Special Report By Dr. Vadivel
ARE YOUR GUMS HEALTHY?
IF NOT, GUM GRAFTS ARE A SOLUTION!
“Dr. Vadivel and his team were friendly, professional, accommodating, and informative. Their focus was on a complete and safe procedure and recovery. After the procedure, they provided me with all the needed after care supplies and prescriptions with easy to follow instructions. The entire process was painless.” – Nathan F.
Can we talk about something pretty personal – your gums?
Your gums might not seem as important as your hands, feet, eyes, or ears, but actually they are! Your gums are made of a type of connective tissue that actually holds your teeth in place.
And without teeth, lots of negative changes happen to you. For example, the jawbone starts to disintegrate if teeth aren’t there in your mouth. Then your face becomes narrower, which can make you look older.
Without teeth, you can’t eat a good, healthy diet filled with crunchy foods such as apples, celery, salad, steak, carrots, other raw vegetables, and even several different soft foods. You end up gumming your food – and that’s not how you were made to break down your food. The process of chewing is accompanied by salivation, which contains enzymes that break down the food.
Without teeth, your diet ends up being soft foods such as grated cheese, potato chips (they melt in your mouth), yogurt (if you try to eat something healthy), processed foods, candy like chocolates that also melt in your mouth, macaroni and cheese, pasta dishes, and vegetables (only if they are overcooked). It’s difficult to even gum fruit cocktail so canned fruit except for applesauce is pretty much out, too. This means you are in the process of creating vitamin and mineral deficiencies – and those aren’t too pleasant to deal with!
Keep your teeth at all costs – and to do this, you will need healthy gums.
Animals that lose their teeth don’t last much longer than a year in the wild. If they can’t eat, there’s no one out there in the wild that is going to feed them a soft diet.
It’s the same thing with people – except they can usually last at least a few years without teeth. By then, their health is so bad that they wish they were dead!
Who I Am And Why I’m Telling You About Your Gums
I’m Dr. Kumar Vadivel, your neighborhood dentist. I’ve been practicing for over 24 years, and during all those years, I’ve had the chance to see patients for every type of dental emergency, every type of routine care, and every type of dental surgery.
What I’ve noticed in the past 5 years is that there seems to be more gum problems than ever. One estimate is that 23% of the adult population has one or more tooth surfaces with ? 3 mm gingival recession. That’s a lot!
I’m also amazed at how I now see a lot more patients with receding gums that are in their 20s. This definitely correlates with the dental studies that report that 40% of those aged 16 to 25 years old have gum recession. Receding gums used to be something that only occurred in those over the age of 40. But not any more.
Receding gums is definitely your enemy. You have to do what you can to get the gums built back up.
And just so you’re clear on the definition of receding gums, it refers to the condition where the roots of the teeth are exposed because there has been a loss of gum tissue and/or a retraction of the gingival margin from the crown of the teeth. It’s when the tissue surrounding the tooth is pulling away from the tooth, exposing the root.
“He helped me solve my recurring gum ulcers issue. Doctor was very experienced and told me things about my kind of gum ulcer that I did not even know. I was able to get a biopsy done on the same day, which I have never had done before. Was a quick and simple procedure. “ – Osayawe gbontaen
Causes of Receding Gums
In some people, it’s a poor diet that is the root cause of gums receding. In others, it’s because of a bad smoking habit. Smoking eats up the body’s vitamin C and vitamin C is especially important for the gums to stay healthy. Your gums are connective tissue, and connective tissue falls apart when there is a vitamin C deficiency.
By the way, smokeless tobacco is no better! When smokeless tobacco is used, the tobacco is kept close to the incisors or premolars for a prolonged time. The gingival tissues can experience mechanical or chemical injury from the tobacco, and the result is a receding gums.
Some experts say that receding gums is genetic, but I believe that it’s more related to what you’re doing on a daily basis than due to genetic causes. If it was genetic, you wouldn’t get any improvement at all. It was already proven that the amount of sleep you get, the diet you eat, the amount of exercise you do, and the environment you live in play the most important role in your genes.
