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Gum graft surgery - Update (1 Viewer)

Sack-Religious

Footballguy
Had a dentist appt. yesterday and was informed that I'll be the lucky recipient of a gum graft.I found this online:

A periodontist will make an incision on the roof of the patient's mouth and remove the tissue that is under the surface, thereby leaving a much smaller wound on the surface of the roof of the mouth. The procedure is similar to opening a sandwich and removing connective tissue from inside the sandwich. :pokey: :X The benefit of this procedure is that although it requires sutures at the roof of the mouth, it is less painful since the wound where the tissue was removed is closed during healing. The layer of tissue is then relocated to the site of gum recession where it is stitched into place and will serve to protect the exposed root as living tissue.
This sounds thoroughly unpleasant and I'm really not looking forward to it - especially after doing some reading up on it.I've had 3 wisdom teeth (with curved roots) removed by this same dentist and it wasn't as bad as I thought or was told it would be, so that's pretty much the only hope I'm holding onto right now.Has anyone had this type of procedure done? I fully expect the FFA to be true to form and tell me this will be the worst pain I'll ever have and I'll be begging for the sweet mercy of death, but if anyone has personal experience, positive or negative please share.
 
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Yikes. I would ask for nitrous and a valium prior to the procedure.

Please report back as my dentist has suggested that this could be in my future sometime down the line.

 
My mom works in a dentist office. I asked her and this was her reply.

"You know, doc does bone grafting all the time and, suprisingly, the patients always tell me it's not that bad. I never can believe that wouldn't totally suck but I haven't heard anyone say it was horrible. I'm sure there is some pain involved but it must not be horrific."

So there you have it for what it's worth.

 
Has anyone had this type of procedure done? I fully expect the FFA to be true to form and tell me this will be the worst pain I'll ever have and I'll be begging for the sweet mercy of death, but if anyone has personal experience, positive or negative please share.
I've had this done two different times. Once underneath two molars on the lower right side, and then underneath two molars on the lower left side. The surgery doesn't hurt at all. The periodontist gave me novacaine, and took tissue from the roof of my mouth first. He then attached it to the section of the gum needing the graft. It went by fast and was an easy procedure. What hurt (for me anyway) was 4 days later when the tissue on the roof of my mouth started to grow back. That hurt like hell. It was a throbbing pain that lingered for about 4 days. The gum graft never hurt.
 
My mom works in a dentist office. I asked her and this was her reply."You know, doc does bone grafting all the time and, suprisingly, the patients always tell me it's not that bad. I never can believe that wouldn't totally suck but I haven't heard anyone say it was horrible. I'm sure there is some pain involved but it must not be horrific."So there you have it for what it's worth.
Thanks. Isn't bone grafting different than gum grafting, though? Not that I'm being nitpicky or anything...
 
wait, what is this surgery for? Is this what happens when you dont floss? Cause i always figured that the whole "you gotta floss" speech was just a scare tactic by my dentist

 
The benefit of this procedure is that although it requires sutures at the roof of the mouth, it is less painful since the wound where the tissue was removed is closed during healing.
I never had sutures at the roof of my mouth.
This answers my next question to you. I was wondering if you had the "superficial" layer of tissue removed from the roof of your mouth, or the underneath layer. It would appear that you had the top layer of tissue used for your graft.From what I read, the healing of the roof of your mouth is similar to a bad "pizza burn."How difficult was after-care? I can imagine a whole lot of salt-water gargling and some very gentle brushing. How long does this last for?My graft will be on the upper-right of my mouth, over the 2nd from the back molar, FWIW.
 
wait, what is this surgery for? Is this what happens when you dont floss? Cause i always figured that the whole "you gotta floss" speech was just a scare tactic by my dentist
The surgery is for receding gums. Basically, part of your gum shrinks away from your tooth and exposes part of the root. This can be painful and very sensitive.I don't think it's caused by not flossing. Two of the more common causes are apparently brushing too hard/incorrectly and bone degeneration.
 
