This grafting procedure is similar to the free gingival graft, but with one difference. During a free gingival graft, hard tissue is removed from the palate of the mouth and grafted onto the recessed gum area. This repairs the recessed gum area, but leaves a wound on the roof of the mouth that is uncomfortable. It eventually heals with time.
During a connective tissue graft, an incision is made in the palate, but the tissue that is removed is from under the top layer of tissue. This means that instead of an open wound on the palate, there is only an incision—the wound is covered by the flap created during the tissue removal process.
This connective tissue (so named because it connects the outer layer of skin to the inside of your mouth) has greater healing properties than the other layer of skin, so it is especially useful in covering the exposed roots of teeth. While free gingival grafting is a great option for thinning or recessed gums, a connective tissue graft is Dr. Zadeh’s first choice for protecting the exposed roots of teeth while simultaneously treating periodontal disease.
If you are to undergo this procedure, Dr. Zadeh will first remove any infected tissue from the recessed area, clearing a place for the new, healthy tissue. Gum tissue is then removed from under the top layer of skin on the palate of your mouth via tiny incisions, and is then reattached to the site of the recessed gums, covering any exposed roots of your teeth. Dr. Zadeh will then place a periodontal dressing over the grafted area to let it heal. Patients must not touch, brush, or chew on the newly grafted area for at least two weeks, when the dressing is removed. At that time Dr. Zadeh will analyze his work and discuss the results of the procedure with you.