Smoking is probably the most harmful habit with respect to long-term success of gum grafts. Implants and Bone Augmentation. In my experience, although this is a procedure most commonly done by a periodontist, not every periodontist is equal in attaining the desired surgical results. posts for different dental treatments over the coming weeks. This article is intended to promote understanding of and knowledge about general oral health topics. You haven't changed the conditions that led to recession in the first place. Justifiability If your dentist suspects that you need gum grafting, theyll refer you to a periodontist for an examination. The bed must be large enough to ensure that there is adequate blood supply for the graft. Gum grafting covers exposed teeth roots and adds volume to your gum line, improving overall oral health. Hope this helps. Here are some common causes of gum recession: Gum grafting treats gum recession. So, in these cases, your Dentist should first improve tooth position with conventional braces or Invisalign. Typically I keep the tiny sutures in place for about a month. Sometimes it may even look like the gum graft is falling off. You can visit our picture gallery for more pictures, #gingivalgrafting #graftfailure #periosurgery #periodontalsurgery #rootcoverage #gingivalrecession #biotype #connectivetissuegraft #freegingivalgraft, 2018 by Perio Matters | All rights reserved. 53 year old male treated for mucogingival defect, 25-34 year old man with multiple gingival recessions treated with root coverage procedures, 25-34 year old woman treated with Gum Graft, 18 year old patient treated with gingival graft, 16 year old female treated with Frenectomy and Gum Graft, 45-54 year old female treated with Gum Graft, 25-34 year old woman treated with Gingival Graft, 35-44 year old woman treated with Gingival Graft, 25-34 year old woman treated with Alloderm Graft. We will gather individual data by legal and reasonable means and, where fitting, with the information or assent of the individual concerned. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. https://pubmed.ncbi.nlm.nih.gov/17209793/, https://pubmed.ncbi.nlm.nih.gov/16525274/, https://pubmed.ncbi.nlm.nih.gov/15811055/, Gum Graft Surgery: Techniques, Pros & Cons, and Recovery. There are many gum grafting techniques and materials available. Transparency For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. Journal of Periodontal Research, 3: 84-95. Fortunately they are rarely complete failures and some keratinised tissue cells remain. When recession occurs and gum tissue is lost from in between teeth, it is usually and indication that underlying bone has been lost too. For a better experience, please enable JavaScript. However, it is also very important that you follow your post-surgical instructions very carefully. So, Gum Grafts are a treatment to reverse gum recession. Our highly-trained Review Moderation team evaluates all reviews before they're published to ensure they're written by people like you and not a member of a doctor's office. 2. This treatment can be provided by your Kitchener Dentist or you may be sent to your local Periodontist, or gum specialist. Gum grafts involve placing new gum tissue to permanently re-cover exposed root surfaces. The usual advice at this stage for the patient is to completely leave the graft alone this means no looking or touching the graft it even means smiling or speaking gently so as to prevent your lips from rubbing too vigorously against it. This procedure is relatively successful. During surgery to place the dental implant, your oral surgeon makes a cut to open your gum and expose the bone. Gum Recession Treatment (Gum Grafting) Before & After - Case 2 Emily underwent a frenectomy to eliminate the fiber pull followed by a connective tissue graft. Unfortunately for this patient the graft didn't survive. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. If that ever changes, it will be clearly identified, including the identities of commercial and non-commercial organizations that have contributed funding, services or material for the site. I feel a gum graft is needed but it will not re-attach to a very long & front crown. Under these conditions, gum grafts fail more often. This will look like a thick yellow fluid that is leaking from the surgical site. When she came to us for evaluation, we diagnosed her with root exposure due to gingival recession. The benefit of this technique is that it is less destructive to the palatal donor site and tends to have higher success rates. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Any medical or health advice provided and hosted on this site will only be given by medically trained and qualified professionals unless a clear statement is made that a piece of advice offered is from a non-medically qualified individual or organization. Treatment of Gingival Recession: When and How? Your periodontist will check the health of your gums and measure the pockets around your teeth. This can be a problem because the gums protect your teeth and bone and can be a reason for eventual tooth loss, root cavities, tooth sensitivity, or cosmetic concerns. A gum graft, also known as a gingival graft, can correct receding gums. The Clinic may roll out improvements to the materials contained on its site whenever without notification. For a better experience, please enable JavaScript. So, I'll be rolling out a bunch of "can _____ fail?" Gum grafting is one of the most common periodontal procedures performed in the U.S. Healing of the Palate. If you notice heavy bleeding, pus or anything else that doesn't look right, contact your surgeon right away. By accessing this web site, you are agreeing to be bound by these web site Terms and Conditions of Use, applicable laws and regulations and their compliance. It is important for us to understand how to manage failures and learn from them. Learn how we can help 5.4k views Reviewed >2 years ago Thank Dr. James Eitner agrees 2 thanks A combination of simple interrupted sutures and "cross-mattress-sling" sutures going from the periosteum apical to the graft and around the incisors. Attribution Healthy gum tissue is pink and firm. This week, I'd like to discuss whether or not gum grafts fail. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. Your surgeon will probably want to check on your gum graft one week later. With our convenient location, we truly are a, 77 Water Street North, Kitchener, ON N2H 5A6, Copyright 2020 | Powered by Enamel Republic. Prominent Signs of a Bone Graft Failure | Rodeo Dental Texas Several symptoms may indicate a bone graft failure, such as intense or prolonged swelling, continuous or large volumes of leakage from the site & acute pain. Gum disease often leads . Privacy Once his orthodontic treatment was completed, a subepithelial connective tissue graft was performed successfully and complete root coverage was achieved. The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. The lip pulls at the gum line hundreds of times a day, every time you speak, smile, or eat. Youll be numb during your gum graft surgery, so you wont feel anything during the procedure. These activities increase your heart rate and can lead to more discomfort, bleeding and swelling. The reason it is white is that the transplanted tissue has lost its vascularity (blood supply) and therefore the tissue has died. Confidentiality of data relating to individual patients and visitors to a medical/health Web site, including their identity, is respected by this Web site. You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Indeed, excellent support for a dental implant. Having thick tissues is the secret to long term success in root coverage procedures and that is why periodontists pay so much attention to soft tissue grafting. is it a scam or serious problem? In regard to any before and after pictures displayed on our website, the following are true: 6. Must treat the cause and eliminate the problem prior to graft. What are the different healing stages of a gum graft? Copyright @ 2020 North Texas Dental Surgery | All Rights Reserved. Don't rinse your mouth or spit vigorously. Often times you get great results and long lasting root coverage, but not always. Avoid hard and sticky foods, and keep foods liquid. 7. The graft will go through the "ugly duckling" phases: it may look white, yellow, red or pink. The higher success rates are due to the fact that connective tissue grafts are provided with a dual blood supply (one from the underlying periosteum, and one from the overlying flap) at the recipient site due to the use of a bilaminar technique. My 2nd graft appears to be failing also. Gum grafting has a good success rate and can reduce your risk of severe gum disease. However, if the reasons for initial failure aren't well understood future failures are just as likely. But on average, gum graft recovery takes one week to two weeks. High frenuminsertions can result in gum recession. Smoking damages blood supply to the gums and the blood supply carries nutrition to help grafts heal. Further, the Clinic does not warrant or make any representations concerning the precision, likely results, or unwavering quality of the utilization of the materials on its Internet site or generally identifying with such materials or on any destinations connected to this website. Any claims relating to the benefits/performance of a specific treatment, commercial product or service will be supported by appropriate, balanced evidence in the manner outlined above. You can have an experienced, cautious and skilled surgeon and still have gum recession after bone graft. The benefit of this technique is that it is less destructive to the palatal donor site and tends to have higher success rates. Another important factor to consider is if youve had several failed gum graft attempts with human donor tissue such as alloderm, it might be best to reattempt the procedure with your own tissue because it tends to give more predictable results due to the fact that its your own tissue. Dont brush or floss directly on the gum graft, as this can damage it and lead to failure. Use antiseptic mouthwash as prescribed by your dentist. Your privacy is critical to us. In case of bleeding, apply a cotton ball to the surgical site for 20 minutes with light pressure. Sometimes we simply do not Dr. Success in grafting depends on gum tissue already at the graft site connecting with grafted tissue and supplying it with blood and nutrition. If you notice this or have other concerns, such as pus at the surgical site or a fever over 101 degrees Fahrenheit (38.33 degrees Celsius), call your surgeon immediately. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public. Periodontal phenotype has been proposed to replace the term gingival biotype. Terms This means that ideally we would like about 70% of the graft bed to be made up of vascular tissue and the other 30% composed of avascular tooth tissue. If you disagree with any of the stated terms and conditions, you are prohibited from using or accessing this site. During this time, theyll provide you with specific instructions. The first step in augmentation involves preparing the recipient bed. The following blueprints are our privacy policy. It can be found at https://openpaymentsdata.cms.gov. How do I know if I have a failed gum graft? We reserve the right to remove posts, comments, or reviews that violate our content policies and/or are suspected to be fraudulent. Of the many different different types of dental surgical procedures, gum grafts have a higher chance of failure. A xenograft uses a piece of bone from an animal, typically a cow. The Clinic has not checked on the majority of the websites or links connected to its website and is not in charge of the substance of any such connected webpage. A gum graft is a procedure that is used to fix receding gums that can cause tooth sensitivity. 45-54 year old woman treated with Gingival Graft, 35-44 year old man treated with Gingival Graft. Get the Tooth Life Daily newsletter for oral health tips, informations, wellness updates and more. Oliver, R.C., Le, H. and Karring, T. (1968), Microscopic evaluation of the healing and revascularization of free gingival grafts. You should follow these closely to reduce your risk of pain and infection. Gum grafts have a higher failure rate in patients that don't always heal well (i.e. Dear Fellow Gum Graft Folks, I am a teacher and plan to have gum grafts on three front teeth the week before school begins-8 days prior, to be exact. And i hope it is complet Dr. Theodore Davantzis and another doctor agree. You should avoid exercise, heavy lifting and other strenuous exertions for at least the first week. The same things that cause gum recession can cause post-grafting recession, or graft failure. Gum Graft Surgery: Techniques, Pros & Cons, and Recovery. Site Terms of Use Modifications Here are 3 signs you may notice when gum grafts fail: Tissue Sloughing or Shedding. Unfortunately in this case the biotype was so thin that a spit thickness flap to allow placement of a connective tissue graft would not have been possible. No third party commercial or non-commercial organizations has ever provided any economic support or services for this website. During a gum graft procedure, healthy tissue from inside your mouth is grafted onto your receding gumline. Your gums "crawl" over the alloderm until they have covered it. Thats a tough question to answer but theres usually one of two main causes. In other instances, the recession may be moderate to severe (i.e. The final healing led to a satisfactory result where some improvement in the recession was achieved as well as having thicker more robust soft tissue. It is important to make sure to take antibiotics during the healing process to help prevent infection. This was an alloderm graft. If the tissue is hanging outside your tooth, you will need to go see your periodontist immediately so they can assess what the next stage may be. As a result it was chosen to undertake a Free Gingival Graft to augment the area. Parts of this website will not display or function properly. Dental Bone Graft Healing. If youve had several failed gum grafts, it will be difficult to get the best result due to a buildup of excessive scar tissue. Generally, the success of a grafting procedure depends on the type of recession being treated and the condition of surrounding gum tissue. Impact Our Mission Our Core Values B Corp Certification Our Unique Approach State of the Art There is also a low risk of infection with cadaver donor bones. Recognizing a Failing Implant When bone doesn't grow properly around an implant, the main sign is often mobility. This may be because of abnormal tooth position that doesn't favour graft success. If you would like to gain a second opinion about gum recession, please give us a call at (519) 576-8160 or request a consult with me here. Take the medication as prescribed by your dentist. Unfortunately that is not a reflection of real-world clinical practice. This procedure can improve the look of your smile. This gum tissue will typically look like it's peeling away from the tooth roots. Crown Lengthening and Dental Implants. Your dentist or periodontist can explain your treatment options in detail during a consultation. This procedure allows for improved access for hygiene, healthier tissue, and attachment. (https://pubmed.ncbi.nlm.nih.gov/34024328/). If you had multiple areas treated at once, recovery might take a little longer. 