Gum Graft Mexico
Certified Periodontists – Dental Tourist Guide
Here is a Guide to getting your Gum Graft treatment with Cancun Dental Specialists. Most aspects of your Dental vacation will be covered. Please call in and let us know more about your case 1 800 278 3215. In order to give you correct information pertaining to your case, we would need your Medical History, X-Rays, Treatment Plan if available, if not contact our Dental Coordinators before coming to Cancun. Please read it so that you are well informed of how we provide the Gum Graft Treatment for you and if you have any questions, do not hesitate to contact us.
Gum Graft commonly known as Soft Tissue Graft is a frequent procedure we provide to patients at Cancun Dental Specialists. Gum Grafts are needed when your gums have retracted from your tooth exposing the root. Having exposed root can lead to problems like bone loss, tooth sensitivity, cavities, and can affect the aesthetics when smiling. The most common reason of receding gums are periodontal disease, poor hygiene, genetics, excessive brushing or brushing with a hard tooth brush. It’s important to have gum recession repaired because gum tissue is the primary barrier to bacteria. Without adequate gum tissue around the teeth, bacteria can cause gum disease, bone and gum deterioration, and even tooth loss.
Gum Graft Cost
Gum Graft Costs and Prices in Mexico can vary depending on how many teeth need Gum Grafting, the classification of Gum Grafting, if other procedures are necessary.
The Price for Gum Grafting in Mexico is $350 USD per tooth.
Gum Grafting Techniques
Connective-tissue grafts are the most common form of gum grafts. They are used to treat root exposure around one or more teeth. During the procedure, the dentist will cut a flap of skin from the roof of your mouth and remove tissue from under the flap. The flap is then stitched back down. The removed tissue will then be stitched to the gum tissue surrounding the exposed root. Over time the attached tissue will grow together with the gum tissue already there forming a higher gumline around the tooth.
Free Gingival Grafts
Free gingival grafts are similar to a connective tissue graft except that instead of cutting a flap to remove tissue underneath, a small amount of tissue is taken directly from the roof of the mouth. This tissue is then placed and attached directly to the gum area being treated. Dentists prefer this method for those who have naturally thin gums.
The pedicle graft method does not take graft tissue from the roof of the mouth. Instead, the gum tissue is grafted from gum tissue around the tooth needing repair. In this method, the flap (called a pedicle) is partially cut away so that one edge remains attached. The flap is then pulled up (lower jaw) or down (upper jaw) to cover the exposed root and sewn in place. This method is preferred for patients who have plenty of gum tissue near the tooth needing repair.
In addition to natural grafts from the patient, some dentists prefer to use graft material from a tissue bank.
After the procedure you will be able to go home. However, if you were given a sedative to relax you will need a friend or family member to drive you. Be sure to follow all instructions your doctor gives you for post-operative care. Do not floss or brush the gum line that was treated until the area has healed. A special mouthwash will be given to you that will help control plaque during this time.
For about a week after the gum grafting procedure your diet will be limited to soft foods such as eggs, pasta, Jell-O, and yogurt. Pain varies from patient to patient and depends on many variables including pain tolerance and the type of gum graft performed. Your doctor will likely recommend an over-the-counter anti-inflammatory medication or, in rare cases, a prescription pain medication. Many patients are able to return to work within a day or two.
Acellular Dermal Matrix
Alloderm Graft uses donated medically processed human skin tissue as a source for the graft. The advantage of this procedure is no need for a palatal donor site. This is Great for Dental Tourism as it is Less Invasive but not always the best option for your treatment. You can check these options directly with the Periodontist.
Uses, advantages and disadvantages of Acellular Dermal Graft material
- Root coverage
- Soft tissue flap extension over bone graft
- Amalgam tattoo correction
- Soft tissue defect repair
- Reduces need for palatal autografts or other second surgical site
- Ability to treat larger areas in one surgery
- Provide excellent esthetic results
- Decreases surgical chairtime
- Additional cost
- Technique sensitive
- Longer healing time
Acellular Dermal Graft is a safe, biologically acceptable and effective material that can be used for treatment of gingival recession.The root coverage obtained improved the esthetics and met with the expectations and demands of the patient and also the treating surgeon.There was a significant coverage obtained with Acellular Dermal Graft and increase in the width of keratinized gingiva. It can be used as an effective substitute for autologous grafts in the treatment of recession. Acellular Dermal Graft used in this report was well tolerated by gingival tissues and had no adverse effects on treated and adjacent non-treated sites. Even though complete coverage was obtained, this report has a limitation as one patient was treated and we need more sites and clinical studies in future to prove the efficacy of Acellular Dermal Matrix Graft.
