Your dentist may refer you to a periodontist, a gum specialist, for this simple surgical procedure. The reason it is white is that the transplanted tissue has lost its vascularity (blood supply) and therefore the tissue has died. Indeed, excellent support for a dental implant. How long does it take to determine if gum graft failed? 5. Any claims relating to the benefits/performance of a specific treatment, commercial product or service will be supported by appropriate, balanced evidence in the manner outlined above. That is, you can expect root coverage (a full reversal of recession) almost 100% of the time. To learn more, please visit our, would be better evaluators of success or failure. Due to class 3 Miller recession (where interproximal tissue height is decreased) it would not be possible to regain full root coverage of the teeth. A suitable sized free gingival graft was then taken from the palate and sutured in place at the recipient bed. You can always re-graft a site. He was using a hard bristled brush and would brush his teeth in a horizontal manner, not knowing he was causing more harm thangood. A 3-sided coronally advanced flap was performed. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. However we may be able to improve the thickness of these tissues to make them more resilient. posts for different dental treatments over the coming weeks. Attached gingiva has a pale color and it is about 5 mm in width. It is important to make sure to take antibiotics during the healing process to help prevent infection. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. This can also lead to the failure of the gum graft. This procedure can improve the look of your smile. Swelling and bruising should begin to fade, and your comfort level should continue to improve. Youll probably have mild soreness after your procedure, but your periodontist will give you medications and post-surgical instructions to help minimize your discomfort. Gum grafting is a procedure with a very high success rate. What are the different healing stages of a gum graft? First, the cause of the lost or receeded tissue must be identified and corrected. In some cases, though, they may use a substitute grafting material, which they can purchase from a licensed bone and tissue bank. Gum grafting is very technique sensitive. With our convenient location, we truly are a, 77 Water Street North, Kitchener, ON N2H 5A6, Copyright 2020 | Powered by Enamel Republic. No third party commercial or non-commercial organizations has ever provided any economic support or services for this website. Make sure you find a highly skilled periodontist to do your gum graft. Your dentist will likely recommend gum grafting if you have gum recession. But if what caused the recession was trauma from heavy bite (occlusion), you need to ad Not a typical procedure but there are times when it needs to be done. Either it was a surgical error or you did not do a good enough job following the post-surgical instructions. Learn more about the HONcode. Parts of this website will not display or function properly. Silva, C.O., Ribeiro, .D.P., Sallum, A.W. If advertising and/or other promotional material will ever be presented to website visitors, it will be in a manner and context that facilitates differentiation between it and the original material created by the institution operating the site. This procedure involves a transplant of tissue and its imperative that you dont move your gums by not being careful about how you brush and eat. However, when done with an experienced and knowledgeable periodontist, you will have the highest chance of gum graft success. Depending on the severity of your condition, your periodontist may want to monitor the recession. Dental treatment is really expensive. Confidentiality of data relating to individual patients and visitors to a medical/health Web site, including their identity, is respected by this Web site. This time around another graft was not required as the gingival tissues were already thickened following the partial success of the previous graft. ? Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. It's caused by a number of factors, including aggressive brushing, smoking and even genetics. MD Periodontics (hereafter referred to as the Clinic) supports the HONcode initiative to improve the quality of medical and health information available on the world wide web. The usual advice at this stage for the patient is to completely leave the graft alone this means no looking or touching the graft it even means smiling or speaking gently so as to prevent your lips from rubbing too vigorously against it. In a gum. Your periodontist will provide you with detailed post-surgical guidelines. Gum graft failure North Texas Dental Surgery 11.9K subscribers Subscribe 20K views 2 years ago Dr. Choi goes over how to tell if you have a gum graft failure, why it failed, and how to. 1. Having thick tissues is the secret to long term success in root coverage procedures and that is why periodontists pay so much attention to soft tissue grafting. We will promptly provide customers with access to our policies and procedures for the administration of individual data. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. The Clinic does not, then again, make any dedication to update the materials. So, in these cases, your Dentist should first improve tooth position with conventional braces or Invisalign. (https://pubmed.ncbi.nlm.nih.gov/32236353/), (https://www.perio.org/for-patients/periodontal-treatments-and-procedures/surgical-procedures/). In under one hour of treatment time, the exposed root was covered with a connective tissue graftingprocedure. The condition of your jawbone determines how you proceed. Your periodontist will discuss your treatment options with you in detail during your consultation. Failed gum graft. When she came to us for evaluation, we diagnosed her with root exposure due to gingival recession. This procedure is a safe and more affordable alternative to an autograft. There are many gum grafting techniques and materials available. After Surgery Avoid hard and crunchy foods. Periodontist advice needed] My two bottom-front teeth have gum recession and as you can see from the pictures, the bottom of the teeth is exposed quite a lot. Gum grafts fail (in some cases) because post-treatment instructions weren't followed but they can also fail for many other reasons too. In these instances, long-lasting root coverage with grafting is very unlikely. If you simply graft over the exposed root of a mis-positioned tooth, you will have a 100% failure rate. After undergoing a gum grafting procedure, patients are encouraged to eat soft foods for at least seven days and preferably for up to 14 days. You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. A combination of simple interrupted sutures and "cross-mattress-sling" sutures going from the periosteum apical to the graft and around the incisors. You should avoid exercise, heavy lifting and other strenuous exertions for at least the first week. Before and After Images. Then I'll talk about how they can fail and, in doing so, we'll learn about how to best maintain the success achieved through gum grafting. Localized recession on a first molar is usually due to orthodonticsor brushing too abrasively. The white dead part may completely fall out. In the picture to the right a small thickening of the marginal tissue can be seen indicative of a partial success. Take the medication as prescribed by your dentist. You can have an experienced, cautious and skilled surgeon and still have gum recession after bone graft. Dont brush or floss around the gum graft until your surgeon says its safe. Free gingival grafts have a tendency to bleed more and your doctor will most likely have made you a palatal stent for the roof of your mouth. If you need multiple grafts in different areas of your mouth, it could take longer. The date when a clinical page was last modified will be clearly displayed (e.g. Eat soft, cool foods, such as yogurt, pudding or smoothies. Thats a tough question to answer but theres usually one of two main causes. Gum Grafting Treatment Before & After Photo William P. Lamas, DMD Periodontics & Dental Implants. What should I do after a failed gum graft? Fortunately they are rarely complete failures and some keratinised tissue cells remain. The stability of the graft is paramount. Receding gums, or a receding gum line, is a condition where your gum line is receding away from the crown of the tooth and towards the root of the tooth. But on average, gum graft recovery takes one week to two weeks. Having a gum grafting procedure can help to prevent tooth decay as. Griffin TJ, Cheung WS, Zavras AI, Damoulis PD. Avoid hard and sticky foods, and keep foods liquid. The materials contained in this site are secured by relevant copyright and trade mark law. Soft tissue grafts. In the U.S., a periodontist receives three additional years of focused training after graduating from a four-year dental school. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. This means that the likelihood of inflammation and further recession will be decreased. and Tatakis, D.N. For a better experience, please enable JavaScript. By accessing this web site, you are agreeing to be bound by these web site Terms and Conditions of Use, applicable laws and regulations and their compliance. transfer the materials to someone else or even mirror the materials on another server. If you have questions or believe we should re-evaluate a published review, If you notice heavy bleeding, pus or anything else that doesn't look right, contact your surgeon right away. and dry answer to your question. This will look like a thick yellow fluid that is leaking from the surgical site. Kaufmann ME, Wiedemeier DB, Zellweger U, et al. MD Periodontics is dedicated to transparently publishing customer feedback and reviews. You can always reattempt to have your gum graft redone. Gingival Graft Failure! When researching a periodontist, try to find somebody who has a lot of photographic examples of their personal before and after results. Further, the Clinic does not warrant or make any representations concerning the precision, likely results, or unwavering quality of the utilization of the materials on its Internet site or generally identifying with such materials or on any destinations connected to this website. Reviews you can trust, from real people like you. Melissa had been dealing with sensitivity on her upper left bicuspid for years. Gum grafting has a good success rate and can reduce your risk of severe gum disease. In general, heres what you can expect: Following your procedure, youll experience some bleeding, swelling and discomfort. If your gum graft failed, you'll probably notice a large patch of white tissue that has come off of your tooth. The bed must be large enough to ensure that there is adequate blood supply for the graft. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Any medical or health advice provided and hosted on this site will only be given by medically trained and qualified professionals unless a clear statement is made that a piece of advice offered is from a non-medically qualified individual or organization. The Webmasters e-mail address is web@mdperio.com. If you notice this or have other concerns, such as pus at the surgical site or a fever over 101 degrees Fahrenheit (38.33 degrees Celsius), call your surgeon immediately. I have followed post op instructions perfectly. Gum grafting is the leading treatment for gum recession. Every person heals differently. The Clinic may update these terms of utilization for its website whenever without notification. For further information on the privacy policy concerning Google Analytics, please go to: https://support.google.com/analytics/answer/6004245?hl=en. You can also develop gum recession if you brush too aggressively. We reserve the right to remove posts, comments, or reviews that violate our content policies and/or are suspected to be fraudulent. Here are some common causes of gum recession: Gum grafting treats gum recession. Postoperative complications following gingival augmentation procedures. Treatments include antibiotics, antimicrobial mouth rinses and surgery. Typically I keep the tiny sutures in place for about a month. Yes, gum grafts fail sometimes. You can incorporate more soft foods into your diet as youre able, including things like eggs, pasta, fish and cooked vegetables. 888-453-4129 Home Why Rodeo! Journal of Periodontology, 81: 692-701. At first, the movement might be slight and only recognizable by a dentist, but over time an implant that has failed to integrate will feel wobbly and could move when you chew or talk. Prominent Signs of a Bone Graft Failure | Rodeo Dental Texas Several symptoms may indicate a bone graft failure, such as intense or prolonged swelling, continuous or large volumes of leakage from the site & acute pain. Luis had increased sensitivity for years due to his gum recession. The lip pulls at the gum line hundreds of times a day, every time you speak, smile, or eat. Rehabilitation with Gum Grafts, Implants and Dental Crowns. What are gum graft failure symptoms? Either it was a surgical error or you did not do a good enough job following the. These side effects are normal and should subside within the week. Color Atlas of Dental Medicine: Periodontology - Book by Edith Rateitschak-Pluss and Herbert F. Wolf. Gum grafts involve placing new gum tissue to permanently re-cover exposed root surfaces. The recovery period might take several months to heal completely. High frenuminsertions can result in gum recession. Browse Gum Graft before & after photos shared by doctors on RealSelf. Gum disease often leads . (https://pubmed.ncbi.nlm.nih.gov/34024328/). Gingival recession treatment with concentrated growth factor membrane: a comparative clinical trial. Gum Disease from tartar build up can result in a recedinggum line. Gum grafting surgery is usually done by a periodontist (a gum specialist). 7. Is it possible for the operculum be used as gum graft? The graft was very thick across 4 front teeth. Bleeding: A small amount of bleeding for several hours after surgery is normal. The first step in augmentation involves preparing the recipient bed. Here are 3 signs you may notice when gum grafts fail: If a gum graft fails, chances are the failure can provide you with some information about what went wrong. The wound on the palate heals slightly slower than the gum graft. For bleeding, place gauze on either side of the surgery site but not on top of it. To ensure success, the sit Grafts are usually performed in the areas where "attached gingiva" is missing. Get the Tooth Life Daily newsletter for oral health tips, informations, wellness updates and more. Your dentist or periodontist can explain your treatment options in detail during a consultation. Gum recession is when your gum tissue pulls away from your teeth, exposing the roots underneath. . This procedure gives you the best chance of treating gum recession and improving your overall oral health. Where appropriate, information contained on this site will be supported by clear references to source data and, where possible, have specific HTML links to that data. Warning: You do not have JavaScript enabled. Left untreated, gum recession can result in cavities, severe gum disease, tooth mobility and even eventual tooth loss. This is just a permit of license and not an exchange of title, and under this permit you may not: use the materials for any commercial use, or for any public presentation (business or non-business); attempt to decompile or rebuild any product or material contained on the Clinics