Difference between an FGG and CTG?
Experiencing gum recession is normal. Many patients show signs of receding gums from over brushing or poor dental hygiene. However, when the gums begin to recede to significant levels, it can make the teeth appear unsightly or cause severe pain. Patients will then often seek a periodontal gum graft procedure.
What is Gum Recession?
Gum recession occurs when the tissues supporting the teeth become inflamed, infected, destroyed, or decayed. The gum tissue shrinks in response, blood flow to the area slows, and the tissues slinks down the surface of the teeth. This eventually exposes the tooth root, leading to tooth loss.
What causes Gum Recession?
- Over Brushing- Some patients, in an attempt to overcorrect for neglectful hygiene, attempt to scrub stains and marks off their teeth. Indirectly, they abrasively attack healthy gum tissue and actually create more crevices and surfaces for bacteria to infect the gums.
- Poor Hygiene- Many patients are not meeting their own dental hygiene needs. Without proper flossing, brushing, mouthwash, and dental cleanings, food will find its way in between teeth. Once here, it will provide nourishment and space for bacteria to accumulate. Eventually the slurry will harden and penetrate the gumline, leading to infection.
- Infection- Once patients have a dental infection, it can be difficult to manage. Dental Infections begin destroying gum tissues, leading to gum recession. They can also develop and cause tooth loss, pain, bleeding, and further complications.
- Gum Disease- Gum disease can attack the gums throughout the mouth, leading to gum recession, as well as more advanced dental decay. See your dentist regularly to prevent and diagnose gum disease.
What are the different types of Periodontal Gum Grafts?
- Connective Tissue Grafts (CTG)- These are the most common form of gum grafting. Connective tissue is grafted underneath the top-layer epithelial tissue. This allows the gums to retain their color-match, while also recreating or reinforcing a strong supportive connective layer. Connective tissue grafts help to revitalize the supporting gum structure, while also maintaining your smile and aesthetic. The connective tissue is placed underneath the epithelial layer, then sutured shut to allow for tissue acceptance and healing. As the integration process occurs, the gums naturally reorient, forcing the top layer down over the teeth, reinforcing reattachment. The entire process is revolutionary for the lack of severe pain associated with it, and the high success rate.
- Free Gingival Grafts (FGG)- Free gingival grafts also involve grafting gum tissue, but they allow a tad more flexibility. Tissue is still attached in a way that maneuvers epithelial tissue to support the tooth. However, less tissue is required and more precise alterations can be established.
While each has their own medicinal uses, Connective Tissue Grafts provide an option for more severe and necessary grafting options, while Free Gingival Tissue Grafts provide more flexibility to alter small adjustments throughout the mouth.
Make an Appointment with your dental care team now to discuss gum recession, gum disease, examinations, and grafting options. Your dental health journey begins today.