I had this surgery done a couple of years ago. My periodontist used AlloDerm (which is a biomedical material grown from donated skin). By doing that, I avoided having to have the graft taken from the roof of my mouth - which I was told is the most annoying part of the surgery (I was told that the graft portion of the surgery is like having a bad pizza burn on the roof of your mouth for a few weeks after the surgery). The material is sterile and, I was told, would be, essentially taken over my own gum tissue within months after the surgery.

I was put under for the surgery. Recovery took a couple of weeks of conciously avoiding foods that could tear the stiches and light brushing. I'm much happier now that I did it. My teeth were getting pretty sensitive to cold and hot and it was because of the absence of gum tissue. Now that sensitivity has gone away.

 
This answers my next question to you. I was wondering if you had the "superficial" layer of tissue removed from the roof of your mouth, or the underneath layer. It would appear that you had the top layer of tissue used for your graft.From what I read, the healing of the roof of your mouth is similar to a bad "pizza burn."How difficult was after-care? I can imagine a whole lot of salt-water gargling and some very gentle brushing. How long does this last for?My graft will be on the upper-right of my mouth, over the 2nd from the back molar, FWIW.
He took a scalpel and removed the tissue from the roof of my mouth that is near the gumline. He takes it from the opposite of your mouth that you are getting the graft done. The open wound looked all dark and purple at first, and then it gradually starts turning pink again as the tissue grows back. Since you are only having one area done, it will take less tissue. The healing of the roof of the mouth is somewhat like a bad pizza burn but worse (don't be scared). What hurts is the cells start to regenerate after about 4 days, and the tissue starts to tighten up. It also hurts during this time if your toothpaste spit touches that area. It stings bad for about 40 seconds. It's cool though how the tissue totally heals itself. They will tell you not to drink from a straw during this time, cause if a straw hits that area it hurts. Also, I never had stitches to cover the roof of my mouth, and he put puddy there the first day, but it falls out that same day, especially since it's in the inner part of your mouth where your tongue hits it. If it bleeds some on the first day, put a tea bag over it and it stops the bleeding fast. It never bled after the first day. The gum graft area he put puddy over, and it was on there for about 8 to 10 days, and then they removed it. They said sometimes that can fall off, but being that mine was on the lower part it stayed on pretty easily.I was never told to gargle with warm salt water, and i would think this would sting pretty bad when the tissue starts to grow back. After about 10 days the roof of the mouth starts feeling better, and it doesn't start to hurt until about your 4th day. With brushing, you don't brush the graft area while the puddy is on, but you can brush over it with toothpaste on a q-tip. After it is taken off, you can gently brush over the area. Don't use an electric toothbrush where the graft was done for about a month. The gum graft area never hurts, only the tissue at the roof of the mouth. The procedure is definitely worth it. I used prescription ibuprophen the first few days (it helps with swelling and he gave me 4 ibuprophens, which are equal to a painkiller, before he did the surgery), and then I used vicodin once the pain started. Some people just take tylenol for the pain and are fine. Me, I want the narcotics.
 
My wife had this done, and they did not take the grafts from her mouth. They used donor tissue. It was still a little painful for a few days, but she said it wasn't terrible.

 
Sack-Religious said:
BillyBarooo said:
wait, what is this surgery for? Is this what happens when you dont floss? Cause i always figured that the whole "you gotta floss" speech was just a scare tactic by my dentist
The surgery is for receding gums. Basically, part of your gum shrinks away from your tooth and exposes part of the root. This can be painful and very sensitive.I don't think it's caused by not flossing. Two of the more common causes are apparently brushing too hard/incorrectly and bone degeneration.
thanks...i always figured the technology would catch up with my lazy dental habits. good to know my improper brushing has a surgical cure now
 
Had this procedure done twice. The first time they used doner tissue and the procedure wasn't bad at all.

Warning!!!! When they tell you to take it easy for the first few days while the new material is grafting itself to the old, be sure to follow these orders. I didn't the second time and part of the new material (this time from the roof of my mouth) did not attach and became infected. The pain was awful and I had to have an emergency procedure to save the material that hadn't died. It wasn't pleasant.

Heed this warning and you'll be fine. And you'll keep your teeth into old age!

 
I do these about 5-10 times a year.

Its about $550 in my area per tooth grafted

Not a particularly painful procedure, but there's definitely some discomfort afterwards.