If your habits are good, the genes for bad health and receding gums are turned off. If your habits are bad, the genes for bad health and receding gums are turned on. And that means you could end up with receding gums that need surgical intervention if you don’t have healthy habits.
7 other causes of receding gums include the following:
1. Tongue and lip piercings – Yes, there is a negative side to these. The piercings rub against the gums, wearing them away. In the presence of lip or tongue piercings, gingival recession is found in up to 80% of pierced individuals in the mandibular and maxillary teeth. Additionally, oral piercing poses a 11-fold greater risk for developing gingival recession.
2. Over brushing or brushing too hard – If you brush your teeth too hard, you can brush away the gum at the junction of the gum and the tooth.
3. Grinding and clenching your teeth at night – This puts extra pressure on the guns and causes them to recede.
4. Periodontal disease
5. Certain medications such as phenytoin, cyclosporine, and nefidipine
6. Candida or other infections in the gums
7. Tobacco chewing
You Need the Best of the Best Diet for Healthy Gums
If you really dig deep into the role of nutrition and gum diseases, you would find that there are many nutrients that are required for strong, healthy gum tissue development and maintenance.
For example, researchers in Hungary discovered that a vitamin D deficiency is associated with undiagnosed connective tissue disease. Although they didn’t specifically look for gum disease, they found that the deficiency made the progression of connective diseases more likely to occur.
Vitamin C deficiency impairs the growth of bone tissue and cartilage tissue as well. Every nutritionist knows that one of the first signs of scurvy (vitamin C deficiency) is gums that bleed when you brush your teeth. And you may be surprised to find out that up to 23% of the population is estimated to be deficient, according to Arizona State University researchers.
Researcher Daniel Leger, M.D. of a Canadian medical clinic reported in 2008 in the Canadian Family Physician Medical Journal that tissues such as skin, gums, mucus membranes, and bones contain a greater concentration of collagen and thus are more susceptible to deficiencies. Vitamin C deficiency causes hemorrhage, degeneration of the collagen and swelling of the gingival connective tissue.
Taking care of these two deficiencies is important if you want healthy gums. However, all vitamins and minerals work together, so you still need ALL of them! Don’t forget the B vitamins, silica, magnesium, calcium, manganese, iron, copper, strontium, zinc, selenium, vitamin A, vitamin K, Vitamin E, and molybdenum. All these should be in the vitamins and minerals you are taking. And your supplements supplement a good, healthy diet. They don’t replace it.
In the meantime, if you have receding gums, I want you to have hope. This situation is definitely one that can be helped with modern dental care. While you are working on your diet and improving your nutritional status, you can remedy the receding gums with gum grafting surgery.
“The entire staff is very professional. They were on schedule, which rarely happens at a physician's office. The procedure that I was being evaluated for was explained to me in detail along with pricing. The entire visit was a pleasure!” – Irma J.
Who Needs Gum Grafting Surgery?
Everyone doesn’t need gum grafting surgery. However, if you are having any of the symptoms of gum recession, it’s time to discuss the possibility of gum grafting surgery with your dentist.
Here’s a list of those symptoms of gum recession:
- When you look in the mirror, some of your teeth look longer than they used to be.
- Your gums are sensitive to hot and cold.
- You can see part of the root of a tooth exposed.
- Your gums are receding.
- The gums are brighter red around the gum line
When you speak to your dentist about the status of your gums, he will tell you whether or not he thinks you are a candidate for this type of surgical correction of them.
What Happens During Gum Graft Surgery?
There are three different types of gum graft surgery. The types depend on what type of graft is done.
1. Connective tissue gum grafts
In this surgical procedure, a flap of skin is cut out of the roof of the mouth. The tissue that is underneath the flap is then taken to stitch to the area of the gum where the gums have receded. The flap is then stitched back to the roof of your mouth.
2. Free gingival grafts
This surgical procedure uses the tissue from the roof of the mouth. The tissue is directly removed from the roof of the mouth and attached to the gum at the point of recession without the flap creation step.
