Receding gums — what to know about treatment

What gum recession means

Recession is a change in the gum margin that exposes more of a tooth or its root. You may notice that a tooth looks longer or has become sensitive during cleaning and eating.

This describes the change, not its cause. A single photograph cannot show the condition of all the tissues around the tooth.

Why finding the cause comes first

Gum disease, forceful brushing, thin tissues and tooth position can contribute. Several factors may occur together, so advice for one person may not suit someone else.

The dentist examines the gums, cleaning technique and conditions around the tooth. They may measure gum pockets and decide whether further investigations are needed. Explain when you noticed the change and whether it is progressing.

What may help without surgery

The first steps may involve changing brushing technique, choosing gentle cleaning tools and improving oral hygiene. Any inflammation needs treatment. The dentist can suggest suitable help for sensitivity.

Toothpaste or mouthwash cannot predictably rebuild lost gum tissue. Avoid scrubbing the area forcefully. Ask for the technique to be demonstrated with your own toothbrush and checked while you practise.

When a gum graft is discussed

Surgery may be considered for symptoms, cleaning difficulties, a risk of further recession or an appearance concern that matters to you. Not every recession requires an operation.

Some procedures mainly strengthen the tissues; others also aim to cover an exposed root. Complete coverage is not always possible. Ask what can realistically be achieved in your case and how the outcome will be assessed.

What the procedure may involve

Soft-tissue grafting is usually carried out under local anaesthetic. One method uses tissue from another part of the mouth, such as the palate. Other options may be discussed depending on the indications.

Afterwards, the healing area needs protection and an agreed cleaning routine. Pain, swelling, bleeding or incomplete graft healing are possible. Instructions and review dates relate to the actual method used rather than a general description online.

Questions about the plan and estimate

• How many teeth are involved, and what is the treatment aim?
• Does inflammation need treating first?
• Which tissue or material will be used?
• What will eating, cleaning and working be like afterwards?
• What does the price include, including reviews and any further stages?

You do not have to wait for pain

If recession is progressing, the gums bleed or cleaning becomes difficult, arrange an assessment. An earlier discussion helps establish care and whether monitoring or treatment is needed. Do not respond by completely avoiding cleaning around the sensitive tooth.