I would highly recommend using your own tissue.

 
I do these about 5-10 times a year.

Its about $550 in my area per tooth grafted

Not a particularly painful procedure, but there's definitely some discomfort afterwards.

I would highly recommend using your own tissue.
Wow, your gums must be really bad.
 
This will be the worst pain you'll ever have and you'll be begging for the sweet mercy of death.

 
I think my dentist is recommending the same thing. She called it "coronally repositioned flap with biocover". She did mention gum graft in the same conversation.

Is a coronally repositioned flap with biocover the same as a gum graft? Can someone explain this to me as if I have no idea what the dentist was talking about. If it matters, this is for two lower teeth, about 2-3 over from the center. My gum has receded a great deal in front of these teeth. The dentist claims that the teeth are a little bit loose.

Also, she said the vendor was Snoasis for the "biocover". Does that mean I would be getting cadaver or animal tissue?

One more thing - is this type of procedure usually insurable?

Oh, another thing - any dentists near Rockville MD that want to give me a consult?

Thanks.

 
This answers my next question to you. I was wondering if you had the "superficial" layer of tissue removed from the roof of your mouth, or the underneath layer. It would appear that you had the top layer of tissue used for your graft.From what I read, the healing of the roof of your mouth is similar to a bad "pizza burn."How difficult was after-care? I can imagine a whole lot of salt-water gargling and some very gentle brushing. How long does this last for?My graft will be on the upper-right of my mouth, over the 2nd from the back molar, FWIW.
He took a scalpel and removed the tissue from the roof of my mouth that is near the gumline. He takes it from the opposite of your mouth that you are getting the graft done. The open wound looked all dark and purple at first, and then it gradually starts turning pink again as the tissue grows back. Since you are only having one area done, it will take less tissue. The healing of the roof of the mouth is somewhat like a bad pizza burn but worse (don't be scared). What hurts is the cells start to regenerate after about 4 days, and the tissue starts to tighten up. It also hurts during this time if your toothpaste spit touches that area. It stings bad for about 40 seconds. It's cool though how the tissue totally heals itself. They will tell you not to drink from a straw during this time, cause if a straw hits that area it hurts. Also, I never had stitches to cover the roof of my mouth, and he put puddy there the first day, but it falls out that same day, especially since it's in the inner part of your mouth where your tongue hits it. If it bleeds some on the first day, put a tea bag over it and it stops the bleeding fast. It never bled after the first day. The gum graft area he put puddy over, and it was on there for about 8 to 10 days, and then they removed it. They said sometimes that can fall off, but being that mine was on the lower part it stayed on pretty easily.I was never told to gargle with warm salt water, and i would think this would sting pretty bad when the tissue starts to grow back. After about 10 days the roof of the mouth starts feeling better, and it doesn't start to hurt until about your 4th day. With brushing, you don't brush the graft area while the puddy is on, but you can brush over it with toothpaste on a q-tip. After it is taken off, you can gently brush over the area. Don't use an electric toothbrush where the graft was done for about a month. The gum graft area never hurts, only the tissue at the roof of the mouth. The procedure is definitely worth it. I used prescription ibuprophen the first few days (it helps with swelling and he gave me 4 ibuprophens, which are equal to a painkiller, before he did the surgery), and then I used vicodin once the pain started. Some people just take tylenol for the pain and are fine. Me, I want the narcotics.
Thanks, this is great info.Are there "after-care" procedures like icing your face down, etc. like after you get wisdom teeth removed? If you've had wisdom teeth removed, can you compare the procedures to some degree?When I had my 3 wisdom teeth removed, I had to rinse with salt-water a few times a day and it didn't sting at all. Not sure if this will be recommended for my gum graft, though.Did you have any limitations, food-wise afterwards? Presumably for the first few days to a week, you shouldn't be eating a lot of hard foods that could break the sutures or whatever, but how long was it until you could eat, basically unrestricted?Did your dentist make any recommendations in terms of physical activity? If so, how long would you say it would be until I could play basketball/touch football after the procedure?
 