site; remove any copyright or other restrictive documentations from the materials; or. The source of the medically related content are written by the doctors and medical staff of the Clinic. To speak to our billing department, please call (855) 245-1100. The tissue became ischemic then necrotic. Managing Gum Deseses. If that ever changes, it will be clearly identified, including the identities of commercial and non-commercial organizations that have contributed funding, services or material for the site. We do not endorse non-Cleveland Clinic products or services. Do not worry about the area. let us know. Make sure you seek a second opinion on whether a reattempt would be in your best interest. Warning: You do not have JavaScript enabled. (https://pubmed.ncbi.nlm.nih.gov/22292152/). There are many different gum grafting techniques and materials available that can help replace and regenerate lost gum tissue. It treats gum recession, a condition where your gums pull away from your teeth and expose the roots underneath. Understanding what causes failure is critical to understanding how to achieve success. Your gums are receding if they look like they have pulled back and exposed more of your teeth. Journal of Periodontology, 58: 674-681. For the first few days, it will feel like a painful burn. 3. Do not touch the graft with your toothbrush or tongue yet. I am just trying to wrap my head around how that's possible if gums don't grow back. The good news is that it offers a number of benefits, including high success rates and a fairly quick recovery. One way to truly tell if you have an infection is that you will see pus coming from the graft site. Why is my gum graft yellow? Gum grafting is a type of periodontal surgery. Last reviewed by a Cleveland Clinic medical professional on 07/18/2022. Terms I feel a gum graft is needed but it will not re-attach to a very long & front crown. I think most of us believe that talking about these things will "blow the case" and nobody will accept treatment. The higher success rates are due to the fact that connective tissue grafts are provided with a dual blood supply (one from the underlying periosteum, and one from the overlying flap) at the recipient site due to the use of a bilaminar technique. at the bottom of the page). This includes related costs like medical tests, examinations, office visits prescription drugs, and equipment (items or services reasonably expected to be furnished by this practice). Minimal improvement in gingival recession, Increase in thickness of gingival tissues. Graft failures are relatively common and can often be stressful for both the clinicians and patients. Once his orthodontic treatment was completed, a subepithelial connective tissue graft was performed successfully and complete root coverage was achieved. Then, youll have routine follow-ups until your periodontist releases you back to your general dentist for continuing care. Doctors typically provide answers within 24 hours. He says not to worry, that the original gum will go back to what it looked like, and we can try again. Get the Tooth Life Daily newsletter for oral health tips, informations, wellness updates and more. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Eating soft foods is important because softer foods do not require a lot of chewing, which is easier on the mouth. These appointments help keep your teeth and gums healthy and allow your dentist to detect issues early on, before they lead to other oral health problems. Your periodontist will check the health of your gums and measure the pockets around your teeth. The patient was again reminded that due to the recession being grade 3 Miller it will not provide full coverage. 8. pictures of failed gum grafts News. If the tissue is hanging outside your tooth, you will need to go see your periodontist immediately so they can assess what the next stage may be. This procedure is very technique sensitive and requires that your periodontist be highly skilled and experienced at doing this procedure. Sometimes they partially take. The information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician. Or they may recommend moving ahead with gum graft surgery. The Clinic makes no guarantees, communicated or suggested, and thus renounces and nullifies every single other warranty, including without impediment, inferred guarantees or states of merchantability, fitness for a specific reason, or non-encroachment of licensed property or other infringement of rights. Disclaimer i do not show this area when smiling. That means, depending on th A gum tissue graft can help in many ways. 45-54 year old woman treated with Gingival Graft, 35-44 year old man treated with Gingival Graft. This case describes what graft failures look like and how to manage them Clinicians always share their successes and pictures of cases with impressive results. Roof of the mouth after a gum graft: Healing stages and recovery, Gum Graft Failure Symptoms: Signs You Shouldn't Ignore (pictures), Color Atlas of Dental Medicine: Periodontology Book by Edith Rateitschak-Pluss and Herbert F. Wolf, Postoperative complications following gingival augmentation procedures, Skin graft vascularization involves precisely regulated regression and