Andrew Verrett, DDS, MS

10/29/2025

🦷✨ Case Highlight: Persistent Gum Inflammation That Needed More Than a Rinse
This patient came in with red, swollen gums that just wouldn’t calm down — even after weeks of excellent home care, Peridex rinses, and topical steroids. Everything right 👏, but the tissue stayed inflamed and tender.
During her exam, we noticed diffuse inflammation along the front teeth, right where she had recently switched to a new toothpaste. 🪥 Some formulations (especially those with sodium lauryl sulfate or certain fluoride compounds) can trigger contact irritation or hypersensitivity — especially in patients with thinner gum tissue.
When non-surgical therapy and medicated rinses don’t work, there’s often an anatomic or structural reason the tissue can’t stabilize. In this case, we performed a minor gingivectomy along with a tunnel and coronally advanced flap, using a deepithelialized connective tissue graft to restore healthy, resilient tissue.
The result? 🔥
– Complete resolution of inflammation
– Stable, esthetic soft-tissue contours
– And a very happy patient who said her gums “feel normal again.” 😁
This case is a great reminder that not all inflammation is just plaque or bacteria. Sometimes, the solution isn’t another rinse — it’s correcting the underlying tissue architecture for true, long-term stability.

09/15/2025

07/02/2025

Our patient noticed a growing gingival mass that started shortly after beginning invisalign. Treated with Biopsy and gingivectomy with depigmentation. 😍 Smile Restored 😊

A fibroma of the gingiva is a benign, reactive growth of fibrous connective tissue — not a true neoplasm — and it’s typically caused by chronic irritation or trauma.

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04/11/2025

In combination NCCL + recession defects do you restore before are after the graft❓ 🤔

Do you prefer doing the coronal restoration prior to grafting so that ➡
• The restorative dentist can easily finish the restoration margins without damaging the tissue
• You can use the new restorative margin to determine the extent of coronal advancement

❗OR do you prefer to have the coronal portion restored after maximal root coverage has been obtained and the tissue have matured and stabilized?

Alloderm at 8 weeks of healing. Great thickness and root coverage 😍. We utilized Pat Allen tunnel technique with small vestibular verticals to aid in graft insertion. AlloDerm Select RTM (40x5mm) graft was placed within the tunnel from #2-15, aligned with the overlying tissue margin and coronally positioned to above the the CEJ with a 5-0 PGCL continuous sling suture

11/11/2024

Patient has a history of failed Alloderm grafting in the lower arch with another provider that we are retreating with a tunnel connective tissue graft (de-epithelialized gingival graft (DGG). Really excellent thickness and coverage😍.

11/11/2024

Alloderm at 8 weeks of healing. Great thickness and root coverage 😍. We utilized Pat Allen tunnel technique with small vestibular verticals to aid in graft insertion. AlloDerm Select RTM (40x5mm) graft was placed within the tunnel, aligned with the overlying tissue margin and coronally positioned to approximate the CEJ with a 6-0 Polypropylene continuous sling suture

11/01/2024

Happy Halloween from the AAP meeting in San Diego. I'm proud of you. You know that. I hope you do.

08/03/2024

07/15/2024

07/11/2024

07/09/2024

2-week post-op following tunnel de-epithelialized connective tissue graft 😍. The patient was having hot/cold sensitivity which was resolved after covering the exposed roots.

✅ Root Coverage ✅ Increase Tissue Thickness ✅ Increased Keratinized tissue

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