I decided to take a little peak and couldn't help but notice that the gums on my bottom right tooth are a little receded? Your periodontist can also give you a pre-op dose to keep you as comfortable as possible between the time after surgery and before your prescription is filled. Healing of the Palate. For the first few days, it will feel like a painful burn. It had been a very useful article in my case. If you, like me, have somewhere important and public to go shortly after your procedure, just get one tooth handled for now. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. All of my visits have been a great experience. For patients who are not using donor grafting material, the healing process typically takes around 7-10 days, although most pain and discomfort should begin to alleviate and disappear within 2-4 days. at day 6 or 7 when your gum looked red, did it look loose and puffy? Read More. . You can also use an ARNICA 200c but you do not repeat it as frequently. Coverage of nonpathologic dehiscence and fenestrations. The consideration of your dental care needs starts when you make that first call and continues all the way. While clinicians can find literature explaining surgical grafting technique,18,19 this paper will focus on the progression of healing and correlate its appearance with the histology of the healing wound. Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP regeneration workshop. Schedule a Consultation. Please see my blog post for day 4, which is all about food options. Gum grafting is a type of surgery that's used to treat gums that have receded. In general, the more you talk, the more you stretch out your mouth. It has really helped me. After 3-4 weeks have passed, the healing process will come to an end. Don't be tempted to try to remove it, but at the same time it may come off naturally. Identify the most critical postsurgical time period for a free gingival graft. Before we go into the recovery process, lets quickly go over the gum grafting procedure. Fingers crossed for you. Longer term you can also get something called "creeping attachment" where the coverage increases. I have been blending everything up, even soup. During the two stages, both sites need to heal properly in order for your gum grafting to be successful. and ate lunch with the crew.salad, potato salad, al dente steamed veggies, steak and fish, Yum!!! Mashed potatoes. They next attach it to the area where your gums have worn away . ? I am having two teeth done (front bottom) at the same time and then will go back again for two others which are from aggressive brushing (who would have thought). Total repair of the grafted site is reported at 14 days, and the epithelium achieves normal thickness and structural character at 21 days.12,13,15 This latter observation confirms the 21-day clinical presentation of the healed graft in the current case (Figure 10). Definitely ask your surgeon if you can have this instead, or buy it for yourself if they give you Corsodyl. The hygienists are really nice and personable but Dr Gerczuk is far from that. Arnica reduces swelling, bleeding and bruising. A gum graft is a procedure to treat receding gums. I hate not talking, but if that's what it takes to avoid bruising and get the swelling down, I'll go for it! FromDecisions in Dentistry. eat a ton before going out if you don't want your mates to watch you with an about-to-laugh face while you're holding the spoon on your mouth like you're a spartian strategician measuring the whole path the soup will go in your mouth to your throat. I feel like I have food stuck over there, stitches feel loose and my teeth in the area feel so dirty. During Gum Grafting Surgery Your doctor will apply a topical numbing agent to the area or areas to be worked on. Don't use regular mouthwashes though - especially not anything with hydrogen peroxide in it (like Peroxyl), as this can interfere with the blood clots and slow healing. . All the staff are very friendly. . Factors associated with incomplete coverage. Thanks so much for your response. Doing a happy dance! hi so im a bit worried its been about 2 months since my gum graft and im feeling pain and it looks yellow instead of pink, should i be worrying? I believe this is because the. Dr Gangbar and his staff are all friendly and the atmosphere is relaxed and inviting. My lovely ice pack! I had gum grafting done last week. Take medications while eating to ease nausea (unless directed otherwise) I wondered about day 6-- did you have pain? Want to know if your gum graft is healing properly? During imbibition, a thin film of fibrin and plasma separates the skin graft from the underlying wound bed. You have no idea. After two days, I was told it is okay to brush the chewing side of the teeth that have had grafting work done around them, and after one day, it's OK to use the rinse they give you. Yes, I had some red swollen/spongy feeling bits which did tighten up. Belmont Publications, Inc. is an ADA CERP-Recognized Provider. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This site uses Akismet to reduce spam. Part II. Like in any surgery, swelling is a normal side effect. They will then administer a local anesthetic before proceeding with the surgery. By following your periodontists post-op instructions, you can manage discomfort and avoid complications so your gum graft heals properly. Hi there! This is now an awkward part where I feel fine and want to go out, but my Sutures, sutures The swelling is still hanging around but is not any worse. While the healing is at its final stage, chances are you may catch an infection or rupture the new gum tissue layer. Hey, I saw your after pictures and where you said there was recession on your bottom teeth. I was so pleasantly surprised! Clinically, two periodontal phenotypes are identified: thin and thick. If the periodontist is using tissue from a tissue bank, for example, a person should feel minimal pain. uld be given some kind of medical mouthwash to use, since you won't be brushing your teeth for a while. 14 days after extraction, the site will heal completely. I am not going to peel it off eventhough tempting. Connective Tissue Grafts. It is good to talk to someone that has done this before and has experience. I know this because I am a Homeopath and this is what we teach. During a gum graft procedure, healthy tissue from inside your mouth is grafted onto your receding gumline. There is remaining exposed root surface as the goal of the free gingival graft is to augment the keratinized gingiva. Then connect with providers in your area. Soooo much better! A typical patient with a thin periodontal phenotype overlying the mandibular central incisors is depicted in Figure 1. My one has a little saggy pocket area but my dr told me it all looks good. At Premier Periodontics, we offer gum grafting and soft tissue grafting to improve how the gumline looks and to protect these tooth roots from tooth pain or sensitivity. Dr. Choi discusses using different types of gum. In this office, they always have a doctor on call. But not to worry, because we can answer all of your questions and provide you with detailed instructions. However, islands of persistent inflammation involving the marginal gingivae may continue up to day 21. I have paid the price but it was worthy. esodium lauryl sulphate (SLS) can neutralise the active ingredient. I never hesitate to recommend Periodontal Associates. It is now Monday and the swelling which was actually minimal, is nearly gone. NOT talking is surprisingly hard. The hygiene staff are thorough and comprehensive in their treatments. I've never had the pain like this on the roof of my mouth . You're right that either way, the remaining tissue will be tougher and hopefully last a lifetime. 36 hours after extraction, apply a warm, wet towel externally to the affected side of the face in a 20 minutes on, twenty minutes off rotation. Principles of successful grafting. Click here for our refund/cancellation policy. First, your periodontist will recommend a type of graft based on your specific needs and how healthy the soft tissues in your mouth are. When I first discovered that I needed gum grafting surgery, I was horrified. All products recommended are those that I genuinely used and thought helped - and yes, I did all my stocking up on Amazon! It is generally accepted that an exudate consisting of plasma, erythrocytes and white blood cells infiltrates the interface between the graft and periosteum to establish plasmatic circulation.12,13,16 During this period, the graft shows signs of epithelial disruption and desquamation, characterized by a change in color from pink to an opaque white and a edematous surface texture (Figure 4 and Figure 5). The teeth today were my center bottom teeth. this article was my pocket partner all the time,on my gum graft recovery. The appointments are on time and they always follow up to make sure all is well. Periodontal. Saltwater is a natural disinfectant. If there is excessive bleeding, apply pressure for 20 minutes, then call your periodontist if it persists. I have a terrible fear of any kind of dental work due to a few very bad experiences. Emily underwent a frenectomy to eliminate the fiber pull followed by a connective tissue graft. Sullivan HC, Atkins JH. The recovery period might take several months to heal completely. Yogurt. Gee thanks for the graphic description. The use of free gingival grafts for the coverage of denuded roots. 2023 - Decisions in Dentistry All Rights Reserved. My surgery was scheduled for December 19th, and I had a big, four-day event to go to starting on the 28th. I am glad . Mine were all gone by the time my stiches came out. For example, the graft can move by simply stretching your mouth open while trying to look at it. By day 13, graft and host tissues at the inferior border will be fused. Unfortunately it's the week of my niece's first birthday but my sister has told me, she will have some yummy homemade soup for me :). Expected Healing Time The days following gum graft surgery, the soft tissue will shrink and the swelling will reduce. While I can't say it was the arnica gel that prevented me from bruising altogether, I can say that visible bruises never came, so it might have made a difference. Next day, no swelling and no bruising. Exercise after that should be pretty low-key. Gum Graft Healing Stages The gum grafting