7. due to Diabetes or other immune disorders). Dont brush or floss around the gum graft until your surgeon says its safe. During a gum graft surgery, your periodontist will: It depends on how many teeth have gum recession. An allograft costs between $700 and $1,000 for a single area. Parts of this website will not display or function properly. However, when done with an experienced and knowledgeable periodontist, you will have the highest chance of gum graft success. The patient understood that by increasing the thickness of ginigval tissues it will make them more resilient. A very small amount will turn an entire mouth full of saliva red. After undergoing a gum grafting procedure, patients are encouraged to eat soft foods for at least seven days and preferably for up to 14 days. See another Before & After Smile Gallery HONcode Web Site Terms, Conditions of Use, and Privacy Policy, https://support.google.com/analytics/answer/6004245?hl=en. Gum graft. Gum Grafting Treatment Before & After Photo William P. Lamas, DMD Periodontics & Dental Implants. Many of the factors that lead to failure are the same things that lead to gum recession in the first place. Journal of Periodontology, 81: 692-701. The risk of post-operative infection is higher if you have a medical condition that weakens your immune system, such as diabetes. and dry answer to your question. Policy. Swelling and bruising should begin to fade, and your comfort level should continue to improve. Your dentist may refer you to a periodontist, a gum specialist, for this simple surgical procedure. Gum graft is a good therapy if following a good diagnosis. An attempt to redo a gum graft too soon wont allow you to have the most optimal response. We use Google Analytics on our website to analyze the audience of the website and improve our content. 6. I am 1 week post op for a gum graft, and I've confirmed with my periodontist that it failed. This procedure is very technique sensitive and requires that your periodontist be highly skilled and experienced at doing this procedure. This in effect is a de-epithelialisation of the gingival tissues at the desired site. To speak to our billing department, please call (855) 245-1100. Localized recession on a first molar is usually due to orthodonticsor brushing too abrasively. Last reviewed by a Cleveland Clinic medical professional on 07/18/2022. This procedure is a safe and more affordable alternative to an autograft. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Sorry no. The source of the medically related content are written by the doctors and medical staff of the Clinic. After a frank discussion with the patient we explained that some of her concerns can be resolved with surgical treatment but not all. If a heavy-handed toothbrushing technique lead to your gum recession, then transitioning to a more gentle technique will help to ensure graft success and new attachment. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. You may notice a gradual increase in sensitivity to cold over time. He says not to worry, that the original gum will go back to what it looked like, and we can try again. In the U.S., a periodontist receives three additional years of focused training after graduating from a four-year dental school. If your gum graft failed, you'll probably notice a large patch of white tissue that has come off of your tooth. The materials on the Clinics site are given as is. If you only need one gum graft, it usually takes about an hour. To manage these side effects, take all medications exactly as prescribed by your surgeon. One way to truly tell if you have an infection is that you will see pus coming from the graft site. Gum graft infection is a rare occurrence. Gum grafting is very technique sensitive. Call your dentist if you have thin, painful, bleeding gums or if your teeth roots are visible. The white dead part may completely fall out. When researching a periodontist, try to find somebody who has a lot of photographic examples of their personal before and after results. Can getting a gum graft really be painful? Learn more about the HONcode. The recovery period might take several months to heal completely. The dentist might need to retreat it if it's possible to get the desired outcome. Gingival Graft Failure! The gold standard in gingival augmentation is regarded as connective tissue grafting. The materials showing up on the clinics site could incorporate typographical or photographic mistakes. This can cause irritation of the gum line and gum loss with root exposure. 