Gum grafting is a periodontal surgical procedure that restores gum tissue lost to recession by transplanting soft tissue to cover exposed tooth roots, rebuild the gumline, and prevent further tissue loss. At Picasso Dental Clinic inside Vinmec Da Nang International Hospital, our dentists perform gum grafting using precise microsurgical techniques that deliver natural-looking, long-lasting results with minimal discomfort. For international patients dealing with gum recession, gum grafting at Picasso offers expert surgical care in a hospital-grade environment at a fraction of Western costs.
What Is Gum Grafting?
Gum grafting, also called gingival grafting or soft tissue grafting, is a surgical procedure that adds gum tissue to areas where recession has occurred. Gum recession is the progressive loss of gum tissue that exposes the root surfaces of teeth, creating functional problems (sensitivity, increased decay risk) and aesthetic concerns (teeth appearing longer, uneven gumline).
During gum grafting, the surgeon harvests a small piece of donor tissue, most commonly from the patient’s own palate (roof of the mouth), and attaches it to the receded area. The grafted tissue heals and integrates with the surrounding gums, effectively rebuilding the gumline, covering exposed roots, and creating a band of thick, healthy tissue that resists future recession.
Gum grafting is one of the most predictable and successful procedures in periodontal surgery, with success rates exceeding 90 percent for root coverage when performed by skilled clinicians.
Who Needs Gum Grafting?
Gum grafting may be recommended if you have:
- Visible root surfaces where gum tissue has pulled away from one or more teeth
- Tooth sensitivity to hot, cold, or sweet stimuli caused by exposed root dentin
- Progressive gum recession that continues to worsen over time
- Aesthetic concerns about teeth appearing too long or the gumline looking uneven
- Thin gum tissue (thin biotype) around teeth or dental implants that is prone to further recession
- Root surface cavities or root abrasion caused by exposure to the oral environment
- Gum recession after orthodontic treatment that moved teeth beyond the bone envelope
- Recession around dental implants where tissue coverage is needed for long-term implant health
- Pre-prosthetic tissue augmentation before receiving porcelain veneers or dental crowns to ensure an ideal gumline
- A history of periodontal disease with recession as a consequence of bone loss and tissue destruction
Not all gum recession requires surgical treatment. Mild recession with adequate remaining attached gum tissue may be monitored and managed with improved oral hygiene. Your dentist at Picasso Dental Clinic will evaluate the extent and cause of your recession and recommend treatment only when clinically indicated.
Benefits of Gum Grafting
Covers Exposed Root Surfaces
The primary benefit of gum grafting is the coverage of exposed tooth roots. Root surfaces lack the protective enamel coating found on the crown of the tooth, making them vulnerable to decay, abrasion, and sensitivity. Grafting restores the protective gum tissue barrier.
Eliminates Root Sensitivity
Many patients with gum recession experience significant sensitivity to temperature, touch, and certain foods. By covering the exposed root dentin with a layer of gum tissue, gum grafting effectively eliminates this sensitivity.
Prevents Further Recession
Grafting does not merely cover existing recession; it creates a band of thick, keratinized gum tissue that is far more resistant to future recession than the thin tissue it replaces. This preventive benefit protects your investment in the long term.
Reduces Root Decay Risk
Exposed root surfaces are softer than enamel and significantly more susceptible to dental caries. Gum grafting protects roots from the bacterial acids that cause decay, potentially preventing the need for dental fillings or root canal treatment in the future.
Improves Smile Aesthetics
Uneven gum recession can make teeth appear disproportionately long and create an asymmetric, aged appearance. Gum grafting restores a uniform, natural gumline that frames the teeth attractively and enhances overall smile aesthetics.
Supports Dental Implant Health
Adequate gum tissue around dental implants is essential for long-term implant success. Gum grafting around implants with thin or receding tissue creates the tissue volume needed to maintain implant health and aesthetics.
Permanent Results
Unlike many dental treatments that require periodic replacement, a successful gum graft is permanent. The transplanted tissue becomes a living, functional part of your gums that maintains itself through normal cellular turnover.
The Gum Grafting Procedure at Picasso Dental Clinic, Vinmec Da Nang
Step 1: Comprehensive Evaluation
Dr. Le Ho Viet An or Dr. Le Thanh Toan begins with a thorough assessment of your gum recession, including:
- Measurement of recession depth and width at each affected tooth
- Assessment of remaining attached gingiva (keratinized tissue)
- Evaluation of gum tissue biotype (thick vs. thin)
- Identification of causative factors (brushing trauma, periodontal disease, tooth position)
- Review of dental and medical history
- Digital X-rays to assess underlying bone levels
Based on this evaluation, the dentist selects the most appropriate grafting technique and discusses the treatment plan, expected outcomes, and costs with you.
