Gingival Grafting

[Dental40]

Gingivitis is one of the gum graft and also known as periodontal plastic surgery, and in this tissue implants can be done. In these days this surgery is so effective for gum grafts treatment

[Darthflamez]

.com

[Darthflamez]

Wow. I just got here from TheOatmeal

[ThePinkheart89]

just had this done yesetrday

[MrAwishart]

I completed my first FGG last week, however I think the graft may not have took. Any tips you can think of so this won't happen again?

[perieau]

@MrAwishart wait and see how things heal. It is very difficult to have a gingival graft fail. That said what kind of training do you have?

[MrAwishart]

@perieau I'm still in dental school. It's only been 5 days and the patient is coming in tomorrow, but she has said it doesn't look healthy. Faculty periodontist says stay hopeful and see how it turns out. Your videos are great and having you as a reference on here is so useful! Keep posting!

[perieau]

@MrAwishart if the graft is over 1.5mm thick the epithelium will slough and it will look blotchy red and white. As it reepithelializes then the tissue will look uniformly pink. Mine don't have the epi slough because they are thin enough to keep the plasmatic circulation to the epi alive.

[rawrbaby3]

I had something similar done just about 50 hours ago, but I had a free graft because of a receiding gum line, you feel nothing during the surgery, but eating is diffacult for a while. and where the gum is removed from the roof of the mouth is very very painful if you are active.

[BlackRose07P]

is their a way to end gingivitis without surgery

[perieau]

@BlackRose07P gingivitis is a reversible ailment of the gum only not involving the bone. Typical resolution with cleaning, sometimes deep cleaning, brushing and flossing. Surgery is not required.

[ragusajr]

Yeah, floss and brush, then floss again!

[ShawnSmallwood100]

Does this usally hurt

[perieau]

see reply below posted 1 year ago

[ragusajr]

like a bitch!!! They are exposing bone tissue which has endless amount of nerve fibers, not to mention the inflammation....Ask for dilaudid to kill the Pain!!! This is what Lindsy Lohan recommends

[brittyn]

i've had this done twice in the past, but they used grafts from a cadaver. i think that was WAY better... either way though, the procedure was great both times. pretty painless!!

[wael7t7]

thank u dr.kwan

u r an active doctor

[wael7t7]

thank u dr. kwan

i wonna ask u wat kind of iv sedation that u used IV ? thank u

[perieau]

Versed/Demerol; typically 1.5mg versed, then titrate 50mg demerol over about 5min, then 1mg versed to a state of sleep with easy arousal; then local and proceed with surgery.

[DoubleTwistingDouble]

was the patient awake, or under general?

[perieau]

This patient was treated under local only.

We do sedation but IV conscious sedation not general.

[BakeliteArmy]

Interesting suture. Some kind of mattress? How did you do it?

Thanks,

Dr. Bruce

[upgrademicro1]

painful result by chance?

[perieau]

Pain is preempted by a dose of 550mg of naproxen sodium (Anaprox; Aleve is the same only 220mg dose). Pts take Anaprox, 1hr before treatment then every 6-8 hrs for 24hrs. Vicodin is added as needed and patients typically take 1-2 (maybe). Works great for all our surgeries and patients don't have much discomfort at all.

[upgrademicro1]

oh wow thats great lol. i thought you took it when the operation went then u left and were left with pain after a few weeks. well guess not.

[jamesdds]

Hi Dr. Kwan what kind of needle holder, sutures and the microplyers are you using? in this surgery

[perieau]

Give our office a call and speak to Ryanne. She can give you the details.

510 547-130

[dvssk8er3]

fuck! theyre gona do this shit to my mouth...... god damn...