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 141 reviews.

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I have really donot like going to see tthe dentist, not because of the dentist, but because of what I did not do to take care of my dental health. Thank you for being so kind.

- Sam E

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PAOO procedure went very well!!

- Mary K

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Smoothly run office, relaxed atmosphere and was made aware of what was going on in my procedure

- Patricia S

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Dr Bryan, Heather and staff make an unpleasant task, easy and bearable. I would not hesitate to recommend this office to friends and associates.

- Pattie C

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Everyone was very friendly and made the procedure as low stress as possible. The Dr explained what he was doing as he went along. I was given clear instructions for post op care.

- Lynette G

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Happy patient for more than 25 years!

- Catherine C

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Always very professional and courteous

- Vicki W

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They do everything well, from making an appointment to follow-up.

- Peggy P

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This team was just overall a great team to work with. Everyone made this process easy and quick. I'm so happy they were recommended and I was able to go there for my dental needs!

- Brittany B

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Wonderful

- Lena P

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Everyone very professional

- Taneshia S

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Excellent staff and service.

- Erich G

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This is my 5th treatment with Dr. Salzburg. She and all staff are highly skilled and personable in a way that puts a patient at ease in an inherently difficult circumstance. I've always left feeling grateful to have this dental care resource available

- Jack S

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I have been a patient of Dr. Konikoff for years, the best periodontal practice in the area!!! Love the staff! Joy, my hygienist is great!!!

- Betty A

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Everyone in office is very professional and kind.

- Glenda P

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Been working with the Konikoff family for over 20 years.

- Sean B

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Dr. Konikoff is an excellent Dr; patient and kind. He listen to all your concerns and make sure you understand what's being done to you during the visit. He surprised me when he called me the night of the procedure making sure I was not in so much pain. That was so sweet of him 🙂

- Thouraya M

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the best dental care in tidewater!

- barbara r

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GOOD CARE !

- ALKA J

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I am very pleased with all the procedures I have received over the years

- Terrence D

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