Tissue Regeneration

Overview

Definition

Periodontal disease often refers to bacterial plaque and infections around the gum and tooth root. It can happen around one or several teeth. In some cases, the gum tissue is damaged or shrinks. In its more advanced stages, surgery to create new gum tissue (and even bone growth) can be done. There are several techniques used to encourage new gum growth using donor tissue, man-made material, or tissue from the roof of your mouth.

Periodontal Disease

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Possible Complications

Problems from the procedure are rare, but all procedures have some risk. Your periodontist will review potential problems, like:

  • Changes in gum appearance such as an uneven gum line
  • Graft may move out of place, which can result in needing another procedure
  • Bleeding, which can lead to a hematoma
  • Infection
  • Swelling
  • Reaction to the sedation

Before your procedure, talk to your periodontist about ways to manage factors that may increase your risk of complications such as:

  • Smoking
  • Drinking
  • Chronic disease such as diabetes or obesity

SymptomsandDiagnosis

Treatments

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Edits to original content made by Denver Health.

a (Guided Tissue Regeneration)

RESOURCES

American Academy of Periodontology http://www.perio.org 

National Institute of Dental and Craniofacial Research http://www.nidcr.nih.gov 

CANADIAN RESOURCES

Canadian Dental Association http://www.cda-adc.ca 

Dental Hygiene Canada http://www.dentalhygienecanada.ca 

References

Gingivectomy. Encyclopedia of Surgery website. Available at: http://www.surgeryencyclopedia.com/Fi-La/Gingivectomy.html. Accessed September 13, 2017.

Gum graft surgery. American Academy of Periodontology website. Available at: https://www.perio.org/consumer/gum-graft-surgery. Accessed September 13, 2017.

Gum graft surgery: Indications, successe rate and possible complications. Net Wellness website. Available at: http://www.netwellness.org/healthtopics/gumdisease/gumgraftsurgery.cfm. Accessed September 13, 2017.

Periodontal (gum) disease: Causes, symptoms, and treatments. National Institute of Dental and Craniofacial Research website. Available at: https://www.nidcr.nih.gov/OralHealth/Topics/GumDiseases/PeriodontalGumDisease.htm. Updated September 2013. Accessed September 13, 2017.

Periodontal pocket reduction procedures. American Academy of Periodontology website. Available at: https://www.perio.org/consumer/pocket-reduction-procedures.htm. Accessed September 13, 2017.

6/2/2011 DynaMed Plus Systematic Literature Surveillance  http://www.dynamed.com/topics/dmp~AN~T905141/Treatment-for-tobacco-use : 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.