Arlington Dental provides advanced evaluation and gum grafting procedures for patients experiencing receding gums. A recent national survey found that over 42% of adults have some form of gum disease, which can lead to gum recession if untreated. In Arlington, MA, our team at Arlington Dental (43 Broadway, Arlington, MA) offers gum grafting (gingival grafting) services to cover exposed tooth roots, reduce sensitivity, and protect teeth from decay. By transplanting healthy gum tissue – often taken from the patient’s palate or from donor tissue – to areas where gums have worn away, gum grafting restores a strong gum line and a healthier smile.
Patients often seek gum grafting when they notice teeth look “long” or darker at the roots, or when they experience sensitivity from hot and cold foods. In such cases, a small gum graft can prevent further recession and reinforce the gum tissue. As Arlington Dental’s specialists explain, gum graft surgery “covers exposed roots, further gum recession, protect vulnerable tooth roots from decay, and improve your smile”. Below we explore what gum grafting involves, who needs it, and what patients in Arlington, MA can expect when choosing this treatment.
Gum grafting (gingival grafting) is a periodontal surgical procedure that adds gum tissue where it is deficient. When gum recession exposes the roots of teeth, those roots become sensitive and vulnerable to decay. In a gum graft, the dentist or periodontist takes healthy gum tissue and carefully sutures it over the exposed root surface. The tissue source may be:
Autograft (patient’s own tissue): Often a small strip of connective tissue is taken from the roof of the mouth (palate) and moved to the recession site.
Allograft (donor tissue): Sterilized human donor tissue (such as AlloDerm®) can be used instead of harvesting from the patient, eliminating the need for a second surgical site.
Pedicle graft: Gum tissue adjacent to the exposed tooth is partially cut and “pedicled” over the root. This is less common but avoids a palate incision.
In all cases, the goal is to cover exposed roots and thicken the gum tissue. A successful graft creates a new band of strong gum that matches the surrounding tissue. Over weeks, your body’s healing integrates the graft – new blood vessels grow in and connect the graft with your natural gums. The result is a healthier, reinforced gum line that protects teeth.
Gum grafting is recommended when gum recession is affecting oral health or appearance. Signs that you might need a gum graft include:
Visible root exposure. If your teeth look “longer” than they used to or you can see darker tooth root near the gum line, recession has likely occurred.
Tooth sensitivity. Exposed roots often feel sharp pains with hot, cold, or sweet stimuli. As the roots are no longer insulated by gum tissue, minor temperature changes can hurt.
Gumline notches. Small grooves or notches at the gum border (often due to toothbrush abrasion) are early warning signs of recession.
Loose gum tissue. Gums that pull away or flap may indicate they are detaching from the tooth.
History of gum disease. If you’ve been treated for periodontal disease (gum infection), you are at higher risk for recession and may benefit from grafting.
Most patients notice recession gradually. Routine dental exams often catch early gum loss before major problems develop. At Arlington Dental, our dentists look for recession during cleanings and exams. If we detect significant gum loss, we discuss options – including gum grafting – to stabilize the gums.
Gum recession has many possible causes. Understanding these helps both prevent future loss and explain why grafting is needed. Common causes include:
Periodontal (Gum) Disease. This is the most common cause. Chronic bacterial infection inflames and destroys the supporting gums and bone, causing gum tissue to “pull away” from the teeth. Left untreated, pockets deepen and gums recede further. Nearly half of adults over 30 have some form of periodontitis nidcr.nih.gov, so gum recession is widespread.
Aggressive Brushing or Trauma. Brushing too hard or using a very stiff toothbrush can abrade the gums over time. Mouth piercings, ill-fitting dentures, or repeated injury to the gums can also wear tissue away.
Thin or Fragile Gum Tissue. Some people are born with naturally thin gums or tight frenum attachments (the tissue under the lip) that predispose them to recession. Genetics plays a role in how firm your gum tissue is.
Orthodontic Changes. Moving teeth (e.g. braces) or natural shifting can stretch and thin out gums, especially if teeth are repositioned forward in the jaw.
Clenching or Grinding. Excess biting forces can injure gums and supporting bone, contributing to recession over time.
Poor Oral Hygiene. Inadequate brushing and flossing allows plaque and calculus to build up at the gumline, fueling inflammation and recession.
