Gingival grafts are performed to correct mucogingival conditions such as recession, minimal or lack of attached gingiva, and pocket depths beyond the mucogingival junction. The goal of gingival grafting is to restore the gingival form and function, along with root coverage and gingival augmentation. Several indications for gingival grafts are:

1.    Cover and protect the root from plaque, calculus, and root caries

2.    Minimize tooth hypersensitivity

3.    Improve esthetics

4.    Increase zone of attached/keratinized gingiva

The success of gingival graft depends on these factors:

1.     Periodontal  health – inflammation needs to be controlled prior to grafting

2.     Dimension of the defect (root exposure) – narrow defect s have greater success

3.     Height of interdental bone – grafts will only take to the level of the adjacent papilla

4.    Occlusion – occlusal trauma on the tooth being grafted must be eliminated

5.    Muscle pull – anything causing the graft to move will affect healing

The following are different gingival grafting techniques:

1.    Free Gingival Graft

2.    Lateral Positioned Flap

3.    Coronally Repositioned or Advanced Flap

4.    Subepithelial Connective Tissue Graft

5.    Acellular Dermal Matrix

6.    Guided Tissue Regeneration

7.    Vestiibular  Incision Subperiosoteal  Tunnel Access (VISTA)

8.    Pinhole Surgical Technique (PST)

Our mission is to help our patients live healthier lives. Your comfort and health are our first priority. Your beautiful smile is always our goal.