How to Regrow Gum Tissue

Aug 24, 2022 Source: Cainiu Health
Dr. Zhang Liwen
Introduction
If a periodontal pocket forms and gingival recession occurs, it is extremely difficult for the gingiva to regenerate, as gingival recession results from a reduction in alveolar bone height. Therefore, to promote gingival regrowth, bone grafting or guided bone regeneration (GBR) is required. Such surgical procedures are available but have very strict indications. GBR or bone grafting is primarily indicated for intrabony defects (i.e., bony pockets).

  In daily life, we all enjoy smiling when we feel happy. Smiling is an expression of emotion and also a polite way to greet others. However, excessive gingival exposure—commonly referred to as a “gummy smile”—can be aesthetically unpleasing. So, how can one restore or increase gingival tissue?

  How to Restore or Increase Gingival Tissue

  Once periodontal pockets have formed and gingival recession has occurred, natural regeneration of the gingiva is extremely difficult. This is because gingival recession is typically caused by a reduction in alveolar bone height. Therefore, to achieve meaningful gingival reattachment or regeneration, procedures such as bone grafting or guided bone regeneration (GBR) are required. These surgical interventions are possible but have strict indications. They are primarily indicated for cases involving intrabony defects, furcation involvement, or localized gingival recession. Alternatively, a gingival graft (e.g., connective tissue graft) may be performed to cover exposed root surfaces, or guided tissue regeneration (GTR) may be employed.

  If any of the above three conditions is present, guided tissue regeneration or periodontal bone grafting may be appropriate. Typically, the procedure involves surgically reflecting a gingival flap to access the defect, thoroughly removing granulation tissue from the pocket, scaling and root planing to eliminate calculus and other irritants from the root surface, and applying antimicrobial or regenerative agents. A barrier membrane and/or bone graft material is then placed over the defect, followed by flap repositioning and suturing. Over time, alveolar bone may regenerate, enabling subsequent reattachment of the gingival tissue.

  If symptoms suggestive of periodontal disease are observed in daily life, prompt diagnosis and treatment are essential—and active cooperation with your dental professional is strongly encouraged. We hope this information proves helpful to you.