When someone loses a tooth or has periodontal disease their jawbone begins to deteriorate. Over time, this deterioration can cause significant issues in the mouth and prevent a person from having access to certain types of tooth replacement options that require anchoring in the jawbone. Bone grafts are a common procedure performed to repair the damage done by the deterioration. Bone grafting also ensures that the jawbone and surrounding areas are healthy enough to support any additional procedures that may be necessary, such as dental implants. Bone grafts are a somewhat invasive procedure that affects the gums and as such, a common question asked is: do gums grow back after a bone graft? Read on to learn more about the procedure and what happens to your gums following it.
How is a bone graft procedure performed?
A bone graft is an out-patient procedure performed in a dentist’s office. The dentist grafts donor bone onto a person’s existing jawbone. Over time the donor bone and existing bone fuse together and increase the thickness of the jawbone. During the procedure, the dentist makes a small incision in the gums at the graft site and exposes the jawbone. Then they graft donor bone onto the existing bone and suture the gum tissue back together. Over time this donor bone heals with the original bone and forms a thicker, stronger bone structure.
How does bone grafting affect the gums?
In most cases, a person’s gums will grow back after a bone graft procedure, though the extent and quality of the healing process can vary depending on several factors. Immediately after the bone grafting procedure, the gum tissue will begin to heal and cover the grafted area. This usually happens within a few weeks. Over the following months, as the bone graft integrates with the existing bone, the gums continue adapting and healing, often returning to their original appearance.
There are certain situations where the gum tissue may not fully recover to the desired level, however. When this happens, the person’s dentist might recommend additional procedures such as gum grafting or contouring. These treatments help to restore the health and appearance of the gums, ensuring a natural and functional result.
The dentist may also choose to use techniques like guided tissue regeneration (GTR) to aid in the healing process of the gums. This method involves placing a specialized membrane between the gum and bone after the graft is completed. This membrane acts as a barrier, preventing gum tissue from interfering with the bone’s regrowth while promoting proper healing. Additionally, growth-stimulating proteins or similar therapies may be employed to support the body’s natural ability to regenerate bone and gum tissue effectively.
What does this mean for me?
If you are a candidate for bone grafting and are concerned about your gums, speak with your dentist today. They will be able to answer your questions and guide you through the process. They will also be able to assess your overall oral health and let you know any risks that they see related to your gums and how they might address those complications should they arise.