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 Periodontics

5 out of 5 stars based on 162 reviews.

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Expected some pain but actually had none! Amazing, great work & wonderful chairside manner!

- Tyra R

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Helpful

- Anonymous

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I was dreading my upper jaw bone grafting procedures. But I experienced virtually no discomfort during the surgery and none during the healing process. Also no bruising. Very professional practice!

- Joan L

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I had a great experience with a tooth extraction and bone graft for an implant. Everyone was so friendly and helpful.

- Tammy S

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Very friendly service, and clear explanations.

- Alron B

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Very professional visit.

- Jack K

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I've been with this office for over 15 years. The doctors and staff have been nothing but professional. When you come into the office you are made to feel welcome.

- Gloria B

5 out of 5 stars on

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Love the beautiful photography! I never had to wait unlike other offices so I only got to flip through some of the books. My smile is better than ever thanks to the gum surgery!

- Jessica W

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Dr. Bryen is fantastic. Loved the music, the singing and his demeanor. He put me at ease. I felt I was in good hands and I was right. A small amount of strange sedation on tounge when eat 2 weeks later. But I’m pretty sure not his fault. He did best he could. Hoping it goes away. Office was great and billing very cooperative in coding to save me money.

- Roy V

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Very satisfied with the level care I received.

- Paul D

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good

- WILLIAM A

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I was extremely happy that I was scheduled as quickly as I was. The dental hygienist was extremely kind and very sympathetic when she had to give me a Novacaine shot. Dr. Konikoff did an excellent job and I am very happy with the results.

- Susan J

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I had a tooth extraction and bone graft on the same day. The doctor and staff worked together and made me feel at ease. They gave me instructions and phone numbers to call if I had any questions for the doctor. I am still recovering but I am hopeful that everything is going to heal well and be fine. In 5 months I will be returning for an implant.

- Elizabeth M

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This was the best dental experience I have had in my life

- Raymond J

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Its all good

- Samuel S

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Very satisfied

- Phil D

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excellent care!

- Holly G

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I don’t have much interaction with the doctors. I see Jean and look forward to our visits. She takes the time to listen to me and genuinely cares for my overall well being!

- Reid D

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I love this place. Everyone is so friendly and they truly care about the overall health of your mouth.

- Sebrena J

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Great, friendly staff. Very welcoming experience.

- Brian L

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