Hello doctor,
A gum graft was performed on my son's lower teeth, involving most of the bottom teeth. There was significant gum recession, particularly on a few teeth, with some tooth roots exposed. It is unclear whether gum disease caused this recession. The teeth are misaligned at the bottom, affecting the bite. My son is a fourteen-year-old boy who does not smoke, use tobacco, or have piercings. I am unsure if he engages in aggressive tooth brushing. I would like to know if a person, six or seven weeks after undergoing a gum graft at the periodontist, could have been informed that they cannot have braces at all. Is it possible to determine this soon after the surgery, considering that significant healing of the bone and gum is needed? Alternatively, could they have initially believed they were cleared for braces, only to be told later by the periodontist that they need to wait for a few more months or even longer? In cases of significant gum recession requiring surgery, what typically occurs during an appointment with a periodontist? I am certain this appointment occurred after the stitches were removed in the prior appointment. Also, other procedures such as scaling or planning were performed. Could these additional procedures be the cause of the negative experience at the periodontist? Furthermore, is it likely that they were informed about the need for additional treatments such as gingivoplasty or bone restoration? If they were indeed told that they might not be able to get braces in the future, what could be the reason for this decision? Are there cases where someone had a gum graft for braces but was later informed that braces are not feasible or ideal? Does this situation usually resolve eventually, even if the person needs to wait for further procedures on the bone or simply for complete healing of the gum and surrounding tissues? Kindly provide your insight.