Minimally Invasive Gum Grafting

When recession of the gingiva (“gum”) occurs, the body loses a natural defense against both bacterial penetration and trauma. In addition, gum recession often results in root sensitivity to hot and cold foods as well as an unsightly appearance to the gum and tooth. Gum recession, when significant, can predispose to worsening recession and expose the root surface, which is softer than enamel, leading to root caries and root gouging. When gum recession is a problem, gum reconstruction using grafting techniques is an option.

Of all the procedures at the disposal of the periodontal plastic surgeon, none has more far reaching ramifications than the connective tissue graft. Not only is it more comfortable for the patient and produces a better color match, but also is more predictable in its ability to cover root surfaces. There are many modifications of the initially reported technique. The one that we have refined and now use can be described as the minimally invasive subepithelial tissue graft (MIST) graft. It is appropriately named minimally invasive, because a single incision is made in the palate, and this is sutured closed, and the gum tissues in the areas of recession are only separated from the teeth rather than removed. Because no incisions are made on the outside of the gums, there is no scarring and the color match is excellent, therefore you can often not tell that a procedure was done, except that the root is now covered. This procedure enables us to predictably enhance the cosmetics of our cases by reestablishing the symmetry of the smile and can be used in conjunction with restorative dentistry to create an optimum result.

Case 1

Pre-MIST Post-MIST Pre-MIST-Smile Post-MIST-smile
Before After Before After

CASE 2

Pre-MIST2 Post_MIST2 Pre-MIST-Smile2 Post-MIST-smile2
Before After Before After
 

CASE 3

Pre-MIST3 Post-MIST3
Before After

Konikoff Salzberg Periodontics

5 out of 5 stars based on 50 reviews.

Our Latest Patient Testimonial

I would highly recommend this place to anyone. Dr. Salzberg is a total gem! My kids appreciated that she explains everything she is doing before she proceeds. She was fast, thorough, and surprisingly gentle. She even gave out her personal cell phone just in case the kids had complications. Thank you to the complete staff! Your office made my children's experience a good one.

- Mary C

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Joy gave me the best cleaning I Have had in years, so much so I scheduled another appointment & will continue with her. Also my implant procedure is going well

- Michael M

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This will be my second time for an implant, (different tooth). Dr. Albert Konikoff was awesome and I have no reservations in returning to his excellent care for this 2nd implant. His staff is also very courteous and friendly. He was also recommended by my dentist as the best in the field.

- Kathleen R

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Dr. Salzberg was both kind and professional. I was very impressed with the service I received.

- Catherine c

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So far going well, still have more to be done.

- Richard S

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Professional, easy

- Jerry B

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I had a great experience. Everyone is so nice and my hygienist was very informative. I look forward to my yearly cleanings.

- Anonymous

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Fast to attain an appointment Very fast recovery time because of superior work

- William T

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Great office and staff. Dr Bryan Konikoff was great!

- Dr. Jeanette S

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was recommended by Dr. Trey White and will be scheduling for the bone graft and extractions very soon. Thank you getting me in so quickly !!!!

- Ernest Sammons

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Great as always

- Jeanette G

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All the staff are so nice and helpful, Dr. Salzberg is very informative about the procedure and explains all options.

- Joesph M

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I love this place!

- Judy F

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This experience was so simple. A cover was made for the roof of my mouth on the day of surgery which alleviated discomfort. My results are exactly as I had hoped. I highly recommend contacting Konikoff Salzberg to anyone needing dental care.

- Linda S

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Any type of medical visits always make me a little nervous, but the staff was extremely friendly and made me feel very comfortable. I will definitely be returning in the future if their services are needed!

- Krystle B

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Coming here has made my life so much more enjoyable. Eating and drinking was at times very painful and unpleasant. But with their help and of course my cooperation has improved my life 100%. I can't thank them enough.

- Debra M

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My experience overall was very positive, although I did have to wait longer than expected.

- Matthew V

4 out of 5 stars on

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Very professional and nice to deal with. Incredibly patient with explaining everything and an overall wonderful visit.

- Kathleen V

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I travel from Williamsburg to see Jean and have been doing this for many, many years. She is superb.

- Gladys G

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Dr. Salzberg was extremely professional and understanding. She even took the time to call me hours after my procedure to see how I was doing.

- Len F

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