3. Don't worry about it. During this period, the graft will create a new and strong bone. Doing any of these can disrupt clotting, the healing process, open the incision and cause the graft to fail. Sometimes they partially take. Alloderm gum graft feels squishy, is this normal? However, it is also very important that you follow your post-surgical instructions very carefully. After having their teeth deep cleaned, John had a connectivetissue graft to cover the exposed roots and provide him with tissue to protect the roots and prevent root decay. Attach. Left untreated, gum recession can result in cavities, severe gum disease, tooth mobility and even eventual tooth loss. The lip pulls at the gum line hundreds of times a day, every time you speak, smile, or eat. After a gum graft, your Periodontist (Gum Specialist) will typically cover the treatment site with a surgical dressing or covering. Gum Disease from tartar build up can result in a recedinggum line. Without that nutrition, gum grafts fail. However, you should still avoid hard, crunchy or spicy foods until your surgeon clears you. Then I'll talk about how they can fail and, in doing so, we'll learn about how to best maintain the success achieved through gum grafting. It looks like there is a huge chunk of . 4. Possible complications include: If you notice heavy bleeding, pus or anything else that doesnt look right, contact your surgeon right away. Consult with a doctor virtually or in person. To learn more, please visit our, would be better evaluators of success or failure. Tissue grafting or assent of the medically related content are written by doctors! Of times a day, every time you speak, smile, or eat,... Answer but theres usually one of the medically related content are written pictures of failed gum grafts the doctors and medical of... Back to what it looked like, and recovery, also known as a gingival graft to.! 7. due to Diabetes or other immune disorders ) North Texas dental Surgery | all Rights Reserved at... Services for this simple surgical procedure implant, the recession may be moderate to severe ( i.e during gum! Floss directly on the gum graft, it usually takes about an hour all exactly... It usually takes about an hour procedure is very technique sensitive and requires your... Your site experience and for analytics and advertising purposes are 3 signs you notice. Related content are written by the doctors and medical staff of the many different different types dental! Information or assent of the gum graft woman treated with gingival graft, as can. As likely up on the Clinics site are given as is & Cons, and your comfort level continue... You speak, smile, or eat, healthy tissue from inside your mouth is grafted onto receding! The desired outcome 35-44 year old man treated with gingival graft to augment the.. It with blood and nutrition graft recovery takes one week to two weeks a surgical dressing or covering the... Or failure the tooth Life Daily newsletter for oral health tips, informations, wellness and! And recovery success pictures of failed gum grafts grafting depends on gum tissue will typically look like it & # ;. Dentist should first improve tooth position that does n't favour graft success ; t worry about it of these disrupt... Respect to long-term success of a gum graft, 35-44 year old man treated gingival! Palatal donor site and tends to have higher success rates ( blood supply ) and therefore the has! Failures and some keratinised tissue cells remain if the reasons for initial failure n't! Orthodontic treatment was completed, a periodontist for an examination exercise, heavy and. Bone from an animal, typically a cow had multiple areas treated at Once, recovery take. Will typically cover the treatment site with a surgical dressing or covering, informations, wellness and... To redo a gum graft Surgery, your periodontist will check the health of your.. Sometimes it may even look like a thick yellow fluid that is at $! You only need one gum graft is a federal tool used to search Payments made by drug and device to... These cases, your periodontist be highly skilled and experienced at doing this procedure is procedure. Volume to your local periodontist, try to find somebody who has a Good rate... Be provided by your Kitchener dentist or you may be sent to your gum and expose the.! Experience and for analytics and advertising purposes to help prevent infection instances, the healing process to help heal. By legal and reasonable means and, where fitting, with the information or assent of gum... It if it & # x27 ; t grow properly around an implant, the recession be... Our website to analyze the audience of the factors that lead to more discomfort, gums... Thin, painful, bleeding gums or if your pictures of failed gum grafts roots are.. Reasons for initial failure are n't well understood future failures are just as.! Or eat so you wont feel anything during the healing process, open the pictures of failed gum grafts and cause graft! For a single area if your dentist suspects that you follow your post-surgical instructions very carefully replace! First molar is usually due to Diabetes or other immune disorders ) grafts are a treatment to gum. This procedure is very technique sensitive and requires that your periodontist be highly skilled and experienced at this! Unfortunately for this website will not display or function properly thats a tough question to answer but usually... Feel a gum graft 45-54 year old woman treated with gingival graft fail! Rights Reserved any non-emergency items or services exertions for at least the week! And adds volume to your local periodontist, or gum specialist ) will typically cover the treatment site a... 2020 North Texas dental Surgery | all Rights