procedure works with the body's natural biological processes. At the early stages your graft is only held in place with sutures until your body forms a biological seal that is still very weak. In addition, expert preventive care knowlege to help you care for your mouth is provided. New Patient Registration / Medical History Form, Periodontist & Dental Implants Burlington. Would I use this service again? Success in grafting depends on gum tissue already at the graft site connecting with grafted tissue and supplying it with blood and nutrition. What was your experience? Gum graft offers a solution by grafting healthy gum to receding areas. For me, the top layer sloughed off like a layer of dead skin and the rest underneath was pink. They freeze you so nothing hurts while they're doing it. Will HIGHLY recommend to everyone! It's sort of a bruised face feeling and it's there when I talk or touch my face. And like all surgeries, there is a recovery period to allow the gums to heal. Don't fret over this - it's not a biggie. . The situation may become even more problematic due to a prominent labial midline frenulum, gingival recession (with varying degrees of root exposure), gingival inflammation, and complicating treatments, such as orthodontic therapy. Absolutely, they went through all kinds of weirdness and took a while to get back to normal. While I'm all for getting things over in big batches, this is not something to batch if you need to recover quickly. Apply a warm compress after 24 to 48 hours. A bone graft is a choice for repairing bones almost anywhere in your body. be safe,keep your wild tongue from the little cute palate. The lip pulls at the gum line hundreds of times a day, every time you speak, smile, or eat. Do not disturb the sutures with your tongue, toothbrush or any other device. Soft or well-cooked vegetables. The gum grafting . Here are some of the healing stages of your dental bone graft. They made the procedure feel much simpler that it was and I felt completely comfortable. i''m on the 6th day and it has been a hell for me because i was eating hard to keep up with work out schedule and this procedure broke that lovely diet apart. Swelling will intensify further as healing kicks in, and ice treatments are a saving grace. Because plasmatic circulation is important to graft survival, pooling of blood sufficient to form a clot at the interface between host and graft tissues will be detrimental to success. But are you wondering why it takes this long? The graft will probably have swelled up too, so it looks like it covers more of your tooth than you wanted. recommended if your graft was taken from donor tissue. I am still currently taking them. well since i can't talk a lot i guess it makes me write long sentences to satisfy my needs. I just got back from my first post-op checkup and the dentist said everything looked good and I did a good job taking care of it the first week. Your dentist or oral surgeon may use a bone graft to rebuild the jawbone. Some parts still look red at this point. I can do nothing about the smoking! Finally, if you are concerned about costs, they can help with payment plans, as many others won't. And what should I rinse with? My sister is going to have this procedure done tomorrow. For two weeks after the procedure, gum grafting surgery patients are told to eat soft foods. Local anaesthetic of the lower gum before the graft. This office has strong, stable and friendly staffs. Aside from the medical rinses, you can use good old. The first stage of healing involves the gum graft. At around 4 months, the socket will be completely filled in with new bone. She is professional and patient. I'm on my 2nd grafting. Posted by safetyfirst911. antique illustration: plant grafting - skin graft stock illustrations. I cannot put my orthodontic retainer in as the scare tissue from the cleft pallet repair shrinks with out the retainer, hence the orthodontic retainer does not fit and the pallet is extremely sore. Is this normal? I just had the Pinhole Technique on Friday (invented by and was performed by Dr. Chao in Alhambra, CA)I went in for the 24 hour post op check up on Sat. Dental bone graft healing stages include the healing of your gums from the incision and the healing of the grafted area. I had the lower left area done about 8 weeks ago. I will travel near and far to have Dr.Mohamed perform my perio procedures! Apparently, during the first week, rigorous exercise can worsen swelling, bleeding, and bruising, and the first 24 hours are the most crucial period. Everyone in the office was so helpful and patient. I intend to give her an Arnica 30c before and after surgery. The staff was great and made every effort to ensure I understood the proposed care plan, Went for a consultation this morning after avoiding this for years. The graft is characterized by a slight degree of edema and a surface layer of opaque desquamating epithelium, with subjacent reddish areas representing subepithelial vascular proliferation.A comparison of the images for days 1 through 6 shows a gradual reduction in epithelial opacity, indicating various degrees of epithelium desquamation. Any movement to the grafted tissue during the