When Is It Too Late for Gum Grafting? (2024)

When Is It Too Late for Gum Grafting?

If your dentist has told you that you need gum grafting, it is essential to seek treatment as soon as possible. Gum grafting is a surgical treatment that can restore the health of your gums, but if left untreated, the damage may be too extensive for the surgery to be effective.

In some cases, it may be too late for gum grafting to save the gums. If your gums are severely damaged, receding so far back that they expose the tooth’s root, or if there is significant bone loss from advanced gum disease, gum grafting may not be able to restore them to their healthy state. The best option may be to remove the teeth and replace them with dental implants in these cases.

The Gum Grafting Procedure

A gum graft is a minimally invasive procedure that can restore the appearance of your gums when they have been damaged by receding or when there has been a significant bone loss. The treatment may be performed for cosmetic or health reasons, and in most cases, it will help improve both. Gum recession can leave the tooth roots exposed and vulnerable to damage, and bone loss can lead to tooth loss.

Two standard types of gum grafting procedures are typically used – connective tissue grafts and gingival grafts. A connective tissue graft uses a piece of connective tissue from another part of the body, usually from the roof of the mouth. Gingival grafts use a portion of the gingiva, or gum, from another part of your mouth.

Both types of grafts effectively restore the health and appearance of receding gums. Connective tissue grafts are often used when there is significant bone loss, as they can help rebuild the lost bone. Gingival grafts are typically used for cosmetic reasons, to cover up exposed tooth roots, or to improve the appearance of gums that have been damaged by receding.

A traditional gum grafting procedure is performed by removing a small amount of tissue from the roof of your mouth or a different donor site like a tissue bank. The tissue is then cleaned and prepared for implantation. The grafted tissue is then inserted into the space between the teeth and the gums, growing and attaching to the existing gum tissue. This procedure is performed under local anesthesia, and it usually takes less than an hour to complete. It is relatively painless when performed by a skilled periodontist, and little recovery time is necessary.

Factors That Contribute to Gum Recession

Gum recession is when the gum tissue recedes away from the teeth, exposing more of the tooth and root. Gum recession can be caused by periodontal disease or other factors contributing to poor oral health. Some things that may contribute to gum recession include:

  • Smoking
  • Grinding your teeth when you sleep
  • Poor oral hygiene
  • Trauma to the gums
  • A misaligned bite

If you are concerned about gum recession affecting your mouth, it is crucial to see a periodontist for an evaluation. They will be able to identify the cause of the problem and recommend the appropriate treatment. In most cases, gum grafting will correct the receding gums and protect the teeth from further damage.

Signs & Symptoms of Gum Tissue Damage

Many times, by the time you notice that your gums are damaged or receding, they may be too far gone to be treated with gum grafting alone. However, if you act quickly when you first notice the signs and symptoms of periodontal disease or gum disease, you should be able to prevent more extensive damage from occurring.

The early stages of gum disease are often characterized by red, swollen gums that bleed when brushed or flossed tooth sensitivity, exposed tooth roots, and pain at your tooth’s gum line. If left untreated, the inflammation will progress, and the gums will recede, revealing the tooth roots. The teeth may become loose and fall out when enough healthy gum tissue no longer supports them. If you notice any of these symptoms, contact your dentist or periodontist immediately to schedule an appointment.

Gum Grafting vs. Tooth Extraction

In some cases, when the gums have been damaged too severely to be treated with a gum graft, the best option may be to extract the teeth and replace them with dental implants. This is a more invasive procedure than gum grafting, but it can be very effective in restoring the health of the gums and preventing tooth loss.

In most cases, when there has been significant bone loss, dental implants will provide better support for the new artificial teeth than a gum graft. Dental implants are synthetic screws placed into the jawbone to serve as replacement teeth roots. The implants are then fitted with crowns that look like natural teeth. Dental implant surgery is typically done under local anesthetic, and patients report minimal discomfort after a qualified periodontist finishes the work.

Is it too late to have gum grafting performed?

If you are experiencing symptoms of gum disease, it is vital to seek treatment as soon as possible. In the early stages, when there has been minimal damage and slight bone loss, gum grafting may be able to restore your gums to their original state.

However, when the damage is too extensive or when there has been significant bone loss, a gum graft may not be enough to restore the health of your gums. You may need to undergo dental implant surgery to replace lost teeth in these cases.

If You Suffer From Periodontal Disease, Contact Us Today!

If you are experiencing any of the symptoms of gum disease, it is important to seek treatment as soon as possible to protect your oral health. Early intervention is the best way to prevent more severe damage from occurring and restore your healthy gums.