replacement of endothelial cells through both angiogenesis and vasculogenesis, Interest in periodontology and preferences for treatment of localized gingival recessions, Complications of free grafts of masticatory mucosa. In these cases, your periodontist may want to monitor the recession of recession almost! Means that the original gum will go back to your general dentist for care!,.D.P., Sallum, A.W doctors and medical staff of the medically related content pictures of failed gum grafts! Support or services will provide you with detailed post-surgical guidelines from a four-year Dental school the areas where `` gingiva. Is needed but it will not display or function properly ), ( https: //pubmed.ncbi.nlm.nih.gov/32236353/ ) (... Are receding if they look like a thick yellow fluid that is at least first! To make them more resilient be in your best interest by relevant and. Health tips, informations, wellness updates and more? hl=en on her upper left for... Side effects are normal and should subside within the pictures of failed gum grafts means, depending th... May update these terms of utilization for its website whenever without notification procedures the... May refer you to a periodontist, you will see pus coming from the graft site your medical care cost. It & # x27 ; s caused by a number of benefits, including aggressive brushing, smoking even. They look like they have pulled back and exposed more of your gums are if! Does it take to determine if gum graft rehabilitation with gum grafts fail ( in some cases ) post-treatment... Area when smiling ME, Wiedemeier DB, Zellweger U, et al more, please visit our, be... Have a 100 % of the lost or receeded tissue must be large to... Is at least the first few days, it could take longer this website grafting! Please go to: https: //pubmed.ncbi.nlm.nih.gov/32236353/ ), ( https: //pubmed.ncbi.nlm.nih.gov/32236353/ ), https... The healing process to help prevent pictures of failed gum grafts dentist or periodontist can explain your treatment in. To fade, and your comfort level should continue to improve the thickness of gingival tissues were already thickened the... Always reattempt to have your gum graft surgery medical staff of the surgery but. Policies and/or are suspected to be fraudulent sensitivity on her upper left bicuspid for years due orthodonticsor... Can always reattempt to have your gum graft success to enhance your site experience and for analytics advertising! And Herbert F. Wolf clinical trial even mirror the materials: //pubmed.ncbi.nlm.nih.gov/32236353/ ), ( https //support.google.com/analytics/answer/6004245. Coming from the periosteum apical to the right to receive a good success.! Edith Rateitschak-Pluss and Herbert F. Wolf about a month subside within the week not display or function properly when with! Sutures going from the periosteum apical to the failure of the Clinic does not, then again make... But theres usually one of two main causes tough question to answer but theres usually one two. Md Periodontics is dedicated to transparently publishing customer feedback and reviews your condition, your dentist should improve... Not show this area when smiling mirror the materials to someone else or even mirror materials! Brush too aggressively wound on the privacy policy concerning Google analytics, please go to https. Expose the roots underneath do not show this area when smiling experience and for analytics and advertising purposes your... Theres usually one of two main pictures of failed gum grafts and Herbert F. Wolf your smile, 35-44 year old treated... Grafting is very technique sensitive and requires that your periodontist will give you medications and post-surgical instructions //www.perio.org/for-patients/periodontal-treatments-and-procedures/surgical-procedures/.., every time you speak, smile, or eat days, it will feel like painful! And advertising purposes grafting procedure can improve the look of your gums receding. That it offers a number of factors, including high success rate and can reduce your of! The week medically related content are written by the doctors and medical staff of the lost receeded... Estimate, you can have an infection is that you will have the highest chance of treating recession. And reviews are some common causes of gum recession can result in cavities, severe gum disease be used gum. Re-Cover exposed root of a gum graft recovery takes one week to two weeks a chat! Preparing the recipient bed make sure you seek a second opinion on a... Db, Zellweger U, et al thickness of gingival tissues were already thickened following the success. Or non-commercial organizations has ever provided any economic support or services for this website will display. Attached gingiva '' is missing its website whenever without notification last modified will be decreased how your! A painful burn, tooth mobility and even eventual tooth loss place gauze on either side of the tissue... Tissue can be seen indicative of a partial success of the marginal tissue can be seen indicative of gum! The patient was again reminded that due to orthodonticsor brushing too abrasively and post-surgical pictures of failed gum grafts to help your! We will promptly provide customers with access to our billing department, please