3. Pedicle grafts
This surgical procedure uses the tissue from the gum around or near the tooth needing a repair. The flap is still attached at one edge of the gum, and the gum is pulled over or down to cover the area of the gum that needs to be beefed up. It’s sewn in place. This procedure can only be done if there is ample gum to pull the tissue from.
Dentists may also use graft material from a tissue bank, and add tissue-stimulating proteins to get the tissue to grow. Ask your dentist if he will be using these proteins during the procedure.
What are the After-Care Instructions for Gum Graft Surgery?
There are some instructions you’ll need to follow after gum graft surgery:
- Don’t brush your teeth along the gum line where the surgery was performed until the area healed fully.
- Don’t floss the teeth near the surgical site until the area healed fully.
- Use a mouthwash that controls plaque during your recovery. Your dentist will recommend the best mouthwash for you.
- If you were given an antibiotic to take orally or to use topically, use it according to the instructions your dentist gives you.
- For the first two weeks, consume a soft diet. This means foods like smoothies, cottage cheese and yogurt for protein, vegetables that are cooked thoroughly, and other soft foods that are nutritious. Make smart decisions about the foods you choose. Jell-O may be on your diet food list ut there’s no nutrition in it.
- Pay attention to and follow all other instructions your dentist gives you.
What Happens If I Don’t Get Gum Graft Surgery?
If you don’t get gum graft surgery, you risk your receding gums worsening.
In one study that followed 73 subjects for between 10 to 27 years. Researchers found that teeth with recessions that did not get surgical treatment increased their recession by 0.7–1.0 mm.
Also, new gum recessions developed in 15 sites during the study period even though there was no inflammation.
In contrast, teeth with gingival recession receiving a free gingival graft had a reduction of gingival recession by approximately 1.5 mm.
The best person to talk to about the situation in your mouth is your dentist. Feel free to get a second opinion.
Nutritional Supplements Help Dental Procedures Get Better Results
You should not be afraid of nutritional supplements. However, you do need to work with a nutritionist to help you recover quickly.
Here are a few of the amazing study results that prove that nutrition matters after dental procedures:
- Vitamin D deficiency contributes to negative outcomes following periodontal surgery. This means that patients getting periodontal surgery should have good levels of vitamin D before getting the surgery.
- Studies have found a positive correlation between Vitamin D3 supplementation and the integration of dental implants into the bone. This means that dental implants meld with the bone of your jawbone when you are taking vitamin D3 supplements.
- A higher intake of vitamins A, B, C, and E along with omega-3 fatty acids results in improved healing after non-surgical periodontal therapy. This confirms again that many nutrients are needed whenever you have any type of dental work done.
- B vitamin supplementation results in higher clinical attachment following flap surgery. This one is one of the most important one for you if you are getting gum grafting. It says that the results were best when the patients took a B vitamin supplement after the surgery for gum grafts.
What To Do After Gum Graft Surgery to NOT Develop Gum Recession Again
Below are some guidelines for how to prevent getting receding gums after you go through all the trouble to get your gums fixed the first time:
- Ask your dentist to take 10 minutes to really explain the proper way to brush your teeth with your electric toothbrush and to give you tips. Then follow the guidelines he gave you, including the time guidelines (brushing for 2-3 minutes, brushing every surface of each tooth.)
- Floss daily. You may want to start using a water flosser, as it’s much more effective than string floss. Again, make sure you truly understand the procedure by watching the videos.
- Get to your dentist routinely for checkups and professional teeth cleaning twice or three times a year.
- Eat a well-balanced and healthy diet full of vegetables, protein foods, some fruits and very little sugar or GMO foods.
- Work with a clinical nutritionist so you can reverse any and all vitamin and mineral deficiencies you have right now with supplements.
- Correct any bad lifestyle habits such as smoking and drinking alcohol.
Some Last Things You Should Know
Now that you know and understand the whole process of gum grafting, why your gums may need the surgery, and what happens during and after the procedure, it’s time to make a decision. If your dentist already told you that you needed this type of surgery, you may feel ready right now to schedule the surgery.
