Rebuilding a healthy, attractive gumline: Taking a closer look at the free gingival graft

Gum grafting is not a single treatment or technique. Rather, it is a category of treatments available at our specialty practice, the Periodontal Center of Georgia in Conyers. The most appropriate technique for you depends on factors such as your “starting point” or the existing availability and thickness of your gingival or gum tissue. As applicable, our specialists, Drs Jean-Max Jean-Pierre and Robert Creager, may recommend “free gingival grafting.”

What is a free gingival graft?

This is one of three types of gum grafts. It differs from the other two grafting methods (connective tissue and pedicle grafts) in that the free gingival graft takes tissue from the roof of the patient’s mouth. Then, this tissue is transferred and applied directly to the gumline or area that is thin or receding. This differs from the connective tissue graft because skin flaps are not used during the process. With the latter option, connective tissue is lifted from under the flap and applied to the gums or areas that need it the most.

What approach is best for me?

During an evaluation at our center, our periodontists will assess the condition and health of your gums, particularly the availability of tissue. This technique is best for those with more extensive needs to build up the gumline. For instance, it may be well-suited to patients with very thin gums or those who require more tissue to fill in the gumline and restore its health and attachment to the teeth. Such individuals may not have the tissues necessary to perform the most common type of gingival grafting – the connective tissue graft.

You mention a third option – what is that?

Yes, pedicle grafts are most appropriate for patients with plenty of healthy tissues near the tooth because they involve creating flaps called pedicles from the gums closest to the troublesome teeth/exposed root surfaces or treatment sites. So, instead of using a graft of tissue from the roof of the mouth (or palate), the tissue is taken from the gums and then repositioned to cover up any exposed roots effectively. The tooth’s roots may become exposed due to progressive gum disease and as the gums continue to pull away or recede from the teeth without treatment.

Why would I be a good candidate for the free gum graft?

Generally, patients who undergo this particular grafting process all have quite thin gums and do not have tissue available for either a connective or pedicle tissue graft. You may naturally have thinner gums than the “average” person. So, you may be more vulnerable to the effects of gum recession and root exposure. Additionally, orthodontic treatments may be a risk factor depending on how your teeth ultimately “settle.” Of course, gums that recede and pull away from the teeth are also a red flag for gum disease. With good oral care, the results from these treatments are permanent.

To learn more about what to expect at every step, schedule your appointment at the Periodontal Center of Georgia today. Our Conyers, GA team can be reached at (770) 767-0603.