Gum Graft Materials
AlloDerm® is the Best Material available for Gum Grafting Procedures, made by Allergan and Bio Horizon, two very reputable companies in the Dental and Medical Industry.
AlloDerm® RTM is donated tissue that has been processed to remove cells creating a regenerative tissue matrix. This method provides a tissue graft without having to harvest the material from another area in the mouth. Alloderm® Gum Grafting in Mexico provides the structure and protein to help your mouth grow its own new tissue. The process is achieved by using collagen which provides scaffolding for the cells to grow on. The protein helps recruit more cells into the graft and helps reshape and remodel the gums. Since its introduction in 1994, over one million AlloDerm® RTM grafts have been successfully placed. Donor tissue is extensively screened and tested and then undergoes proprietary procedures to ensure that AlloDerm® RTM is ready for use in patients.
Emdogain® Gel hels to regenerate the tissue structures that anchor the teeth.
Emdogain® is used as an adjunct to Periodontal surgery as a topical application onto exposed root surfaces, and is a very effective therapy that helps to stabilize teeth and improve the outcome of periodontal surgery by regenerating the tissue structures that anchor the tooth.
Since its introduction in 1996, Emdogain® has been used in millions of patients worldwide and continues to be a leading product in Periodontal regeneration. The wealth of scientific evidence supporting the product continues to grow. A recent study showed that Emdogain® can increase the predictability of surgical outcomes by achieving equal or better root coverage and attachment.
Other recently published studies have indicated that less post-surgical discomfort is reported with Emdogain®.
Emdogain® Gel is comprised of a number of proteins that self-assemble to create a matrix. The dominant protein in this matrix is amelogenin, which has been shown to be responsible for tooth development, and has been well-conserved throughout evolution. This protein is considered as “self” when encountered by the human body, and therefore, no allergic or immunologic reactions have been demonstrated with the use of Emdogain® Gel. Emdogain® Gel is intended as an adjunct to periodontal surgery for topical application onto exposed root surfaces to treat periodontal intrabony defects. After a single application, Emdogain® Gel leaves only a resorbable protein matrix on the root surface. No additional surgery is necessary. Regain of clinical attachment and alveolar bone has been proven with the use of Emdogain® Gel.
Emdogain® is the biology-based and scientifically proven solution to promote the predictable regeneration of hard and soft tissues lost due to periodontal disease like intrabony defects, class II mandibular furcation and recession defects. ReliableMore than 40 clinical studies, involving 1500 intrabony periodontal defects in 1200 patients, have demonstrated that Emdogain® is effective in stimulating the formation of new periodontal attachment in soft and hard tissue. 60-70% defect fill was measured as a gain of radiographic bone one year following treatment with Emdogain®. Simple treatment with Emdogain® requires little or no preparation time; no mixing and no specialized products or equipment are necessary. It is convenient and effective to use in areas difficult to treat such as interproximal areas, defects distal to the second molar, defects located under bridgework and wide defects. No second surgery is required.VersatileThe possibility for the use of Emdogain® in periodontal defects is expanding.
It is indicated for: 1-, 2-, 3-wall defects.
Recession defects – Class II mandibular furcation defects
The biological processes of natural tooth development, Emdogain® forms an insoluble three dimensional matrix, which allows for the selective colonization of cells. Through cellular interactions, a cascade of events initiates increased cell proliferation, growth factor synthesis and cell differentiation resulting in the formation of necessary hard and soft tissues such as cementum, periodontal ligament and alveolar bone.
- Attachment – Mesenchymal cells attach to the formed matrix.
- Proliferation and growth – The cells spread and populate the surface.
- Cementum formation – The cells start to produce cementum with insertingcollagen fibers.
- Alveolar bone – Along the treated root surface, and at a certain distance, a condensation of fibrous tissue indicates the region where new alveolar bone is forming.
Growth Factors – Palet Rich Plasma
The use of Plasma-Rich Growth Factors in Gum Grafting is a great way to achieve higher success rates for our patients. During the natural healing process of your body growth factors can help by regulating and insuring the interaction between cells during the healing period. The treatment consists of extracting a little of the patients bloods and with a centrifuge the blood in the fractioned and proteins are isolated that help repair the soft tissue added to your gum recession.
Pinhole Surgical Technique
How is the Pinhole Surgical Technique Performed?
