Difference between an FGG and CTG?
A tissue graft is a procedure that is used to restore lost gum tissue in patients with advanced gum disease and recession. Some less severe cases of gum disease may be treated with a deep cleaning to remove tartar and bacteria from the gum pockets, giving the tissue a chance to heal closer to the tooth. Patients with more advanced gum disease may need more invasive treatment to restore the health of their gum tissue, even after a deep cleaning.
A tissue graft involves taking soft tissue from another part of your mouth and securing it to the affected area to help rejuvenate the tissue. There are different types of gum graft available which your doctor will discuss with you to determine what type is ideal for your unique situation.
A free gingival graft uses harvested donor tissue from a cadaver or tissue harvested from the roof of the patient's mouth. A connective tissue graft uses tissue harvested from the roof of your mouth but the underlying connective tissue is used. There is another type called a pedicle graft that requires the patient to have thick and healthy gum tissue surrounding the affected area. For this graft, a small flap of tissue is cut and stitched into place over the exposed roots of the teeth next to it.
Let’s take a closer look at the types of gum grafts.
Free Gingival Graft
A free gingival graft, FGG, moves tissue from the roof of the patient's mouth to the gum line at the affected area. This type of graft helps patients with thinning or receding gum tissue. FGG provides a more precise treatment because the procedure uses a smaller amount of tissue. This enables the surgeon to make more minor, detailed changes to the patient's gums. A free gingival graft is a great option for patients that the more precise gum treatment and has better cosmetic benefits.
Connective Tissue Graft
A connective tissue graft, CTG, is often reserved for patients with major tissue damage from advanced gum disease. For this treatment, the surgeon will remove tissue from under a flap that they make in the roof of your mouth. The connective tissue is then moved to the affected area and stitched into place and the flap on the roof of your mouth is closed.
This type of graft is often used for patients suffering from tooth root exposure caused by advanced gum disease. The new tissue will cover the exposed roots to alleviate tooth sensitivity and protect the roots from bacteria and decay.
Periodontal disease can be detrimental to the health of your mouth. If you experience gum disease that is accompanied by recession and sensitivity, it is important to speak with your dentist to have the area treated. If your dentist is not able to perform the treatment you need, they will refer you to a periodontist who specializes in the treatment of gums.