Subepithelial Connective Tissue Graft
The most common procedure Dr. Barack performs for root coverage and for thickening/strengthening the attached gingiva is called the subepithelial connective tissue graft. This minor surgery, which is considered the gold standard of the soft tissue grafting procedures, takes about 45 minutes per tooth. During the procedure, the affected tooth is cleaned thoroughly and a small recipient pouch is created to receive the graft tissue.
Then, the palatal donor tissue is obtained in an atraumatic fashion utilizing a tiny incision. This small palatal incision is closed, and the graft is fitted and secured within the recipient pouch, both with suture material that can only be seen clearly with magnification. Most patients report little to no discomfort with this procedure, and follow-up visits are scheduled at approximately 2 and 5 weeks.