Performed with a specially designed pin-like instrument, a small hole the size of a ball point pen tip is made and the gum tissue is carefully loosened allowing the gum to be placed over the exposed or receded area. Collagen is then placed through the pin sized hole to keep the gums in place and most patients are surprised to see an immediate cosmetic improvement. Because there is no cutting or stitches required, there is minimal post operative pain, swelling or bleeding and the pin-sized hole typically heals within 24 hours.
What Are the Advantages of Pinhole Surgery?
The Surgical procedure: Gum Grafting is an incision made on the roof of your mouth to remove gum tissue. In some cases an alternative source or tissue bank is required. Another incision is then made and the tissue is connected to cover the exposed roots using stitches to keep the site closed. With the Pinhole Surgical Technique, a small, pin-sized hole is made as an entry point in order to loosen the gums and stretch it over the exposed root. Collagen is then placed to keep the gums in place. No cutting or stitches are required with this minimally invasive technique. The Pinhole Surgical Technique gives us a less invasive option to address and treat recession.
Number of teeth treated: With traditional gum grafting only a few teeth can be treated at a time. With the new Pinhole Surgical Technique we can work on numerous teeth including the full mouth in most cases. Because we are using the existing gum to move into position, we are able to treat a much larger area without the restrictions that are encountered with gum grafting including cutting, removing and grafting existing gum tissue.
Surgery Time: Gum grafting can take 90 minutes or more to complete. The new Pinhole Surgical Technique takes half the amount of time compared to connective tissue grafting.
Recovery Time: Traditional Gum grafting requires cutting and stitches and can take 14 – 21 days to heal with many restrictions, pain and swelling. The new Pinhole Surgical Technique has virtually no recovery time. No Cutting, No Stitches, No Downtime! You can easily repair your gums and repair your smile during your lunch break and go back to work the same day. The pin-sized hole heals quickly and is almost undetectable in as little as 24 hours.
Pinhole Cases – Before & After
Gum Graft Before Coming to Cancun Pre-Ops
Inform yourself on steps to take for a successful outcome, please read the full instructions, Cancun Dental Specialists thanks you in advanced for being an informed patient.
Gum Tissue Graft Recovery
Do NOT eat anything until the anesthesia wears off, as you might bite your lips, cheek, or tongue and cause damage. You will probably have some discomfort when the anesthesia wears off; take your non-aspirin pain medication(s) as directed, whether it is prescribed or over-the-counter.
Grafting Post Op Care
- Leave the gauze in for 2 to 4 hours – It is important to control the bleeding and to gently compress the graft.
- Apply ice pack for 2 to 4 hours
- Apply Chlorhexidine solution (Perioguard or Peridex) – Apply Chlorhexidine solution to surgical site twice daily with a cotton-tipped applicator.
DO NOT BRUSH THE SURGICAL SITE!DO NOT SWISH WITH PERIOGUARD. IT WILL STAIN THE TEETH.
- Leave the surgical area Alone! – Please minimize talking, don’t show other people the surgical site, it will delay healing. Movement of surgical site can cause sutures to pull through graft and displace from the surgical site.
- Post Operative Surgical Prescriptions, use as indicated:
- Antibiotics—take all antibiotics for the full duration of the prescription.
- Painkillers—take painkillers only as prescribed.
For Continued pain management use Ibuprofen 800mg which may be combined with Tylenol.
- Be sure to resume taking all regular medications.
- Swelling of the surgical site. – Swelling is to be expected, this is a surgery. Continue to apply ice packs as much as possible for the first two days if needed.
- Discoloration and bumpiness of surgical site is normal and usual.
- Additional supplements: – Good Nutrition, Multivitamin and 500-600mg Calcium daily will help with the healing process.
- Doxycycline hyclate 50 mg q.d. for 14 days
- Naproxen 375 mg q12h for 7 days
Pain Control PRN
- Narcotic analgesic of choice if needed
Anti-inflammatory – Tapered dose of a glucocorticoid steroid such as:
- @dexamethasone 3.0 mg q.d. for 3 days
- 2.0 mg q.d. for 3 days
- 1.0 mg q.d. for 3 days
- Chlorhexidine digluconate 0.12% rinse at least twice daily for 1 month
- NO BRUSHING OVER SURGICAL SITE(S).
- NO FLOSSING (Water-Pik ONLY from tongue-side or inside on low)
- NO TOUCHING: with finger or any other device or object.
- NO KISSING or licking surgical area.
- Do not use cotton swabs, cloth or any soft or hard object to clean area.
- Do not sleep with hands under the cheek where surgery was done.
