Connective Tissue Grafting

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


Pre-MIST2 Post_MIST2 Pre-MIST-Smile2 Post-MIST-smile2
Before After Before After


Pre-MIST3 Post-MIST3
Before After

Konikoff Periodontics

5 out of 5 stars based on 3 Connective Tissue Grafting reviews.

Our Latest Patient Testimonial

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

- Margaret L

5 out of 5 stars on

Our Latest Patient Testimonial

Love the beautiful photography! I never had to wait unlike other offices so I only got to flip through some of the books. My smile is better than ever thanks to the gum surgery!

- Jessica W

5 out of 5 stars on

Our Latest Patient Testimonial

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

5 out of 5 stars on