Periodontal Surgery -- Soft Tissue Graft
(Guided Tissue Regeneration)
Reasons for Procedure
- Cover tooth roots that are exposed, which can lead to bone loss and decay
- Reduce tooth sensitivity
- Even out gum tissue due to reduce further recession
- Tooth sensitivity
- Changes in gum appearance; uneven gum line
- Graft failure
- Reaction to the sedation medications
- Nausea and vomiting
What to Expect
Prior to Procedure
- Tell your dentist of any recent changes to your health, medications, allergies, or supplements.
- Take your prescription medications, unless your dentist says otherwise.
- Talk to your dentist or pharmacist if you are taking more than one drug. Some drugs can be dangerous when mixed. This includes over-the-counter medications and herb or dietary supplements.
- You may be asked to take an antibiotic before surgery.
- Arrange for a ride if you are having sedation.
Description of Procedure
How Long Will It Take?
How Much Will It Hurt?
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Rest as needed.
- Take over-the-counter medications as advised for swelling and pain.
- Apply an ice pack to the side of your cheek for 15-20 minutes at a time. Place a towel between the ice pack and your skin.
- Eat small amounts of soft or pureed foods.
- Do not smoke, rinse your mouth, or use a straw.
- Apply dressings or gauze to the area as directed to absorb blood and saliva.
- Do not exercise for a few days as directed.
- Do not drive until your periodontist says it is okay to do so.
Call Your Periodontist
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, a lot of bleeding, or any unusual discharge from the surgical site(s)
- Pain and swelling that is not controlled with the medications given
- The dressing or stitches become loose or are uncomfortable
- Loose tissue
- Continued swelling after 48 hours
- Other new symptoms, allergic reactions, or concerns
- Persistent nausea and/or vomiting
American Academy of Periodontology http://www.perio.org
National Institute of Dental and Craniofacial Research (NIH) http://www.nidcr.nih.gov
Canadian Dental Association http://www.cda-adc.ca
The Canadian Dental Hygienists Association http://www.cdha.ca
Gum graft surgery. American Academy of Periodontology website. Available at: http://www.perio.org/consumer/grafts.htm. Accessed August 10, 2015.
Periodontal (gum) disease: Causes, symptoms, and treatments. National Institute of Dental and Craniofacial Research website. Available at: http://www.nidcr.nih.gov/oralhealth/Topics/GumDiseases/PeriodontalGumDisease.htm#surgery. Updated September 2013. Accessed August August 10, 2015.
Periodontal pocket reduction procedures. American Academy of Periodontology website. Available at: http://www.perio.org/consumer/pocket-reduction-procedures.htm. Accessed August 10, 2015.
Periodontitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 9, 2014. Accessed August 25, 2014.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael Woods, MD
- Review Date: 08/2015 -
- Update Date: 01/23/2013 -