Bone Grafting and Gum Surgeries

What are Regenerative surgeries ?

A wisdom tooth, in humans, is any of the usual four third molars. Wisdom teeth usually appear between the ages of 16 and 25.Most adults have four wisdom teeth, but it is possible to have fewer or more, in which case the extras are called supernumerary teeth. Wisdom teeth commonly affect other teeth as they develop, becoming impacted or “coming in sideways.” They are often extracted when this occurs.
Regenerative procedures are also used in order to place dental implants. In order to place a dental implant, the bone has to be thick enough to support it. Sometimes when the bone is too thin, we can augment the area with a bone graft in an effort to regain the bone thickness needed. This procedure involves placing the bone graft material under the gum tissue to the desired thickness. The bone graft is sometimes mixed with growth factors to help accentuate the healing process. A membrane is then placed over the bone graft and the area is sutured to allow for undisturbed healing. Think of a membrane as a “Band-Aid” that covers the bone to help hold it in place while healing takes place. Approximately, 3-6 months later the bone will have healed enough to support the placement of a dental implant.

What is Free Gingival soft tissue Graft ?

A free gingival graft is a dental procedure where a small layer of tissue is removed from the palate of the patient’s mouth and then relocated to the site of gum recession. It is sutured (stitched) into place and will serve to protect the exposed root as living tissue. The donor site will heal over a period of time without damage. This procedure is often used to increase the thickness of very thin gum tissue.

What is an Alloderm Graft ?

An acellular dermal matrix (such as Alloderm) graft uses donated medically processed human skin tissue from Tissue Bank as a source for the graft. The advantage of this procedure is no need for a palatal donor site.

What is Crown Lengthening and why is it done?

Crown lengthening is a surgical procedure performed by a dentist to expose a greater amount of tooth structure for the purpose of subsequently restoring the tooth prosthetically.[1] This is done by incising the gingival tissue around a tooth and, after temporarily displacing the soft tissue, predictably removing a given height of alveolar bone from the circumference of the tooth or teeth being operated on.
Biologic Width : It is the height between the deepest point of the gingival sulcus and the alveolar bone crest. This distance is important to consider when fabricating dental restorations, because they must respect the natural architecture of the gingival attachment if harmful consequences are to be avoided.
The biologic width is patient specific and may vary anywhere from 0.75-4.3 mm. it is often recommended to remove enough bone to have 3mm between the restorative margin and the crest of alveolar bone.[3][4][5] When restorations do not take these considerations into account and violate biologic width, three things tend to occur:

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