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 285 reviews.

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Dear Dr. Konikoff, I want to thank you and your team for your kindness, compassion, helpfulness, and professionalism today. I finally got a tooth extracted I did not want to separate from, but realized the time was now with this COVID-19 crisis and schedules has slowed down. Today, you and your team put me at ease with virtually no pain! You took care of me from the time I made the appointment until I left your doors. Everything was taken care of! Your nurse was able to call in my prescription 40 minutes before the pharmacy closed at 5:00 p.m. in Chesapeake and I made it into the parking lot at 4:57 p.m. and pulled out of the curb-side service at 4:59. Traffic was in my favor, too. I would say God was looking out for me on ALL angles (smile). God bless you and your team! Thank you.

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Everyone was very nice and made me feel easy during the visit and answered any questions and concerns I had. Dr. Bryan was really nice and put me at ease.

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Very good, pain-free start toward implant.

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Everyone is so very nice and always has a smile on their faces. Jean is exceptional as always.

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Joy, is a Joy, very pleasant, gentle, professional, extremely knowledgeable. Love the way she hums along with the music, adding her own little twists here and there.

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The staff was very attentive to my needs.

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Excellent practice

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First visits were great. Looking at a long term implant procedure.

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- Ginny F

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Very professional practice, willingness to address concerns and explain treatment options in layman's terms. Looking forward to having my periodontal problems fixed.

- Anita V

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I think my five star ratings say it all.

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I really appreciate having the same hygienist all the time. We have an ongoing relationship and can talk freely about my ongoing care.

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- Anonymous

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Great office

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Albert and the gang are the bomb diggity!

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As scared as I was, Dr Konikoff & his staff were amazing. Helped me relax by talking to me the entire time. I can label this "painless dentistry". If I ever need his expertise I will go back to him.

- Linda K

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Great service with professional courtesy.

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Amazing people!

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Great professionalism exhibited by all!!

- Richard Prutsman J

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My Dental Hygienist is Jean. i particularly commend her because she noticed on my annual x-rays a cracked tooth which I subsequently had extracted.

- Peter W

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