Periodontics & Dental Implants
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Gum Graft

Although it might sound like a rather daunting surgical procedure, gum grafting is a relatively common option for improving the appearance of a smile. It is also useful in addressing a number of dental conditions such as excessive tooth sensitivity and tooth abrasion. At Century City Periodontics we offer all of the current surgical options such as Connective Tissue Grafts, Tissue Bank Allografts and Free Gingival Grafts.

Gum Grafting
Gum grafts are essential in treating a patient's receding gum lines. This condition often follows advanced cases of gingivitis and may ultimately lead to exposed roots and the deterioration of the bone surrounding the teeth. When left untreated gingivitis can cause the gums to recede deeply allowing bacteria to enter beneath the gum line. This can lead to a more serious form of periodontal disease called periodontitis. In many cases, receding gums calls for surgical gum grafting as the most appropriate solution.


The Procedure
In many gum grafting procedures the periodontist will take some of the patient's own tissue for the graft. This tissue is usually taken from the roof of the mouth. A very thin piece is removed and carefully placed onto the area where the gums have receded. It is then carefully attached there with fine sutures. The following are before and after images of connective tissue surgeries.



Mandibular (Lower) Front Teeth
Lower Fornt Teeth prior to Surgery
Lower Fornt Teeth After to Surgery
Before Procedure After Procedure


Mandibular (Lower) Front Teeth
Lower Front Teeth Before Surgery
Lower Front Teeth After Surgery
Before Procedure After Procedure


Mandibular (Lower) Front Teeth
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Lower Front Teeth Before Surgery
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Lower Front Teeth After Surgery
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Before Procedure After Procedure


Mandibular (Lower) Posterior Teeth
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Lower Posterior Teeth After
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Before Procedure After Procedure


Maxillary (Upper) Anterior Teeth
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Maxillar Anterior Before
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Maxillar Anterior After
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Before Procedure After Procedure


Maxillary (Upper) Anterior Teeth
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Maxillar Anterior Before
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Maxillar Anterior After
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Before Procedure After Procedure


Mandibular (Lower) Posterior Teeth
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Lower Prosterior Teeth Before
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Lower Prosterior Teeth After
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Before Procedure After Procedure


Maxillary (Upper) Cani
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Maxillar Cani Before
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Maxillar Cani After
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Before Procedure After Procedure


Maxillary (Upper) Cani
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Maxillar Cani Before
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Maxillar Cani After
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Before Procedure After Procedure



In individual cases where many teeth require extensive grafting, the experts at Century City Periodontics may choose to utilize a tissue banked grafting material called Alloderm. This eliminates the need to harvest tissue from the palate.

Alloderm Treatment - Maxillary (Upper) Left Posterior Teeth
Alloderm Treatment - Before Procedure
Alloderm Treatment - After Procedure
Before Procedure After Procedure



A significant area of the gum line can be grafted at one time offering protection to a number of teeth. The periodontal surgeon often uses enhanced vision devices for this delicate surgery such as a surgical microscope or magnifying glasses. Our surgical operatories are equipped with everything necessary for successful gum graft procedures.

The professionals at Century City Periodontics in Los Angeles have wide experience with gum grafting techniques and have achieved a high level of success. Patients are usually very pleased with their greater comfort and improved smile.



 
Recession with abundant attached gingival adjacent on both sides.   Incision is made to create a pocket to accept the graft.

 
A split thickness incision is made.   The connective tissue graft is inserted into the newly created space.

 
It is secured in the tight space between the two sections of the split thickness area.   The graft is positioned to cover the recession with some excess.

 
An additional suture can be placed to stabilize the graft and prevent movement.   The 'coe pack' material is used to protect the area during healing. The packing and the suture is usually removed one week later, at which point we can begin to see healing of the area.

   
The area heals and the connective tissue is covered with attached gingival. In approximately 6 weeks the tissue begins to look uniform.    



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