Subepithelial Connective Tissue Graft (SCTG)

• Root Coverage: SCTG is highly effective at covering exposed roots, protecting them from decay and sensitivity.
• Aesthetic Improvement: It helps in achieving a more uniform gum line, which is important for a harmonious smile.
• Prevents Further Recession: By increasing the thickness of the gum tissue, SCTG helps protect against further recession and periodontal disease.
• Enhanced Comfort: Reduces sensitivity by covering exposed root surfaces, thereby enhancing comfort when eating and drinking.

The Procedure for SCTG

1. Initial Assessment: The dentist or periodontist evaluates the extent of gum recession and the health of the oral tissues to plan the procedure.
2. Anesthesia: Local anesthesia is administered to numb both the donor site (usually the roof of the mouth) and the recipient site.
3. Harvesting the Graft: A small flap is opened on the palate, and connective tissue from beneath the surface layer is removed. The outer layer of the palate is then sutured back.
4. Graft Placement: The graft is placed over the area where the gum has receded and is carefully sutured to blend with the surrounding gum tissue, ensuring it remains stable and receives sufficient blood supply for healing.
5. Closure and Healing of the Donor Site: The donor site is sutured to minimize discomfort and promote healing.

Recovery and Aftercare

• Pain Management: Patients might experience discomfort at both the donor and recipient sites. Pain is generally manageable with medications prescribed by the dentist.
• Diet: A soft diet is recommended to prevent irritation to the graft site. Hot, spicy, and crunchy foods should be avoided.
• Oral Hygiene: Gentle oral hygiene is crucial. Patients are often advised to use a soft toothbrush and avoid brushing the graft site directly. Antiseptic mouth rinses may also be recommended.
• Follow-Up Visits: Follow-up appointments are important to ensure the graft is healing properly and to assess the integration of the graft with the existing gum tissue.

Potential Considerations

• Healing Time: The healing process can take several weeks, during which patients need to follow specific care instructions to ensure successful outcomes.
• Complications: While SCTG has a high success rate, potential risks include graft failure, infection, or excessive bleeding. Adhering to postoperative care guidelines helps minimize these risks.