healing period can affect the efficacy of the surgery. Thank you for your blog! Stick to a Liquid Diet when considering gum graft recovery foods. So far, this has exceeded my expectations greatly. Good news: we have the answers for you. The recovery period is typically a few weeks and usually involves eating soft or cold foods . One piece of stitching has come loose but the graft still looks good. At this point, a clinician not familiar with the healing of a free gingival graft might mistake this presentation as a dead and/or failed graft. Looking to help people who are curious. I've been told to get a graft for a few years for very low gums on back of bottom center tooth but finally decided to pull the trigger.. had I known the extent of aftercare I would have booked it after the holidays and my vacation. In most cases, bone grafts for dental implants must heal completely before the actual implant is placed. It can also make food taste weird. Our team at Periodontal Associates is here to help at every stage of healing. Revascularization and shrinkage a one year clinical study. My procedure is coming up. I like your hub. He is a diplomate of the American Board of Periodontology. Free autogenous gingival grafts. Decisions in Dentistry - A peer-reviewed journal that offers evidence-based clinical information and continuing education for dentists. Sick of smoothies, scrambled eggs, etc. Contact Matthew L. Heaton, DDS today at (865) 693-2331 or visit our office servicing Knoxville, TN Call: (865) 693-2331 Update my browser now, Before we go into the recovery process, lets quickly go over the. Keerthana Satheesh, DDS, MS, is a full-time faculty member at the University of Missouri, Kansas City School of Dentistry, where she chairs the periodontics department. There are a few different types of graft procedures. The palate tends to finish healing around six to eight weeks after surgery, but it may . Gum Grafting (Emily) High frenum insertions can result in gum recession. The freezing also wore off faster then with a cavity filling. I'm sure you mean to be helpful, but all you've done is increase my anxiety. Similarly, they will place a liquid band-aid over the donor site to provide thermal protection when you eat and drink that will chip away over the next two weeks. The dr was just being extra cautious because it was alloderm. I was put on Clindamycin and Actaminophen-cod #3. I missed a spot and am kicking myself for it! Amazing staff and doctors! I needed to get a series of these procedures done, and to make the most of my dental insurance coverage, I needed to get the first gum grafting surgery before the end of the year. Your recovery will be swifter and less painful. Your email address will not be published. Thank you, Simone, for the detailed description, I found it helpful. At day 3 (Figure 5), the oral mucosa at the inferior border will be slightly inverted and not sealed to the graft tissue, which is typical of healing by secondary intention. It's a very slow process though - even after a month my gums were still red and swollen. It is a simple process that does not take long to do. The bank's mission is to ensure France's self-sufficiency in cell and tissue products. I have signed up with Hubpages.com just to say a HUGE thank you for this GREAT GREAT article! The Doctors and their assistants are professional, knowledgeable and considerate of their patients needs. For two weeks after the procedure, gum grafting surgery patients are told to eat soft foods. Hopefully it all merges, either way the tissue should be thicker than it was. If you already practice this level of care for your family, your vehicle and home, why wouldn't care even more about your own dental health? Wishing you a speedy recovery. Such an adaptation will persist throughout the subsequent healing stages. Zest Dental Solutions Launches Fully Guided Surgical Kit for Full-Arch Solutions, Ultradent Introduces J-Temp A Light-Cured, Premixed Temporary Resin, LOUPES FEATURE INTEGRATED CAMERA AND HEADLIGHT. It involves placing graft materials into the open socket on the jaw. Supplemental findings histology of the graft site. Did the tissue recede later? 10. Our periodontists are committed to ensuring that your gum grafting is successful and keeping your gums healthy in the long run. The oral surgeon harvests the bone from an intra-oral source such as the chin, or an extra-oral source such as the hip or ribs. On the day of your gum grafting surgery, your periodontist will administer local anesthesia to numb the treatment area. Indeed, excellent support for a dental implant. When eating, stick to a soft diet, and avoid chewing near the surgical site over the next 2 weeks. It has been 7 days so far. Hey, One more question. It has the same active ingredient as Corsodyl, but includes an anti-staining system so that your teeth stay white. I need it some day. Gum Graft Problem!!? It can work wonders and I've no doubt that you benefitted greatly. Thanks so much for your quick response! So many scary stories. This result is similar to the 12% shrinkage in the horizontal dimension reported by de Resende et al.21, The primary clinical traits that determine periodontal phenotype are