- No facial massages for 3 weeks or massage that area of the face for any reason.
- NO LOOKING: Do not obsess over or question Doctor about appearance of gums for 6 weeks. You cannot look without pulling cheek.
- RINSE ONLY WITH LIPS APART: SLOSHING ONLY.
- NO Chipmunk cheeks when you rinse.
- Do not play wind instruments for 3 weeks.
- Do not suck on straws.
- Do not blow balloons.
- No spitting.
- No mints over surgical area.
- No smoking, chewing tobacco, cigar, pipe or recreational marijuana. Please consult doctor if you use marijuana for medical purposes.
- No clenching or grinding of the teeth.
- No heavy lifting that require clenching of the teeth.
- No heavy aerobics or vigorous dancing or physical activity for 3 weeks.
- No snorkeling for 6 months.
- DO NOT BE ALARMED ABOUT SOFT SWELLING OR BRUISING FOR THE FIRST WEEK.
- DO NOT EAT crunchy or sticky food that can get stuck on or in between your teeth. NO CHOCOLATE.
- EXPECT cold sensitivity for 6 weeks or longer. DO REPORT sensitivity during check-up appointments.
- WEAR PRESCRIBED BITE APPLIANCE 24 HOURS A DAY, if instructed. Check with Doctor about any other appliances (e.g., retainers, Invisalign, Perio-Protect, Sleep Apnea appliance, CPAP, intraoral sleep
appliance, sports guards, etc).
- ICE OVER AREA at 10 minute intervals for the first 48 hours to minimize swelling.
- PAIN CONTROL- take one each of acetaminophen (Tylenol) and NSAID (Motrin or Advil) at the same time, subject to other instructions by Doctor.
- CALL DOCTOR IMMEDIATELY IF YOU HAVE UNEXPECTED PAIN, CONTINUOUS BLEEDING, OR HEAT FROM SURGICAL SITE.
- Patient MUST return to our office 24 hours after surgery, 3 Days after surgery, and 6 month follow up is highly adviced.
- After the 6th week you may:
- The night after the procedure, put a towel over your pillow to keep blood from getting on it
- For two to three days after the procedure, your face will probably swell
- For up to two weeks after the procedure, your face may be bruised
- For two weeks after the procedure, don’t brush the grafted area (just rinse with a mouthwash they give you, and do so GENTLY)
- For two weeks, eat soft foods and cut food into small pieces
- Two to three weeks later, your stitches will be taken out
Gum Graft FAQ
Gum Graft is a specific alternative to treat gum recession. There are different types of Gum Graft but, in principle, all tend to restore the gum lines to healthy levels. Complementary and preventive procedures is the Scaling and Root Planning (Periodontal Cleaning).
Periodontal disease is the main cause of gum recession along with other factors like poor oral hygiene and genetic predisposition; also other causes involve smoking, improper brushing, and illnesses such as diabetes and hormone disorders.
The most common is referred as Connective-tissue Graft which involves the surgical removal of some portion of tissue from the roof of your mouth Other king of graft are developed by certified companies and allow extensive work to be done.
After identifying the exact amount of tissue that is going to be removed and placed later in the addressed area, the specialists administer local anesthesia and proceeds to make the incisions necessary with our Water Lase machine which helps finishing the procedures faster and more accurately, and allow the patients for an expedite recovery after surgery. This Laser reduces also the risk of infection and allows the specialists to remove more tissue per session as the laser allows virtually pain-free procedures. After that, the tissue is placed and sutured in the addressed area.
Unfortunately, no! Long exposed roots, notches in the teeth (called abfraction notching), roots that have fillings, and teeth that have lost bone between the teeth are difficult to predictably cover. Nonetheless, almost always, they can be improved! The photo to the right shows all of these problems. This underscores how important it is to have treatment before things get too severe.
It is important to realize that as the gums recede, the bone around the teeth dissolves. Thus, in the adult, all gum recession is also bone loss! Bone of course is what holds the teeth in place. Don’t delay! Keep your teeth healthy and beautiful!
Yes. Covering the exposed root will decrease the sensitivity. There are some teeth that are sensitive but may not need gum grafting to improve the sensitivity. We will show you how.
After surgery, most possible swelling, bleeding and soreness disappear within the first week after the procedure in done. However, the complete time frame of healing is of 4 weeks, which involves certain medication and the avoidance for certain foods for the time indicated by the specialists.