I do these about 5-10 times a year.Its about $550 in my area per tooth graftedNot a particularly painful procedure, but there's definitely some discomfort afterwards.I would highly recommend using your own tissue.
Thanks. I have no clue what it'll cost, but my benefits cover 85% of it, so it doesn't really matter to me.I will be using my own tissue. I don't think I have a choice in the matter.When my dentist mentioned, making an incision in the roof of my mouth then "tunneling" into the tissue to get the material for the graft, that just sounds like a whole lot of unpleasantness.
 
I do these about 5-10 times a year.Its about $550 in my area per tooth graftedNot a particularly painful procedure, but there's definitely some discomfort afterwards.I would highly recommend using your own tissue.
Thanks. I have no clue what it'll cost, but my benefits cover 85% of it, so it doesn't really matter to me.I will be using my own tissue. I don't think I have a choice in the matter.When my dentist mentioned, making an incision in the roof of my mouth then "tunneling" into the tissue to get the material for the graft, that just sounds like a whole lot of unpleasantness.
some dentists use a vertical incision into the palate. Others use a horizontal incision across the palate.I've only personally done the horizontal style incision, but i've seen the vertical incision done.From what i've read/seen I think the horizontal incision is less painful but heals slower and the vertical incision hurts more after, but heals faster.
 
I do these about 5-10 times a year.Its about $550 in my area per tooth graftedNot a particularly painful procedure, but there's definitely some discomfort afterwards.I would highly recommend using your own tissue.
Thanks. I have no clue what it'll cost, but my benefits cover 85% of it, so it doesn't really matter to me.I will be using my own tissue. I don't think I have a choice in the matter.When my dentist mentioned, making an incision in the roof of my mouth then "tunneling" into the tissue to get the material for the graft, that just sounds like a whole lot of unpleasantness.
some dentists use a vertical incision into the palate. Others use a horizontal incision across the palate.I've only personally done the horizontal style incision, but i've seen the vertical incision done.From what i've read/seen I think the horizontal incision is less painful but heals slower and the vertical incision hurts more after, but heals faster.
I'm not sure if he'll be doing a vertical or horizontal incision. He only mentioned that some dentists use 3 incisions, but he prefers the one incision as it heals better and is less painful. I'm just gonna have to trust his judgement.What are your "after-care" instructions and what do you recommend in terms of what to eat for the next 3-7 days and return to physical activity.
 
I do these about 5-10 times a year.Its about $550 in my area per tooth graftedNot a particularly painful procedure, but there's definitely some discomfort afterwards.I would highly recommend using your own tissue.
Thanks. I have no clue what it'll cost, but my benefits cover 85% of it, so it doesn't really matter to me.I will be using my own tissue. I don't think I have a choice in the matter.When my dentist mentioned, making an incision in the roof of my mouth then "tunneling" into the tissue to get the material for the graft, that just sounds like a whole lot of unpleasantness.
some dentists use a vertical incision into the palate. Others use a horizontal incision across the palate.I've only personally done the horizontal style incision, but i've seen the vertical incision done.From what i've read/seen I think the horizontal incision is less painful but heals slower and the vertical incision hurts more after, but heals faster.
I'm not sure if he'll be doing a vertical or horizontal incision. He only mentioned that some dentists use 3 incisions, but he prefers the one incision as it heals better and is less painful. I'm just gonna have to trust his judgement.What are your "after-care" instructions and what do you recommend in terms of what to eat for the next 3-7 days and return to physical activity.
probably would be best just not to eat for 3-7 days.benefits - weight loss, optimum healingdownsides - fatigue, hunger pangs, possible death.seems worth it.
 
