When it comes to restoring gum health or repairing damaged tissues in the mouth, soft tissue grafting plays a vital role in modern dental and surgical procedures. But within this field, there’s often confusion between terms like soft tissue grafting and soft tissue allograft. While they sound similar, they refer to different techniques and materials used to achieve similar goals. Understanding the distinction can help patients make informed decisions about their treatment options and what to expect during recovery.

What is Soft Tissue Grafting?
Soft tissue grafting is a general term that describes a surgical procedure where tissue is added to an area that has experienced gum recession, tissue loss, or requires reinforcement. Most commonly performed in periodontics, soft tissue grafting is often used to treat receding gums, cover exposed roots, and improve the overall thickness and appearance of gum tissue.
Traditionally, soft tissue grafts are harvested from the patient’s own mouth, typically from the roof of the mouth (the palate). This method is known as an autograft, meaning the tissue comes from the same individual receiving the graft. The benefit of using your own tissue is a lower risk of rejection and typically excellent integration with existing tissues. There are different types of soft tissue grafts, including connective tissue grafts, free gingival grafts, and pedicle grafts. The choice depends on the condition being treated and the amount of available donor tissue in the patient’s mouth.
What is a Soft Tissue Allograft?
A soft tissue allograft, on the other hand, refers specifically to grafting procedures that use donor tissue rather than the patient’s own. This tissue is typically sourced from a human donor through an accredited tissue bank. It undergoes extensive sterilization and processing to ensure safety and compatibility.
Allografts are commonly used in cases where the patient either lacks enough tissue for harvesting or prefers to avoid a second surgical site. Using donor tissue reduces overall surgical time and discomfort, since the practitioner doesn’t need to remove tissue from the palate. Allografts can be especially appealing for patients undergoing multiple grafts or those with a low pain tolerance. The most widely used type of soft tissue allograft in dentistry is derived from human dermis, processed to retain the necessary biological properties that promote healing and integration.
Key Differences in Practice
The primary difference between soft tissue grafting and soft tissue allograft lies in where the graft material comes from. Soft tissue grafting refers to the act of transplanting tissue. This could be from the patient (autograft), a donor (allograft), or even from animal sources (xenograft), depending on the context. It’s the procedure itself. Soft tissue allograft, by contrast, refers to a type of material used during a grafting procedure, specifically donor tissue from another human. In other words, soft tissue allograft is one form of soft tissue grafting.
Another distinction is the surgical experience. With autografts, the patient undergoes two surgical sites: one for harvesting the tissue and one for placing it. This can result in a longer recovery period and increased discomfort. With allografts, only the recipient site is treated, which typically results in less post-operative pain and quicker healing times.
Considerations for Patients
Choosing between a traditional soft tissue graft and a soft tissue allograft depends on several factors: the extent of tissue loss, the patient’s medical history, comfort level, and the recommendation of the dental professional. While autografts are often considered the gold standard due to their natural compatibility, allografts have become increasingly popular due to their convenience, safety, and favorable outcomes. Both methods, when done correctly, can be highly effective in restoring gum health, protecting teeth, and improving aesthetics.
Soft Tissue Treatment in Knoxville, TN
At East Tennessee Periodontics, we are dedicated to helping you maintain your oral health. If you have gum recession, soft tissue treatments could help restore your smile and confidence. Contact our office today to schedule a consultation and learn more about your treatment options for gum disease.