If you need a second opinion, feel free to call my office to schedule that consultation.
I want you to know that I’m not like a lot of other dentists. Here’s what you can expect in my office:
1. No Reprimands in the Office
When you make an appointment for your initial consultation with me, no matter how long it has been since you had dental work, I will not scold or embarrass you!
Why some dentists do that is beyond me… I see you as a person of how you are right now in time. There’s no need to dwell on the past, other than to find out what problems you had in the past that contributed to where you are now.
But after that, it’s time to jump onto the track where you get that great smile back that you have wanted for some time. You get the respect from others you deserve and there’s no more discrimination against you simply because you were in the dental hell time warp/black hole.
2. You Choose the Level of Pain You’ll Have in the Dental Chair
And if you have had far too much pain while sitting in other dentists’ chairs in the past, I want you to be comforted in knowing that I use some of the advanced methods of decreasing pain during a dental visit. It’s another of my specialties.
I take pride in this… and my patients have no qualms about booking regular check-ups or cleanings or even fillings because they know I will treat them right.
3. Other Specialized Services are Available
I do want you also to know that I don’t only specialize in dental implants. I offer almost every type of dental procedure that patients need in my office. Most of your dental needs are ones I treat, and include the following:
- Advanced 3-Dimensional X-Rays – These are definitely one of the advancements of modern dentistry. The ability to see your teeth in three dimensions is a way of insuring that nothing is missed.
- Wisdom Teeth Removal & Extractions – Impacted teeth cause a lot of pain and can get infected.
“I absolutely cannot express how awesome my dental visit was! The office staff was AMAZING! Dr. Vadivel was so patient and explained everything to me in full-detail! My extraction was done before I knew it! I couldn't believe it! I will forever be a patient to Dr. Vadivel and will refer all my family and friends!! Very affordable!! GET THERE FAST!!! “ – India S.
- Bone Grafting – In cases of bone loss, usually from periodontal disease, adding small pieces of bone stimulates the rest of the bone to remodel itself. As a result, the bone is built up.
- Cosmetic Dentistry – Teeth whitening, correcting crowding or alignment problems, applying veneers or crowns to craft a more uniform-looking, bright smile. Achieving your best possible smile
- Same Day Dentures for Missing Teeth Replacement
- Emergency Dental Treatment
“Same day emergency service, folks. Great experience and healed up quickly.” – Alicia W.
- Laser Gum Treatment – Laser gum treatment gives results that are similar, if not better than root planning and scaling according to medical studies. It’s used to treat periodontal disease (gum disease).
- Oral Cancer Screening – Your medical doctor generally won’t check your mouth for mysterious sores, spots, lumps or bumps that could be cancer. Finding cancer early on is much better than finding it in the later stages. We screen for oral cancer.
- Sedation Dentistry – Fear and anxiety about dental procedures is understandable when you have had a history of pain experienced in the dental chair. However, dentistry has advanced light years and knows now how NOT to cause pain. If you fit in this category, we have different levels of sedation we can choose from, ranging from minimal sedation where you are relaxed and conscious to IV sedation.
“I had a major surgery done here and was a little scared at first. Dr. Vadivel and his nurses made sure I was comfy and ready. I had no issues with the surgery and almost no pain after. I've already handed out his card to multiple people and would recommend him to anyone. My surgery went great and in no time I'm gonna have my smile back. Thank you, Dr. Vadivel and all your nurses.” – John T.
- All-on-Four Dental Implants – This has been explained in this special report. You don’t always need bone grafting with dental implants. With this technique, you won’t. The benefits of these are decreased cost, same day teeth, ease of maintenance, drastically improved aesthetics, potential for eating steak and other difficult foods after the procedure, and great clinical results.
- Pin Hole Surgery – This type of surgical treatment is done without scalpels, stitches and grafting. You have less discomfort during the procedure, and can expect faster healing time.
Are You in Denial About Your Gums?
Many people think that if they don’t make any decisions about their gums, the situation will reverse itself. Unfortunately, this is not true, as the studies have shown.
