionals! I always get compliments on my teeth!

Anika C.

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Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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