In many cases, multiple factors combine. For example, a patient may have gum disease and brush too hard. During a consultation, our dentists identify the key causes for your gum recession. This ensures that after grafting, we address the root issue (for instance, by improving hygiene technique or treating leftover infection) so the problem doesn’t continue under the new graft.
There are several gum graft techniques, tailored to different clinical situations. The most common types used are:
Free Gingival Graft: A strip of tissue is taken directly from the palate and transplanted to the recession site. This thickens the gum and increases the amount of attached gum tissue. It is often used on grafting areas not visible in the smile line.
Subepithelial Connective Tissue Graft: This covers exposed roots. The dentist makes an incision in the palate and removes only the connective tissue layer (leaving a flap to cover the area). This tissue is then stitched over the root. It has a high success rate for root coverage and blends well with surrounding gum.
Acellular Dermal Allograft: Instead of patient tissue, this technique uses a processed donor graft (often called AlloDerm or similar). Because it uses donated human tissue, it eliminates the need for a second surgical site on the patient. This can reduce postoperative pain. It is ideal when the patient does not have enough palate tissue or prefers no additional wound.
Pedicle Graft: Gum tissue adjacent to the problem tooth is partially cut and rotated over the exposed root, keeping one edge attached. This is less common and only possible when the neighboring gums are thick and movable.
Your dentist will choose the graft type based on your anatomy and goals. For example, if a tooth root is severely exposed, a connective-tissue or allograft that fully covers the root might be recommended. These specialized grafts work by creating new attachment: once sutured in place, the graft serves as a scaffold for your body to form a strong, new gum band that protects the tooth.
During the consultation at Arlington Dental, we carefully evaluate your gums, teeth, and overall health. If gum grafting is planned, the procedure typically involves:
Anesthesia: Local anesthesia numbs the graft site and the donor area (palate). Most grafts are performed under local sedation alone. We offer oral sedation options for anxious patients. Even with tissue taken from the palate, the procedure is generally comfortable.
Preparation of Recipient Site: The recession site is gently cleaned and prepared. In some cases, the dentist may perform root planing to smooth rough root surfaces and remove any bacteria. This helps the graft attach properly.
Harvesting the Graft: Depending on the graft type, the surgeon then takes tissue from the palate or prepares the donor graft. For a free gingival graft, a thin strip of gum is removed from the roof of the mouth. For a connective tissue graft, an internal “pocket” is created in the palate to harvest the connective tissue. If using an allograft, no palatal incisions are needed.
Placing and Securing the Graft: The harvested tissue is placed over the recession area and carefully sutured (stitched) into place. Very fine sutures secure the edges so the graft stays stable during healing. The graft is positioned so it covers the root as much as possible.
Protecting the Donor Area: If the patient’s own tissue was used, the palatal donor site is covered with a sterile dressing or a protective gel. This “bandage” helps reduce discomfort during healing.
Procedure Time: A simple graft usually takes under an hour. For example, a free gingival graft to thicken a small area often takes about 45 minutes from start to finish. Covering a larger or multiple roots with a connective tissue graft may take longer but is still typically done in one visit.
Advanced Technology: At Arlington Dental, we employ state-of-the-art tools to make gum surgery less invasive. Our specialists often use soft-tissue lasers to aid in gum contouring and grafting. These lasers can precisely trim gum tissue without cutting or stitches, significantly reducing bleeding and swelling. Patients report that laser-assisted procedures usually involve little to no bleeding, minimal discomfort, and faster healing. For example, a laser gum lift can often be done in a single visit with a very quick recovery.
Comfort and Safety: You should feel little to no pain during the surgery. Afterward, the numbing will wear off gradually. Most patients describe only mild soreness. Any discomfort from the donor site is typically well-managed by over-the-counter anti-inflammatories (ibuprofen, acetaminophen). Rarely, a prescription pain reliever or antibiotic might be given to support healing. Overall, gum grafting is considered low-risk and is usually performed in the dental office as an outpatient procedure. To learn more about various periodontal surgical procedures, including gum grafting, explore the AAP’s guide to periodontal treatments and procedures.
After a gum graft, following your dentist’s instructions is crucial for a smooth recovery. Typical recommendations include:
Manage Bleeding: You may bite on gauze for the first hour to control bleeding. Minor oozing is normal. Change gauze as needed. Avoid spitting or rinsing forcefully on the day of surgery, as this can dislodge the graft.