Step 2: Anesthesia
Local anesthesia is administered to both the recipient site (the area of recession) and the donor site (typically the palate). Patients with dental anxiety can discuss sedation options with our team.
Step 3: Recipient Site Preparation
The dentist carefully prepares the recession area by making small releasing incisions and creating a recipient bed, a prepared surface of connective tissue to which the graft will be attached. Root surfaces are thoroughly cleaned and conditioned with biocompatible agents to promote graft attachment.
Step 4: Donor Tissue Harvesting
Depending on the graft type selected, donor tissue is harvested from the palate or another source:
- Connective tissue graft: A small flap is created on the palate, and a layer of connective tissue is removed from beneath the surface epithelium. The palatal flap is then sutured closed.
- Free gingival graft: A thin strip of tissue is taken directly from the surface of the palate.
- Allogenic graft material: Processed donor tissue (allograft) may be used in some cases to avoid a palatal harvest site entirely.
Step 5: Graft Placement and Stabilization
The harvested tissue is precisely positioned over the exposed root surfaces and sutured into place using fine microsurgical sutures. The graft must make intimate contact with the prepared recipient bed and root surfaces to establish blood supply and promote integration.
Step 6: Protective Dressing
A periodontal dressing (surgical bandage) may be placed over the grafted area and the palatal donor site to protect the tissues during the critical first week of healing.
Step 7: Post-Operative Instructions
Detailed written and verbal instructions are provided, covering pain management, dietary restrictions, oral hygiene modifications, and follow-up appointment scheduling.
Types of Gum Grafts
| Graft Type | Source | Technique | Best For | Cost at Picasso |
|---|---|---|---|---|
| Connective Tissue Graft (CTG) | Subepithelial tissue from palate | Tissue harvested from beneath palatal surface, placed at recession site | Root coverage with aesthetic demands; most common and predictable technique | USD $175 – $435/area |
| Free Gingival Graft (FGG) | Surface tissue from palate | Tissue taken directly from palatal surface, placed at recession site | Increasing width of attached gingiva; less aesthetic but excellent for tissue augmentation | USD $130 – $350/area |
| Pedicle Graft | Adjacent gum tissue | Tissue flap rotated from neighboring area | Isolated recession with adequate adjacent tissue available | USD $150 – $400/area |
| Allogenic (Donor) Graft | Processed human donor tissue | Commercially prepared tissue matrix placed at recession site | Patients wanting to avoid palatal harvest; large treatment areas | USD $175 – $435/area |
Which Graft Type Is Best?
The connective tissue graft (CTG) is considered the gold standard for root coverage due to its superior predictability, aesthetic outcomes, and long-term stability. However, each technique has specific indications, and our dentists will recommend the approach most likely to achieve optimal results for your particular situation.
Gum Grafting Cost in Da Nang: International Comparison
| Country/Region | Cost per Treatment Area |
|---|---|
| Da Nang, Vietnam (Picasso Dental Clinic) | USD $130 – $435 |
| Thailand | USD $300 – $800 |
| United States | USD $600 – $3,000 |
| Australia | USD $800 – $3,500 |
| United Kingdom | GBP 500 – 2,500 |
| South Korea | USD $400 – $1,200 |
International patients choosing Picasso Dental Clinic save 70 to 85 percent on gum grafting compared to Western countries, while receiving the same microsurgical techniques and quality materials.
Gum Grafting vs. Other Gum Recession Treatments
| Treatment | What It Does | Invasiveness | Recovery | Permanence |
|---|---|---|---|---|
| Gum Grafting | Transplants tissue to cover roots and rebuild gumline | Moderate (surgical) | 7–14 days | Permanent |
| Pinhole Surgical Technique | Repositions existing gum tissue without harvesting donor tissue | Minimally invasive | 1–3 days | Varies |
| Desensitizing Agents | Applies fluoride or bonding to reduce sensitivity | Non-invasive | None | Temporary (repeated applications needed) |
| Dental Bonding | Covers root surface with composite resin | Non-invasive | None | 3–5 years; does not address tissue loss |
Gum grafting remains the most effective treatment for significant gum recession because it is the only approach that physically replaces lost tissue and provides permanent root coverage.
