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Gum grafting, also known as a gingival graft or periodontal plastic surgery, is a surgical procedure to reverse gum recession. Gum recession exposes the roots of teeth, [9] which can lead to sensitivity and put teeth at a higher risk of damage or disease [10] due to the loosening of their attachment within the gums and bones of the jaw.
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The procedural selection in a periodontal surgery should rely on simplicity, predictability, efficiency, Mucogingival considerations, osseous topography, anatomic and physical limitations, age and systemic factors. [1] The incisions should be clear, smooth, and well-defined to minimize the healing time.
Gingival recession, also known as gum recession and receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth. [1] Gum recession is a common problem in adults over the age of 40, but it may also occur starting in adolescence, or around the age of 10.
A free gingival graft is a type of gingival grafting performed to correct acquired deficiencies of the gum tissue around teeth or dental implants. Besides autologous tissues, xenogeneic collagen matrices are using for gingival augmentation after dental implantation. [ 1 ]
Gingivectomy is the primary treatment method available in reducing the pocket depths of patients with periodontitis and suprabony pockets. [4] [5] In a retrospective comparison between different treatment approach to periodontitis management based on the initial and final gingival health, conventional gingivectomy was proven to be more successful in reducing pocket depths and inflammation ...
A comparison of the outcome of periradicular surgery in teeth that had previously undergone surgical treatment versus teeth that were undergoing a surgical procedure for the first time showed that, after 5 years, 86% of surgically treated teeth healed with complete bone filling of the surgical cavity while only 59% of resurgically treated teeth ...
Others, including Broome and Taggert [4] and Donn [5] also described the use of SECT grafts for increasing the zone of keratinized tissue. Of the various ways of preparing the graft recipient site, Edel described using two vertical incisions, mesial and distal to the teeth at which the zone of keratinized tissue was intended to be widened. [1]