Gingival graft

A gingival graft is an autologous gum graft. It is a muco-gingival surgery. Gingival grafting restores thickness and height to the weakened gums, thus halting their recession.

Goals and indications

  • Stopping the evolution of gum recession
  • Covering a bare root, which is indeed more vulnerable to caries and dental hypersensitivity
  • Reduce dental hypersensitivity related to this exposure.
  • Aesthetics: restoring a beautiful smile.
  • Preventive contribution of keratinized gingiva if prosthesis or orthodontic treatment is planned.

How does the procedure work?

The intervention takes place in three main stages:

  • Preparation of the recipient site
  • Graft extraction
  • Its suture at the level of the recession.

There are many techniques – Gum grafting techniques

  • Epithelial-conjunctive graft or full thickness graft.

    The graft taken is total: keratinized epithelium + connective tissue. This type of graft mainly allows an increase and a reinforcement of the keratinized gum (i.e. its surface is covered with several layers of resistant cells which make it thicker and firmer, in particular on the palate and on the other zones subjected to friction during mastication). It can allow a more or less important covering (rarely total) of the root. Translated with (free version)

  • Buried connective tissue graft

    Only connective tissue is removed, without epithelium; it will be slipped under the epithelium of the recipient site. This type of graft allows for root coverage and the creation of attached gingiva or interdental papillae.

  • Laterally displaced flap

    A portion of the gum is detached and moved. Allows a covering of the recessions and a contribution of gum.

  • Lambeau déplacé coronairement

    Permet de recouvrir une ou plusieurs récessions gingivales.

  • Lambeau positionné apicalement

    Permet d’augmenter la hauteur du moignon (avant de faire une couronne).