Aftercare: Recovering from Gum Grafting
First 48 Hours
- Apply ice packs to the outside of the face (20 minutes on, 20 minutes off) to minimize swelling
- Take prescribed pain medication before the anesthesia wears off; continue as directed
- Eat only cold, soft foods such as yogurt, smoothies, ice cream, pudding, and cool soup
- Do not brush, floss, or rinse the surgical areas
- Sleep with your head elevated on two to three pillows to reduce swelling
- Avoid physical exertion, bending over, or heavy lifting
Days 3–7
- Continue soft food diet, gradually introducing lukewarm (not hot) foods
- Begin gentle rinsing with prescribed antimicrobial mouthwash or warm salt water
- Do not brush the grafted area; clean other teeth gently with a soft brush
- Do not pull on the lip or cheek to examine the graft, as this can dislodge it
- Avoid smoking absolutely, as tobacco use is the primary cause of graft failure
Days 7–14
- Attend your suture removal appointment (typically at seven to ten days)
- Begin gentle brushing of the grafted area with an ultra-soft toothbrush as directed
- Gradually resume normal diet, avoiding very hard or crunchy foods until cleared
- Continue using prescribed mouthwash until directed otherwise
- The palatal donor site will feel tender but should be healing well by this point
Weeks 3–12
- Resume normal oral hygiene including gentle flossing around the grafted area
- Attend follow-up appointments to monitor healing and graft integration
- Avoid aggressive tooth brushing that could traumatize the graft; use a soft brush with gentle circular motions
- Full tissue maturation occurs over three to six months
Risks and Potential Complications
Common (Expected) Effects
- Swelling and bruising around the surgical and donor sites for five to seven days
- Moderate discomfort at both the graft site and palatal donor site, manageable with medication
- Minor bleeding during the first 24 hours
- Temporary sensitivity at the donor site when eating hot or textured foods
Uncommon Risks
- Graft failure (partial or complete loss of the graft), occurring in approximately 5 to 10 percent of cases, often related to smoking, infection, or mechanical trauma
- Infection at the graft or donor site (minimized by hospital-grade sterilization at Vinmec)
- Prolonged sensitivity at the palatal donor site for several weeks
- Color or texture mismatch between the graft and surrounding tissue (typically resolves with tissue maturation)
- Scarring at the donor or recipient site
- Need for a second procedure if initial coverage is incomplete
How to Minimize Risks
- Follow all post-operative instructions carefully
- Absolutely avoid smoking before and after surgery
- Attend all scheduled follow-up appointments
- Maintain excellent oral hygiene once cleared to resume brushing
- Report any signs of infection (increased pain, swelling, pus, fever) immediately
Why Choose Picasso Dental Clinic at Vinmec Da Nang for Gum Grafting?
Microsurgical Expertise
Our dentists perform gum grafting using microsurgical techniques with fine instruments and sutures that minimize trauma, improve precision, and enhance aesthetic outcomes. This attention to surgical detail translates to better root coverage, faster healing, and more natural-looking results.
Hospital-Grade Environment
Performing gum grafting within Vinmec Da Nang International Hospital provides access to advanced sterilization, diagnostic imaging, and emergency medical support. Surgical procedures benefit significantly from the safety infrastructure that a full-service hospital provides.
Experienced Surgical Team
Dr. Le Ho Viet An and Dr. Le Thanh Toan have performed numerous gum grafting procedures using all major techniques. Their experience allows them to select and execute the optimal approach for each patient’s specific recession pattern and tissue characteristics.
Comprehensive Pre-Surgical Planning
Before any graft is placed, we thoroughly evaluate the cause of recession and address contributing factors such as gum disease, traumatic brushing habits, or bite problems. Treating the cause ensures the long-term success of the graft.
Affordable Excellence
At USD $130 to $435 per treatment area, gum grafting at Picasso Dental Clinic delivers world-class microsurgical results at prices that make this important procedure accessible to international patients who might otherwise defer treatment due to cost.
International Patient Support
Our team provides English-language consultations, helps coordinate treatment scheduling with travel plans, and ensures international patients have all the information they need for a smooth surgical experience and recovery in Da Nang.
Schedule Your Gum Grafting Consultation
If gum recession is affecting your comfort, confidence, or oral health, do not wait for the problem to worsen. Contact Picasso Dental Clinic at Vinmec Da Nang International Hospital to schedule a comprehensive evaluation and learn how gum grafting can restore your gumline and protect your teeth for a lifetime.
Contact Picasso Dental Clinic:
- Phone: 024 7308 8848
- Location: Vinmec Da Nang International Hospital, 30 Thang 4, Da Nang, Vietnam
- Services: View all dental services
Restore your gumline, eliminate sensitivity, and protect your smile with expert gum grafting at Picasso Dental Clinic.