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 255 reviews.

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Even for extensive procedures, I felt very much at ease.

- Jeannemarie S

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Great visit. Started right on time. Very professional service from the entire staff, especially my Joy, my hygienist.

- Tommy J

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Jean was excellent in my scaling. It was not as bad as I thought it would be. She recommended a toothbrush and I was not sure which kind of that particular brand. She went out of her way to go to the store and check out which toothbrush and texted me the picture. Kudos to Jean.

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Everyone was so great

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Friendly, efficient staff.

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Dr. Konikoff was amazing. My procedure had no complications and I barely had any pain. He was very professional and the best thing is that he called later during the day of procedure to check on me. I really appreciate them and they were very flexible with the scheduling. I highly recommend them.

- Hadi R

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Great service, will continue to come back!

- Ronald J

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Procedure went smoothly and recovery was very easy.

- John M

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Excellent service.

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Overall, staff was courteous. I was taken back fast, very little wait time. Clean office. Knowledgeable doctors and staff to answer all questions.

- Elizabeth Z

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Great Doctor care!

- Dean M

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I had a tooth with a crown extracted. The Dr was very well prepared and the procedure went as he had previously described. There was no pain during the procedure and I had very minimal discomfort after leaving the office.

- James S

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A pleasurable experience with a highly professional organization.

- David B

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I have been coming to your facility since 08/03/2010 and always get treated courtously and politely with positive corrective action needed to improve my mouth. My dental hygentist Patty is extremely meticulous. If you look up that word in the dictionary you will see a picture of her smiling.

- Andrew R

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I love coming here to have my teeth clean. The building is always clean. Staff is professional and friendly. They make sure I am comfortable by being gentle when doing my cleaning and making sure I am ok. They are always patience and never rush when doing a procedure.

- Sonya W

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Excellent service by all staff members

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Professional, caring staff. Little wait time and efficient treatment. Dr. Albert is knowledgeable and kind.

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I’ve been coming back for treatment since my oral surgery in 1993. I would not want to go anywhere else. Joy has taken care of me for 26 years and has consistently done a superb job.

- Larry D

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From first entering the office to when I left I encountered nothing but professionalism, kindness, and courtesy. A 100% class act. Dr. K. Immediately put me at ease by his professional manner and clear explanation of exactly what my choices were and what it would entail. Such a lovely man. Of course I was s bit fearful since this was my first time visit recommended by my Dentist, but when I left, I could do nothing but smile and felt totally safe in the hands of this team of experts.

- Trish A

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Staff are friendly, professional, caring. Dr. Albert is fantastic. He even called in the evening to see how I was doing.

- Margaret K

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