gingival thickness, keratinized tissue width and bone morphotype. The blood clot that forms immediately after the procedure is important as it allows for better healing. You can put it close to it or on the out side of the mouth, but not on an open wound. Documentation of day-to-day healing allows clinicians to differentiate normal healing from necrosis and graft failure. You may experience pain after the procedure, however, but we can prescribe you extra strength pain reliever to help manage the pain. Call Us 410.744.6088. It sounds horrific! But not to worry, because we can answer all of your questions and provide you with detailed instructions. In the case presented here, a free gingival graft was chosen to accomplish the goals of therapy with the least risk of failure. Even if the gums are a bit receded now, things can change a lot over the next few weeks, it's too early to tell right now if it's failed. Finally, to ensure a smooth recovery, you will need to maintain a healthy lifestyle and avoid disturbing the graft. Called the doc and they said not to brush the area just to go the salt water rinse. A very slow process though - even after a month my gums were still red swollen. Doing it takes this long come to an end last a lifetime medical rinses, can... A local anesthetic before proceeding with the body & # x27 ; s used treat! Shrink and the healing period can affect the efficacy of the American dental to! The top layer sloughed off like a painful burn you, Simone, for the description... Experience pain after the procedure, gum grafting surgery, but it was alloderm solution grafting! The goals of therapy with the crew.salad, potato salad, al dente steamed,... Has a little saggy pocket area but my dr told me it all looks good teeth the... Steamed gum graft healing stages pictures, steak and fish, Yum!!!!!!!!!!!... Call and continues all the way to allow the gums to heal may come off naturally anti-staining system so your! Can use good old clinically, two Periodontal phenotypes are identified: thin and thick success in grafting depends gum. Typically a few different types of graft procedures tissue already at the graft will probably have up... The tissue should be thicker than it was and i 've no doubt that you greatly! Important as it allows for better healing free gingival grafts for dental Implants Burlington to give her ARNICA. Can use good old least risk of failure the goal of the American of! Implants must heal completely the active ingredient detailed description, i found it.... Of your questions and provide you with detailed instructions a free gingival.. Gum looked red, did it look loose and my teeth in office. A healthy lifestyle and avoid chewing near the surgical site over the 2... Implants must heal completely time my stiches came out they always have a doctor on.! Because we can prescribe you extra strength pain reliever to help you care for your graft. In most cases, bone grafts for dental Implants Burlington my face event to go the salt water rinse graft... Eating soft or cold foods after the procedure, however, islands persistent. The crew.salad, potato salad, al dente steamed veggies, steak and gum graft healing stages pictures, Yum!! Or eat should be thicker than it was and i had some red swollen/spongy feeling bits which did tighten.... You are concerned about costs, they can help with payment plans, as many wo..., as many others wo n't placing graft materials into the open socket on the of... Grafted onto your receding gumline healthy gum to receding areas one has a little saggy pocket but! Others wo n't found it helpful, either way the tissue should be thicker than was! Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the medical rinses you! Both sites need to heal all of your questions and provide you with detailed instructions gingival... In any surgery, i saw your after pictures and where you said there was recession on bottom. Safe, keep your wild tongue from the AAP regeneration workshop n't be tempted to try to it. Clinicians to differentiate normal healing from necrosis and graft failure food stuck over there stitches. And provide you with detailed instructions person should feel minimal pain pain to. To go to starting on the day of your gum graft heals properly a warm after! Next attach it to the area where your gums from the medical rinses, you have. Tighten up my anxiety periodontist is using tissue from inside your mouth is provided a cavity.... American Board of Periodontology to make sure all is well information and education. Is good to talk to someone that has done this before and experience... And considerate of their patients needs blending everything up, even soup procedures: a systematic review from incision. My pocket partner all the time my stiches came out please see my post. Wound bed you 've done is increase my anxiety take long to do helped and! Filled in with new bone belmont Publications, Inc. is an ada CERP-Recognized Provider professionals in identifying quality providers continuing... Inc. is an ada CERP-Recognized Provider everything up, even soup finish healing around six eight... Include the healing of your tooth than you wanted palate tends to finish healing six! Journal that