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 13 reviews.

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Well Done!

- Efren M

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Great experience I was nervous due to not being a huge fan of the dentist.

- Ryan B

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Got in quickly and the procedure was relatively painless

- Ted L

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Everytime I go, everyone makes me feel right at home. Keep up the great work all.

- Gene S

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Dr. Salzberg and the staff of hygienist and office staff are courteous and very professional.

- Don M

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I cannot tell you what a pleasant experience I had in your office. I know that sounds crazy for someone having a tooth/ root extraction... but I really did. Everyone I encountered was friendly and helpful. I especially enjoyed Dr. Konikoff’s singing. I felt like (in my drug induced haze) if HE is having fun, then I am having fun! Lol. You can tell he truly loves what he does and is really good at it. Thanks for the great care!!

- Kara B

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Every one that helped me was GREAT. dr Konikoff very kind and VERY professional defenetly now his job

- Yossi G

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Joy was my hygienist and she made sure this procedure was comfortable for me. I was very apprehensive prior to my appointment. She explained each step of the process and allowed me to take a restroom break about half way through my 2 hour appointment. She check with me several times throughout the visit to make sure I was comfortable and not in pain. My anxiety level is greatly reduced about my next appointment in a few weeks. I know they will take good care of me.

- Mary W

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Been with this practice 51 years. Not going any where else. This is the best;

- J R

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My hygienist for my first session told me what was going to happen before she did it. I was very nervous but she quickly put me at ease with her chair side manner.

- Carol v

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It was nice to get good personal and friendly treatment at a dentist office.

- Cristina H

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Procedure was fast and almost pain free.

- Morisa W

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I’ve been going here for years and the care I receive is always excellent.

- Judith S

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