Soft Diet: Stick to soft, nutritious foods (like yogurt, soup, smoothies, mashed potatoes) for about 5–7 days. Avoid anything hot, crunchy, spicy, or acidic that might irritate the graft. Cold foods (ice cream, cold water) can also help ease discomfort.
Gentle Oral Hygiene: Do not brush or floss at the surgical site for at least 1–2 weeks. You can brush elsewhere normally. Using a gentle antimicrobial mouth rinse (as prescribed or recommended) can keep the area clean without disturbing stitches. After the first week, you may resume very gentle brushing of the graft with a soft-bristled toothbrush. Our hygienists may also instruct you in special techniques or tools (like a rubber tip stimulator) to clean around the graft site gently.
Limit Physical Activity: Avoid strenuous exercise or heavy lifting for a few days. This helps prevent increased blood flow that could cause bleeding.
Pain Management: Take any prescribed medication as directed. Over-the-counter anti-inflammatories (ibuprofen) are usually enough. A cold compress on the outside of the face near the graft can also reduce swelling and pain.
Follow-Up Visits: A follow-up appointment will be scheduled about 1–2 weeks later. At that visit, stitches may be removed (if non-dissolving) and the area checked for healing. You will continue to see your dentist regularly so we can monitor how well the graft is integrating.
Careful aftercare is critical. For instance, Arlington Dental provides detailed post-op instructions (often in written form) to ensure you know how to protect the graft. Following these guidelines will help your new gum tissue heal securely and prevent complications. According to one guide, patients should even avoid unnecessary physical activity for 24 hours and keep their tongue away from the graft site. By day 7–10, you should start to see the graft becoming firmly attached and pink in color. It can take up to 4–6 weeks for complete healing and up to 3–6 months for the gum line to fully stabilize.
Gum grafting offers both cosmetic and health benefits. Key advantages include:
Protects Tooth Roots: By covering exposed roots, the graft insulates these sensitive areas. This greatly reduces or eliminates sensitivity to hot, cold, or sweet foods. It also means bacteria have a harder time penetrating to the vulnerable root surface, which helps prevent root decay and cavities. As the American Academy of Periodontology notes, gum graft surgery can “protect vulnerable tooth roots from decay”.
Stops Recession Progress: Once the graft is in place, it thickens the gum band. This reinforces the gum barrier and helps prevent further recession. In other words, the surgery can actually stop the recession from getting worse. Without treatment, many patients would continue to lose gum until the tooth is at risk. A graft essentially restores lost tissue and helps maintain it.
Improves Oral Health: Healthy gums are easier to clean. After grafting, the restored gum line allows you to brush and floss more effectively in that area. This can reduce plaque buildup and lower the chances of future periodontal problems. A properly healed graft essentially returns the gum to a state where daily hygiene is more effective.
Enhances Aesthetics: Grafted gums look natural and blend in with neighboring tissue. Covering unsightly receded areas improves smile symmetry. Many patients report that their teeth appear shorter (more of the enamel shows) and more evenly shaped after graft healing. This makes the smile look healthier. The cosmetic benefit is not merely vanity – it boosts confidence. As one expert summary notes, cosmetic gum surgery “exposes more of the crown of the tooth” and yields a “more balanced smile”.
Long-term Benefits: The improvements from a successful graft are permanent. Once healed, the new gum tissue remains in place for life (barring any new disease). This means the one-time investment (in time and cost) pays off for decades of gum protection.
In summary, gum grafting is often described as a highly predictable procedure with a very high success rate. When done properly, the graft becomes indistinguishable from surrounding gums. It addresses both symptom relief (like sensitivity) and prevention (by halting tissue loss). Patients typically regain normal tooth function, improved comfort, and a restored gum line.
While gum grafting is generally safe, it’s still surgery – so we discuss potential risks and what to expect. These include:
Discomfort: Mild pain, especially at the donor site, is common for a few days. This is manageable with medications and usually subsides in 3–5 days. Any discomfort is generally short-lived. A protective dressing placed over a palatal wound (if your palate was used) helps minimize pain.
Bleeding: Slight bleeding or oozing can occur in the first day. We control this with gauze pressure. Rarely, patients with clotting issues may bleed more.