Are there "after-care" procedures like icing your face down, etc. like after you get wisdom teeth removed? If you've had wisdom teeth removed, can you compare the procedures to some degree?When I had my 3 wisdom teeth removed, I had to rinse with salt-water a few times a day and it didn't sting at all. Not sure if this will be recommended for my gum graft, though.Did you have any limitations, food-wise afterwards? Presumably for the first few days to a week, you shouldn't be eating a lot of hard foods that could break the sutures or whatever, but how long was it until you could eat, basically unrestricted?Did your dentist make any recommendations in terms of physical activity? If so, how long would you say it would be until I could play basketball/touch football after the procedure?
I put some ice on the side of my face where the gum graft was done for the first couple of days. It doesn't swell as much as when you get your wisdom teeth out. The only discomfort that I felt at all in the gum graft area was soreness from where I was stuck with the needle to shoot in the novacaine.It seems like he told me not to do any physical activities the first couple days, but I'm not sure about that. As for food limitations, the first 10 days I drank ensure mostly and ate mashed potatoes, soft carrots, and mushed up green peas. You could probably eat fish too. Fish is tender and you don't have to chew it much. Chewing on one side of your mouth isn't hard, it's trying to keep the food from hitting the roof of your mouth that's hard. I like the chocolate flavored high protein ensure. As a matter of fact, I still drink one ensure a day for a snack. After about a week 1/2, I could eat most things, but didn't eat meats that were chewy for a couple more weeks.
 
Had it done when I was a young man and still unde the "care" of my parents. I had at least 7-8 shots of novacaine shot into the roof of my mouth, it was horrific, one of the worst things I ever had done, hopefully they knock you out so you don't feel much. Good Luck!

 
Just curious...what's a procedure like this run, dollar-wise ?
My wife just had this done and it cost $1800. I would imagine it all depends on how much they graft, though.
For how many teeth? I've been quoted about $1k a tooth and I said forget it.
This is crazy, I was just told I need this procedure today as well. I didn't realize this was so common.I was accused of brushing too hard. WTF?
 
Just curious...what's a procedure like this run, dollar-wise ?
My wife just had this done and it cost $1800. I would imagine it all depends on how much they graft, though.
For how many teeth? I've been quoted about $1k a tooth and I said forget it.
This is crazy, I was just told I need this procedure today as well. I didn't realize this was so common.I was accused of brushing too hard. WTF?
FBGs - Handsome, date models, 6-figure incomes, hung like horses and have receding gums. Who knew?
 
Just got home from getting it done. The freezing hasn't worn off yet, so I'm not sure how it's going to feel in the next hour or so as it starts to wear off. They did give me 600 mg of Motrin at the office though.

No Valium before, unfortunately. Just had my iPod with some chill music that might have worked a little.

I also had to have a filling done, so he froze me up and just went to work.

The incision into the palate was the most unpleasant part. There was no pain, but the feeling of pressure and scraping certainly isn't fun. It didn't take that long, so it wasn't too bad. Stitching the graft onto my gum wasn't bad at all and the sutures to my palate weren't bad either. I had apparently stopped bleeding by the time he put the sutures in.

I've also got some sort of plastic-ish protector thing over the tooth and graft. Looks somewhat like a retainer. The dentist will likely remove it next week at the follow-up appointment if it hasn't fallen off on it's own.

I'm told I can begin eating pretty much whenever I want, but I'm going to take it easy and just have meal replacement shakes for the first few days. No athletic activity for a week. I can start lightly brushing the teeth other side of my mouth, with only a little bit of toothpaste starting tomorrow. I've also got a prescription for some disinfectant mouthwash that I must use 3X daily.

My wife just went out to pick up my prescriptions, which includes Percocet. This could be interesting.

Costs: $705 for the gum graft. My medical benefits cover 90% of this though.

If you have to cover more than one tooth, it's apparently cheaper to get multiple teeth done at the same time.

 
If you have to cover more than one tooth, it's apparently cheaper to get multiple teeth done at the same time.
when i had a bottom left molar done, i had the molar beside that done too, because it would eventually need it in a year or two, and my periodontist does a two for one deal. he can stretch the tissue to cover side by side areas.i hope your recovery is quick and not real painful.
 
After you've gone through a gum graft surgery, you should eat only pulverized food for a few days. You will eat less after your gum graft surgery and hence will feel weak, so its best not to plan anything for a while. Los Angeles Orthodontist provides all the latest procedures for gum graft surgery and after surgery care

 
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After you've gone through a gum graft surgery, you should eat only pulverized food for a few days. You will eat less after your gum graft surgery and hence will feel weak, so its best not to plan anything for a while. Los Angeles Orthodontist provides all the latest procedures for gum graft surgery and after surgery care
Do you have any coupons? Like, BOGO free? And finally, can I book my surgery and pay online? All very important to me.
 

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