Why not make the decision today to get your gums taken care of?
You’ll feel so much better!
Why Choose Dr. V at Implants and Gumcare?
Our dental office at Implants and Gumcare is different from many other dental offices. First, we use the latest and most advanced dental equipment and procedures to serve you better. With all these new techniques, we can be sure we are offering the best dental care you will receive.
Secondly, we offer free CAT scan and consultation exams.
Thirdly, we have two convenient locations and won’t make you wait days or weeks for dental emergencies.
Fourth, my experience and training in gum grafts allows me to give professional services in this area that exceed the minimal criteria and service others may be offering.
You will find my staff quick to assist you in your needs, questions and concerns in a compassionate, caring manner.
And lastly, we will never give up on you! Our goal is for you to regain the most beautiful smile you can have – and keep it forever!
“The staff is awesome, everyone from the receptionist to the doctor. They make you really feel welcome and address all your issues and concerns. They offer advice on your best course of action and payment plans that work best for you. Great location and the place is absolutely spot less. Lydia is the dental assistant and a real sweetheart. If you have any type of surgical procedure done Dr. V calls you personally the next day to check on you... I would recommend this place to anyone.” – Dennis E., Dallas
Ready to make the phone call? Call us at 214-304-7561.
FAQ on the Details
Q: How long will I be off work after this procedure?
A: Many people return to work the next day after surgery.
Q: What types of things could happen that indicate I should contact my dentist after the surgery?
A: If you have bleeding that won’t stop, call your dentist. If you have a lot more pain, swelling or bruising than you expected, call your dentist.
Q: Is a gum graft covered by dental insurance?
A: In many cases, dental insurance covers gum grafts.
Q: Is a gum graft permanent? Does it permanently take care of the problem?
A: Gum grafts are not permanent. They are a temporary way to address the problem. This means that you will have to change your lifestyle habits or oral care routines, improving them so your gums don’t continue to degrade and recess. Diet and supplements are #1 on your list. #2 is oral hygiene. #3 is to stop smoking.
Q: How much does gum grafting cost?
A: The cost varies depending on how many areas of your mouth will need the grafts. Ask your dentist for a quote.
Q: I have good gums everywhere except one location in my mouth. My dentist said that the gum recession at that location occurred because I was brushing too hard. I have sensitivity there. Will I need a gum graft?
A: Your dentist will make the best decision on this question. He’ll base his decision on the hundreds of cases he sees each year. Interestingly, someone could be overzealous about brushing and still end up with gum recession. It’s all a matter of technique of brushing.
Here’s one of our testimonials from our patients on gum graft surgery:
“My friend dropped me off at the periodontist's office at 8 AM. I took the triazolam for sedation... I sat in a dental chair and they reclined the chair. They had me start breathing oxygen, dimmed the lights and told me to just relax for a while. At this point, I popped my earphones in and listened to my Ipod, which I had pre-filled with relaxing and soothing music.”
“I kept the iPod going the entire time during the procedure but had the volume low enough so I could hear the periodontist and hygienist. About 10 minutes later the periodontist asked me if I wanted nitrous gas, which I accepted. They left me alone for a few minutes to let the nitrous do its work. Then they came back in and got started by reclining the chair all the way back and rubbing some topical gel over my gums and the roof of my mouth to numb it. The gel worked very quickly, and everything was numb…”
“At some point, I dozed off, and when I came to, he was sewing the new gum tissue on. The entire procedure took just under 2 and half hours. When it was over, they put the guard on the roof of my mouth in (there wasn't any gauze or anything over the graft site), put me in a wheelchair and wheeled me out to my brother's car. At his place, I drank a nice smoothie, an ensure and some water, took a painkiller and an antibiotic and laid down for a nap. They made the process easy.”
Benefits of Gum Grafting
Gum grafting gives you back your nice smile. All your teeth will look symmetrical and beautiful when the gums surrounding them are healed. Gum grafting also takes away the tooth sensitivity you experience. It’s worth it to get the procedure done.
Your gums are waiting for you to make a decision!