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Do Composite Fillings Need to Be Removed for Gum Graft?

wyldlyfeDec 22, 2012
My periodontist said that gingiva doesn't attach to composite filling on teeth. It only attached to cementum. So he has to remove my composite filling to correct my receding gum. I can't find out if this is accurate that dental gingiva doesn't attach to composite filling. I'm concerned that once the gum graft is performed the gums being pulled lower to fix the recession and tooth sensitivity will make it difficult to have the composite filling restored.

Answers (1)

From board-certified doctors and trusted medical professionals
Elly Tehrani, DMD, MSD profile photo
Dr. Elly Tehrani, DMD, MSD
Periodontist
4.9 | 75 Reviews
Answered on Sep 24, 2016
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Herbert Veisman, DDS

It takes a long time sometimes to heal after removing tissue from the roof of the mouth. There is a vast nervous plexus up there and if a surgeon cuts into it, there could be pain and weird sensations. The area has to be left to heal on its own without intervention. 

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Herbert Veisman, DDS

There are papilla type gum drafts that can be done BUT they only work in specific situations and may not work for you. The problem is that for some reason, you lost bone between the teeth. The only way to have bone grow down is to orthodontically pull the teeth down which will pull the bone down...

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Robert Fields, DDS

The gum graft should have NOT have been done on your mother in law if there was a history taken by the oral surgeon that showed she had been on any oral or IV medication for the treatment of osteoporosis.  Fosamax and Boniva are examples of these bisphosphonates. Long term use of these oral...

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