Treatment outcome is generally evaluated 4-6 weeks after soft tissue grafting. You need to wait up to 8 weeks or so for tissue maturation and to determine how much tissue has “taken”. If the graft tissue was thick to start with, the superficial layer will slough off but the deep parts will survive. (The most outside portion of the graft would not survive due to lack of blood supply. It becomes necrotic-white and comes out.) What is left should be reddish in color and will survive. White/pink color may change based on tissue thickness.
Our specialists will need to re-evaluate the area and determine how much of it has taken. Sometimes it may be necessary to do a second surgery (gingival flap surgery) to bring what has “taken” more towards the root surface (coronally).
Yes, the hole will close up. This is just a matter of time. The pain that is experienced has to do with underlying connective tissue being exposed to the oral cavity and getting irritated by rubbing of the tongue and food. 14 days after surgery, the superficial layer of the skin of the donor site will become thicker. The donor site will start feeling much better once this happens. Usually, it takes between 6 to 8 weeks after the surgery for the depression in the tissue to fill up completely.
During the healing, soft tissue shrinks a little and edema (swelling) goes down. Soft tissue binds the underlying root surface and neighboring bone surface and starts to mature. The most important aspect of this healing is the formation of new vessels that will bring the blood supply into newly grafted soft tissue (angiogenesis). Again, wound stability is very important for the newly-forming blood supply (vascularization).
Soft tissue healing generally takes 4-8 weeks to return to normal. Healing time also depends on how much tissue (thickness and area) was taken from the roof of the mouth and whether you had any bone exposure after the procedure. If you had bone exposure at the donor site, the healing may take longer. Also, if you developed bleeding into the tissue which accumulated there and caused swelling (hematoma together with hemorrhage), this may delay the wound healing.
Given the right indication and right surgical technique, gum graft surgery works very well most of the time. Factors that help to predict success of the procedure are the type of defect that needs treatment and the amount of stress put on the graft after surgery.
The type of defect is important for graft survival. Narrow defects with intact tissue between the teeth (interdental areas) have a greater chance of success since the root surface does not have any blood supply and adjacent tissue will help the graft tissue to survive. Complete root coverage is the predictable outcome when this type of defect is present. The success rate of root coverage decreases with increasing interdental bone loss.
Anything that will cause the grafted tissue to move during healing, such as muscle pulls from inside the lip, will affect the healing. That is why periodontists generally show the site to the patient right after surgery and ask him/her not to look at it again during the first week. They know that every time the patient pulls his/her lip to look at it, there is a big chance that the graft will move.
Gum Graft Complications or Failure
Complications of a Gum Graft are rare. Infections are uncommon. But see your doctor right away if you notice any oozing or unexpected bleeding around the Graft site.
In rare cases, the Graft tissue may not properly adapt to the graft site. You may need to have the procedure performed again if this happens.
You may not like the way the graft looks after it’s fully healed. If so, talk with your periodontist about gingivoplasty (reshaping of gum tissue). They may be able to modify the tissue to make it look more pleasing to you.
Severe swelling/loosening sutures – The survival of the graft tissue (generally obtained from the roof of the mouth) purely depends on the blood supply that comes from surrounding bone (since there are no blood vessels on tooth surfaces). The stability of the grafted tissue is very important for the newly forming and migrating vessels.
During healing, sometimes due to severe swelling and/or loosening of the sutures, the graft may move and surgery will not be successful. In such cases, it is necessary to wait until the maturation of the surrounding tissues is complete and try again. This does not happen very often. However, every case is different and some of the surgical sites are harder to deal with, depending on the severity of the exposure and what is left from soft and hard tissue support.
Tissue sloughing from upper arch – A relatively, not infrequent, “normal” complication occurs where the tissue sloughs. It has to do with the size of the graft that was taken. Every individual’s healing pattern is different, and the same is true for the pain threshold.
However, one suggested approach is to fabricate a plastic vacuum form of your upper arch. This is a clear, thin plastic that snaps press-fit onto your teeth and is trimmed to make sure that the palate is covered in its entirety. Thus, it will provide pressure to the donor site after the surgery and avoid irritation from food and the tongue. If a series of grafting surgeries is expected, this is a good option and would certainly have a positive effect.
Infection – Similar to any type of surgical procedure, infection will delay wound healing. This is especially true for oral wounds that are exposed to continuous bacterial challenge. A prescription for antibacterial/ antiseptic mouth rinses is generally given to control bacterial load for the first 10 days of healing.
Uneven healing – Following complete wound healing, if there is an obvious problem with symmetry, it may be necessary to go back and do what is called “gingivoplasty”. This is a simple procedure performed to thin the extra soft tissue.