Odontologia Cosmética, Implantes y Procedimientos con Laser por Carlos Boudet, DDS, FICOI

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 GINGIVAL (GUM) GRAFT
In this procedure, gum tissue is moved from one part of the mouth (usually the roof of the
mouth, close to the molars) and placed on the area where it is needed.
The surgery is done after anesthetizing the areas.  The recipient site is prepared. 
Donor tissue is taken and placed on the prepared recipient site.  A dressing is usually
placed to protect the area during the first week of healing, and no brushing is allowed in
the area of the dressing.
Moderate discomfort may be present when the anesthesia wears off.  Take the first
dose of your pain medication before the numbness goes away.  The day after the surgery
you may need only two aspirins or Tylenol® for any discomfort, taken with lots of liquid
every 3 to 4 hours as needed.
Soreness may persist for up to two weeks.  Avoid irritating the surgical sites and
eating spicy foods.
The dressing will be removed one week after the surgery but the graft does not heal
completely until after several weeds.  After the dressing is removed you need to start
gently cleaning the teeth in the area of the surgery to promote faster healing.  A Q-tip®
moistened with water or a medicinal mouthrinse such as Listerine® or Peridex® should
be used to rub gently the necks of the teeth to keep the area of the surgery clean until the
gums heal enough that you can brush comfortably.
The success of the grafts to increase the amount of gum tissue is very high, but
covering exposed root surfaces is less predictable.  If root coverage is important in your
particular case, additional grafting procedures may be necessary six to eight weeks
following the initial surgery.

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