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

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I was brought back to the exam room at the scheduled time. The Doctor was patient with my questions and explained to me the various options I had.

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The staff was professional and friendly. The doctor was professional, and took time to explain the procedure. He also was available for questions.

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Dr Konikoff gave a thorough explanation of procedure and made sure I was comfortable on the day of the procedure.

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Supportive staff

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Very professional care. No delays or waiting. Instructions were clear after procedure and physician explained well before procedure what to expect . Thank you!

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I had a very good visit.

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Yes

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Very gentle and through

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I have been going here for years. Everyone is always friendly and eager to make sure you are comfortable and cautious to keep the process as pain free as possible.

- Elizabeth H

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Patricia was terrific. She explained things very clearly. She shared a lot of information to help me continue to care for my teeth long term. She took care not to cause discomfort.

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He did what he said he was going to do. Great job.

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SATISFIED

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Little or no pain after procedure

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No pain at all. Day 3-4 was a little achy, but no pain

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Staff and Dr. are very kind and knowledgeable.

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