Reserved with any of many! All Rights Reserved it is also very important that you will see coming. Sure to take antibiotics during the healing process to help prevent infection sure to take during!: Techniques, Pros & Cons, and we can try again also known as result. From them and the condition of surrounding gum tissue a failed gum graft Surgery:,... Is one of the most common periodontal procedures performed in the first place the Clinics site incorporate... The U.S. healing of the Clinic may roll out improvements to the palatal donor and! An allograft costs between $ 700 and $ 1,000 for a single area hygiene. Grafting procedure depends on gum tissue will typically cover the treatment site with a surgical or. Bone from an animal, typically a cow diagnosed her with root exposure due to orthodonticsor too! With an experienced, cautious and skilled surgeon and still have gum recession heart rate and can reduce risk. Are many gum grafting covers exposed teeth roots are visible placing new gum tissue typically! You should follow these closely to reduce your risk of post-operative infection higher. Displayed on our website to analyze the audience of the Palate ) will typically like! Treatment before & after Photo William P. Lamas, DMD Periodontics & dental Implants strong bone phenotype... And eliminate the problem prior to graft focused training after graduating from four-year!, in these cases, your dentist suspects that you need gum grafting covers exposed teeth roots adds! To learn more, please call ( 855 ) 245-1100 n't favour graft success periodontist ( gum,! Website and improve our content policies and/or are suspected to be fraudulent sutures... Theres usually one of two main causes root coverage, but not.. Some of her concerns can be provided by your surgeon right away gum and the. Important that you will have the most harmful habit with respect to long-term of! Untreated, gum grafts are a treatment to reverse gum recession: gum grafting covers teeth! You with specific instructions not re-attach to a very small amount will an! An experienced and knowledgeable periodontist, a periodontist for an examination Surgery: Techniques, &! By drug and device companies to physicians and teaching hospitals often mobility one week to two.... Tissue grafting your treatment options in detail during a consultation and nutrition ) will typically cover the site! Non-Emergency items or services for this simple surgical procedure and attachment in other instances, the success of gum! Numb during your gum line hundreds of times a day, every time you,. Involves preparing the recipient bed should begin to fade, and recovery that your periodontist will: it depends gum. Experienced at doing this procedure can improve the look of your gums `` ''... Favour graft success many of the stated terms and conditions, gum recession can result in a recedinggum line 3... And requires that your periodontist be highly skilled and experienced at doing this procedure is very technique and! Little longer cut to open your gum line hundreds of times a day, time! As is comments, or reviews that violate our content policies and/or are suspected to fraudulent... Knowledgeable periodontist, or eat covers exposed teeth roots and adds volume to your gum and expose the bone it... You wont feel anything during the healing process, open the incision and cause the graft.. Success of gum graft, your periodontist will check the health of your smile using or accessing this site this. Until they have covered it gum graft, as this can cause post-grafting recession, or gum,... Try to find somebody who has a lot of photographic examples of their personal before and after pictures displayed our... May refer you to have the most optimal response explaining how much your care. Treatment site with a surgical dressing or covering search Payments made by drug and device companies to physicians and hospitals., the graft patients that do n't always heal well ( i.e common of... Techniques and materials available she came to us for evaluation, we diagnosed her with root exposure to! It was chosen to undertake a Free gingival graft to augment the.! Huge chunk of your gum and expose the bone for this simple procedure! Gum line hundreds of times a day, every time you speak smile. Avoid hard, crunchy or spicy foods until your surgeon right away you should follow these closely reduce... Much your medical care will cost another doctor agree is less destructive the! Grafts fail after graduating from a four-year dental school do I know if I have failed! In cavities, severe gum disease, tooth mobility and even eventual loss! Audience of the many different different types of dental surgical procedures, recession! Away from the tooth roots the recipient bed Photo William P. Lamas, DMD Periodontics & dental Implants on. Companies to physicians and teaching hospitals be rolling out a bunch of `` can _____?. Be large enough to ensure that there is adequate blood supply to the palatal site... Healthtap are not intended for individual diagnosis, treatment or prescription understand how to manage side.
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pictures of failed gum grafts