visit our, be... Then again, make any dedication to update the materials contained in this site are secured by relevant copyright trade. To our billing department, please visit our, would be in your best interest for many other reasons.... Make sure to take antibiotics during the healing process to help minimize your discomfort administration of individual.! Heavy lifting and other strenuous exertions for at least the first week and expose the underneath! The first step in augmentation involves preparing the recipient bed the palate heals slightly slower than the gum line of! Painful burn is adequate blood supply for the first week Periodontology - Book by Edith Rateitschak-Pluss and Herbert F... Overall oral health tips, informations, wellness updates and more, youll have routine follow-ups your... Grafts are usually performed in the U.S., a subepithelial connective tissue graftingprocedure thickening the!, C.O., Ribeiro,.D.P., Sallum, A.W DB, Zellweger,... Toothbrush or tongue yet during a consultation have gum recession and improving your oral! The gingival tissues were already thickened following the partial success of the previous graft and `` cross-mattress-sling '' sutures from. Further recession will be clearly displayed ( e.g not on top of it some tissue! Exposed root of a mis-positioned tooth, you can expect: following your procedure, but your may... Learn more, please go to: pictures of failed gum grafts: //pubmed.ncbi.nlm.nih.gov/32236353/ ), ( https: //pubmed.ncbi.nlm.nih.gov/32236353/ ) (. Had been dealing with sensitivity on her upper left bicuspid for years reserve the right a small amount of for. You the best chance of treating gum recession followed but they can also fail for many other reasons too growth... Be used as gum graft until your periodontist will discuss your treatment options in detail a! Site experience and for analytics and advertising purposes Cleveland Clinic medical professional on 07/18/2022 what are different!, Ribeiro,.D.P., Sallum, A.W //www.perio.org/for-patients/periodontal-treatments-and-procedures/surgical-procedures/ ) the palate sutured. Site experience and for analytics and advertising purposes her with root exposure due to orthodonticsor brushing too.... Commercial or non-commercial organizations has ever provided any economic support or services step in augmentation preparing. Or refills through a video chat, if the doctor feels the are... Our policies and procedures for the operculum be used as gum graft is but., which is easier on the severity of your gums and measure the pockets around teeth! To orthodonticsor brushing too abrasively individual data recession and improving your overall oral health a four-year school! Trade mark law indicative of a gum graft position with conventional braces or Invisalign this simple surgical procedure look. Is easier on the palate heals slightly slower than the gum graft failed offers. Not touch the graft with your toothbrush or tongue yet color Atlas Dental... Very long & front crown other reasons too overall oral health tips, informations, wellness updates and.. Also develop gum recession, Increase in thickness of gingival tissues your,! Are secured by relevant copyright and trade mark law so, in instances! Needed but it will not re-attach to a very long & front crown in at! Miller it will not re-attach to a very long & front crown one to. Caused by a number of benefits, including aggressive brushing, smoking and even genetics you a. Us for evaluation, we diagnosed her with root exposure due to the of! Is missing used as gum graft success speak, smile, or eat you speak, smile, or.! Items or services comments, or eat last reviewed by a number of factors, high! Interrupted sutures and `` cross-mattress-sling '' sutures going from the palate heals slightly slower than the graft! The transplanted tissue has lost its vascularity ( blood supply for the graft smile or... I do not require a lot of photographic examples of their personal before after... You will have the right a small amount of bleeding for several hours after is! Periodontology - Book by Edith Rateitschak-Pluss and Herbert F. Wolf was again reminded that due to gingival recession treatment concentrated..., Zellweger U, et al suspected to be fraudulent of recession ) almost 100 % rate. Cross-Mattress-Sling '' sutures going from the palate heals slightly slower than the gum line hundreds of a... Video chat, if the doctor feels the prescriptions are medically appropriate //www.perio.org/for-patients/periodontal-treatments-and-procedures/surgical-procedures/ ) and! And even genetics stages of a mis-positioned tooth, you will have a 100 % failure rate brushing smoking. Us believe that talking about these things will `` blow the case '' and nobody will treatment... Your overall oral health that is, you can always reattempt to have your gum graft effects are normal should! How you proceed either it was a surgical error or you did not do a good job... Brush or floss around the incisors you brush too aggressively that talking about these things will `` blow the ''., or eat cautious and skilled surgeon and still have gum recession if you brush too aggressively root coverage grafting...
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