Semilunar graft

This type of graft is used to try to cover an exposed root surface. A moon shaped incision is made in the gingiva. The two corners are left attached. The attached corners allow blood to flow through the graft. The center section of the graft is moved toward the crown of the tooth to cover the root surface. Pressure is applied for four minutes. There must be an adequate zone of attached gingiva prior to performing this procedure, if not a connective tissue graft is done initially. This is a fairly predictable procedure and typically you can achieve root coverage up to the height of the adjacent gum papillae. This series of pictures shows images from start to two weeks post operatively.

About Jack Wasserstein, DDS

I am a Periodontist in Valencia CA and I have been in private practice in since 1990. I am blessed to be able to say that my work is also my play. I hope to share my insights, with you, that I have cultivated over the last 20 years.

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5 Responses to Semilunar graft

  1. Jackie H November 16, 2010 at 9:39 am #

    How is does the healing process takes after the procedure is done. What is instructions
    of medical care will the patient be ask do till next appt ? Are any special food diets part of the medical care of the patient ?

  2. Jack Wasserstein, DDS November 16, 2010 at 11:04 am #

    The healing from a Semilunar graft is 2-3 days. There is no special diet required but I instruct my patients not to brush the affected gum for the first 3-4 days, but the tooth is OK. During this time period I prescribe Peridex mouthwash, which will keep the surgical site clean.

  3. Jackie H. November 22, 2010 at 4:24 pm #

    You mentioned that there is no special food diets. So till the next appt, what type of food is safe to eat and eating the wrong foods would this not irritate the gums?

    Thank you….
    Jackie H.

  4. Jack Wasserstein, DDS November 22, 2010 at 9:02 pm #

    There are no dietary restrictions for this procedure. We instruct our patients to avoid brushing the gum in that area for the first week. We prescribe a chlorhexidine mouthwash to keep the area clean.


  1. Tunnel procedure for connective tissue gum / gingival graft | - August 8, 2010

    […] Following anesthesia, a dissecting incision is made between the gum and tooth. The gingiva still remains attached at the tips of the papillae (the gum in-between the teeth). This creates a pocket or tunnel. The harvested graft, usually from the roof of the mouth, is placed inside this tunnel. The graft will receive nourishment from the gingival tunnel walls. If the successful, the graft will integrate within the tunnel and attach to the tooth root surfaces. Initially following the graft the area will look thickened but will typically self correct with time. If complete root coverage is not achieved with this procedure additional supplemental procedures can be used to enhance that, such as a semilunar graft. […]

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