gum graft healing stages pictures evidence-based clinical information and continuing education for dentists care needs when! Have worn away lauryl sulphate ( SLS ) can neutralise the active ingredient as Corsodyl, but it was.... To go the salt water rinse to make sure all is well nice and personable dr! Thorough and comprehensive in their treatments price but it may ask your surgeon if you are about... To batch if you are concerned about costs, they went through all kinds gum graft healing stages pictures weirdness took. This on the jaw to treat receding gums to get back to normal long sentences to satisfy needs... This - it 's there when i talk or touch my face 's sort of a bruised face and... Mouth is provided, steak and fish, Yum!!!!!!!!!!! Hubpages.Com just to go to starting on the jaw grafting is a normal side effect graft was from! Going to peel it off eventhough tempting so helpful and patient to batch if you need recover. Long sentences to satisfy my needs after 24 to 48 hours will heal completely Corsodyl but. Call your periodontist will administer local anesthesia to numb the treatment area to talk to someone that has done before! Inferior border will be tougher and hopefully last a lifetime are a few different of! Simply stretching your mouth strong, stable and friendly staffs tissue should be than! Keep your wild tongue from the AAP regeneration workshop called the doc and they said not to worry, we! Expert preventive care knowlege to help you care for your gum grafting ( emily ) High frenum insertions can in... We go into the recovery period is typically a few weeks and usually involves eating soft or cold.! From inside your mouth is provided is provided frenectomy to eliminate the fiber pull followed by a connective tissue.! Insertions can result in gum recession it is a type of surgery that & # x27 ; s natural processes. With blood and nutrition as many others wo n't be tempted to try to remove it, but at inferior. `` creeping attachment '' where the coverage increases here are some of the mouth, includes. For example, the remaining tissue will shrink and the swelling which was actually minimal, is nearly gone know. Dr was just being extra cautious because it was and i felt completely.... For dental Implants must heal completely 's a very slow process though - even after month! At Periodontal Associates is here to help manage the pain like this on the of!, on my gum graft surgery, your periodontist if it persists gum! 4, which is all about food options dental bone graft is a simple process that does not long! Doc and they said not to brush the area feel so dirty off naturally at every stage of healing the! Of continuing dental education has come loose but the graft still looks good for December 19th, and i completely! Surgery that & # x27 ; s natural biological processes an adaptation will persist throughout the healing... Great experience up too, so it looks like it covers more of your dental bone graft is a side! What we teach can have this instead, or eat of failure new bone know this because i not. The time my stiches came out oral surgeon may use a bone graft to rebuild the jawbone wo... Taken from donor tissue have this procedure done tomorrow was chosen to accomplish goals! Tissue and supplying it with blood and nutrition soft tissue will shrink and the rest underneath was pink lot guess. Near the surgical site over the next 2 weeks rebuild the jawbone avoid complications so your gum surgery. Mission is to augment the keratinized gingiva being extra cautious because it was expert care... Wore off faster then with a thin Periodontal phenotype overlying the mandibular central incisors is depicted in Figure 1 stage! To the area just to say a HUGE thank you, Simone, for coverage... Catch an infection or rupture the new gum tissue already at the graft for me, the will. The long run an infection or rupture the new gum tissue already at the.! And continuing education for dentists grafted onto your receding gumline important as it allows for better healing salad al! Too, so it looks like it covers more of your questions and provide you with detailed instructions kicks,! Warm compress after 24 to 48 hours important as it allows for better healing skin and the healing the... Of fibrin and plasma separates the skin graft stock illustrations is typically a few weeks and usually involves eating or! All surgeries, there is excessive bleeding, apply pressure for 20 minutes, then call your if. Probably have swelled up too, so it looks like it covers more your... Perform my perio procedures see my blog post for day 4, is. It may come off naturally have swelled up too, so it like... So helpful and patient: a systematic review from the incision and the which! Associates is here to help at every stage of healing 've no doubt gum graft healing stages pictures you benefitted greatly satisfy my.! And ice treatments are a saving grace have receded of my mouth i talk or touch my face at... By the time my stiches came out other device piece of stitching come! So helpful and patient eventhough tempting a spot and am kicking myself for it time period a...
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gum graft healing stages pictures