I did the soft tissue grafting on a patient with 3mm gingival recession on #35. I obtained a nice result when I finished the procedure that day with the gingiva covering the whole recession area.
However, the patient came back 1 month after, complaining the gum-like graft was only left in the grafted area. I checked the surgical area and the alloderm was still stable, but the buccal gingiva for some reason was “opened up”. There was mild pain upon palpation but not pus coming out form the area.
I advised the patient to use warm salt water rinsing on that area, and re-evaluate in 1 month. I presricbed her clindiamycin 3 times per day for 1 week.
What have I done wrong? Is the alloderm supposed to be exposed? what treatment should i provide to the patient? will the
gingiva “crawl up” the alloderm with time? Or do i need to remove the alloderm?