Periodontal Surgery -- Soft Tissue Graft
(Guided Tissue Regeneration)
Reasons for Procedure
- Cover tooth roots that are exposed, which can lead to bone loss and decay
- Reduce tooth sensitivity
- Even out gum tissue due to reduce further recession
- Tooth sensitivity
- Changes in gum appearance; uneven gum line
- Graft failure
- Reaction to the sedation medications
- Nausea and vomiting
What to Expect
Prior to Procedure
- Tell your periodontist of any recent changes to your health, medications, allergies, or supplements.
- Take your prescription medications unless your periodontist says otherwise.
- Talk to your periodontist about any medications you take, including over-the-counter medications. You may need to avoid certain medications as advised by your periodontist.
- You may be asked to take an antibiotic prior to having surgery.
- Sometimes sedative medications are used to make you more relaxed during surgery even though you are awake. If you are undergoing conscious sedation, you will be asked to not eat for at least six hours before surgery. Otherwise, you can have a normal diet.
- Arrange for a ride if you are having sedation.
- Remove contact lenses.
- Wear comfortable clothing.
- Bring paperwork as directed.
Description of Procedure
How Long Will It Take?
How Much Will It Hurt?
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Rest as needed.
- Take medications as directed. Over-the-counter medications for pain, like ibuprofen, may be used.
- Apply ice to your face over the area of surgery for 20 minutes at a time to reduce pain and swelling. Wrap the ice in a towel. Do not place the ice directly on your skin.
- Drink plenty of fluids.
- Eat small amounts of soft or pureed foods.
- Do not smoke, rinse your mouth, or use a straw.
- Apply dressings or gauze to the area as directed to absorb blood and saliva.
- Do not exercise for a few days as directed.
- Do not drive if you took any sedative or narcotic pain reliever.
- Be sure to follow your periodontist’s instructions carefully.
- Follow-up with your periodontist or dentist as directed.
Call Your Periodontist
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, a lot of bleeding, or any unusual discharge from the surgical site(s)
- Pain and swelling that is not controlled with the medications given
- The dressing or stitches become loose or are uncomfortable
- Loose tissue
- Continued swelling after 48 hours
- Other new symptoms, allergic reactions, or concerns
- Persistent nausea and/or vomiting
American Academy of Periodontology http://www.perio.org
National Institute of Dental and Craniofacial Research (NIH) http://www.nidcr.nih.gov
Canadian Dental Association http://www.cda-adc.ca
The Canadian Dental Hygienists Association http://www.cdha.ca
American Academy of Periodontology website. Available at: http://www.perio.org. Accessed April 19, 2010.
Carson De-Witt R. Periodontal disease. EBSCO Patient Education Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16&topicID=1034. Published September 1, 2009. Accessed April 21, 2010.
National Institute of Dental and Craniofacial Research (NIH). Periodontal (gum) disease. National Institute of Dental and Craniofacial Research (NIH) website. Available at: http://www.nidcr.nih.gov/OralHealth/Topics/GumDiseases/PeriodontalGumDisease.htm. Accessed April 19, 2010.
Pre and postoperative instructions for periodontal surgery. Kathie L. Davis website. Available at: http://www.kldaviesperiodontist.com/images/WEB%5FPRE%5F%5FAND%5FPOST%5FOP%5FINSTRUCTIONS.pdf. Accessed April 19, 2010.
University of Maryland Medical Center. Periodontal disease. University of Maryland Medical Center website. Available at: http://www.umm.edu/patiented/articles/what%5Fprocedures%5Ftreatment%5Fof%5Fperiodontal%5Fdisease%5F000024%5F8.htm. Accessed April 19, 2010.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael Woods, MD
- Review Date: 09/2013 -
- Update Date: 00/12/2013 -