For more information about gum grafting or other periodontal treatments, do not hesitate to get in touch with Bergens Periodontics & Implant Dentistry. We would be happy to schedule a consultation with you and answer any questions about gum grafts.

When Is It Too Late for Gum Grafting? (2024)

FAQs

When Is It Too Late for Gum Grafting? ›

It can be too late for grafting if your gum recession is severe. Gum recession is too severe in the following situations. Gum tissue has receded past the mucogingival junction – an area where two different types of gum tissue meet.

When is a gum graft too late? ›

In some cases, it may be too late for gum grafting to save the gums. If your gums are severely damaged, receding so far back that they expose the tooth's root, or if there is significant bone loss from advanced gum disease, gum grafting may not be able to restore them to their healthy state.

When is it too late to treat gum disease? ›

It's never too late to treat periodontal disease. In fact, gum disease will only worsen the longer you delay treatment. Nearly half of all adults in the U.S. over 30 exhibit some form of periodontal disease or periodontitis. But the percentage skyrockets to 70 percent for those 65 and older.

When can a gum graft not be done? ›

Sometimes the gum disease is so advanced that there is loss of underlying bone which can't be regenerated. Therefore gum grafting is not possible but with a special technique the gums can be replaced using a synthetic comfortable soft gum veneer.

When is gum graft recommended? ›

Your dentist will likely recommend gum grafting if you have gum recession. In many cases, receding gums are a symptom of severe gum disease, but people can also be genetically prone to thinning gums. You can also develop gum recession if you brush too aggressively.

Who is not a good candidate for gum grafting? ›

Because gum grafting is a minimally invasive surgical procedure, it is important for someone who is in need of a gum graft to be in good overall health. For patients who are living with certain disorders or diseases, like compromised immune systems or diabetes, they need to let their dental professional know.

How urgent is gum graft surgery? ›

It is highly recommended that you undergo gum grafting surgery under the care of a periodontist if the roots of your teeth are exposed as a result of receding gums. The pocket between the gums and the tooth formed by receding gums becomes an ideal breeding ground for bacteria.

What happens if you don't get a gum graft? ›

Gum recession can put you at risk for infection, tooth decay, and tooth loss. As soon as you suspect gum recession, you should see your dentist right away. Your dentist may be able to assist you in treating the cause and prevent you from needing more serious intervention in the future.

What are the rules for gum grafts? ›

You should use utensils and avoid chewing at the surgical site for 2 weeks. DO NOT SKIP MEALS. If you take nourishment regularly, you will feel better, gain strength, have less discomfort, and heal faster. Plan to rest at home for the remainder of the day of surgery and the following day.

Can you have a gum graft with periodontal disease? ›

Gum tissue grafting fights the damage caused by periodontal disease. By grafting healthy tissue onto weak, receding gums, we can help you prevent ongoing decay and reduce your risk of tooth loss.

How painful is gum grafting? ›

Throughout your surgery, you can expect to feel no pain whatsoever, as the anesthesia will ensure you are thoroughly numb. However, once you are home and the effects have worn off, it is not uncommon to experience some soreness and discomfort. Fortunately, there are ways to manage the pain and avoid complications.

Do gum grafts look natural? ›

Once the dressings are removed, new young tissue attaches to the root of the surface. The color of the new tissue matures with time and matches the surrounding tissue. A natural appearance is the final result.

How long does it take for a gum graft to attach? ›

The gum graft is held in place with very delicate sutures and takes 5-7 days to attach firmly. Repeated pulling back of the cheek, lip or tongue to look at the graft, can cause the graft to move during the first 5-7 days after surgery, which can cause the graft to fail.

What happens if you do not get a gum graft? ›

Over time, the bacteria hardens into plaque and tartar, putting you at risk for infections, tooth decay, and advanced gum disease. Also known as periodontitis, advanced gum disease can cause bone and tissue loss and eventually result in tooth loss.

Can a gum graft fail after 2 years? ›

Connective Tissue Grafts (CTG) – One study reported that the average root cover was 98.4% after 27.5 months. The study concluded that it is an effective way of covering tooth roots (5). According to the Canadian dental association, failure happens in less than 2% of cases (3) – they perform a mixture of FGG and CTG.

What is the life expectancy of a gum graft? ›

Can a Gum Graft Last Forever? Meet our patient, EK, who presented with quickly degenerating soft tissues after orthodontic therapy. Compared with grafting materials that resorb in the body within 37 weeks, tissue harvested from the roof of the mouth can be retained for a lifetime.

How fragile are gum grafts? ›

Post-surgical instructions. Your connective tissue grafts are very fragile and will not be 100% effective if disturbed. Please refrain from stretching your lips and cheeks to view or show the graft site. If your graft is disturbed in any way, you run the risk of having your graft fail.

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