Infection: As with any oral surgery, there is a small risk of infection. We mitigate this by using sterile techniques and may prescribe antibiotics if needed. Signs of infection (excessive redness, swelling, pus) are rare but require prompt attention.
Graft Failure: If the graft doesn’t integrate, it can detach. This is uncommon when proper post-op care is followed, but we always monitor healing closely. If a graft fails, it might need a second attempt. Proper technique and patient compliance dramatically reduce this risk.
Tooth Sensitivity: Some patients experience sensitivity around the graft for several weeks. This usually resolves as nerves calm down.
Color Mismatch: A newly grafted area may look slightly different in color during healing (often a lighter pink) but eventually takes on a natural hue.
Overall, the benefits outweigh the risks for most patients with significant recession. Our team thoroughly explains these risks before treatment so you can make an informed choice. Patients at Arlington Dental are also evaluated for any underlying conditions (like uncontrolled diabetes or smoking habits) that might affect healing. We ensure you are a good candidate – for example, we typically recommend grafts only when gum disease is well-controlled and your home care is adequate.
Many patients ask about the cost of gum grafting and whether insurance covers it. The price can vary based on the complexity and materials used. Generally in the Arlington area, expect roughly $800–$1,200 per graft site. This estimate comes from local dental practices that charge per tooth or per area of grafting. More complicated cases (multiple teeth or advanced grafts) can run higher, and techniques like lasers or sedation may add to the fee. Always get a personalized estimate during your consultation.
Insurance coverage depends on the reason for the graft. If the procedure is medically necessary (for example, to treat active gum disease or enable proper crown placement), many dental plans will cover at least part of the cost. On the other hand, if it is deemed purely cosmetic (simply to improve appearance), insurance typically does not pay for it. At Arlington Dental, our billing staff can help verify your benefits. We often submit documentation (for instance, X-rays showing bone loss) to maximize any possible coverage.
For convenience, Arlington Dental offers payment options. You can finance treatment through programs like CareCredit or other plans. We also have a membership discount plan for patients without insurance. Our goal is to make gum grafting affordable, since preventing tooth loss is a worthy investment.
Residents of Arlington and nearby towns have several options for gum grafting. Arlington Dental (at 43 Broadway) has skilled dentists and periodontists trained in gum surgery. In fact, Arlington Dental advertises laser gum lifts, contouring, and gum graft surgeries, highlighting our expertise. Other local providers include periodontal specialists (often called periodontists) in the area, including in Belmont, Cambridge, and Lexington. When looking for care, you might search terms like “gum grafting Arlington MA” or “periodontist Arlington” to find providers.
Key factors to consider: Board certification or advanced periodontal training, patient reviews, and technology used. For example, a periodontist who offers laser-assisted techniques or microscopes can often deliver more precise treatment. Arlington Dental’s doctors also work as a team to handle complex cases. We welcome patients with referrals from general dentists or those walking in with concerns about recession. Our office is fully equipped for periodontal surgery and proud to serve the Arlington community.
Ultimately, the best choice is a practitioner you trust. Ask about their experience with gum grafting – how many they perform annually, success rates, and view before/after photos of real patients. Arlington Dental encourages patients to meet the team and discuss any questions. As one review site notes, patient comfort and communication are as important as credentials. We aim to make every patient feel informed and at ease.
What is gum grafting and why is it needed? Gum grafting is a surgical procedure that covers exposed tooth roots by transplanting healthy gum tissue. It’s needed when gums have receded (often due to gum disease, aggressive brushing, or genetics), leaving roots exposed. A gum graft helps reduce sensitivity, protect the tooth root from decay, and improve the appearance of the gum line.
Is a gum graft painful? The procedure itself is done under local anesthesia, so you shouldn’t feel pain during surgery. After the numbness wears off, you might feel mild soreness at the surgical sites for a few days. Most patients compare the discomfort to a rough tooth extraction, not severe pain. Over-the-counter anti-inflammatory medication (like ibuprofen) usually controls any pain. Many patients say any discomfort is short-lived and manageable.
How long does recovery take after a gum graft? Initial healing of the gum graft takes about 7–14 days. By two weeks, stitches are usually out and new tissue has begun to attach. However, complete healing – where the gums fully fuse and look normal – can take 4–6 weeks. You should avoid strenuous activity and follow your dentist’s diet precautions for at least one week. Most people can return to work or normal routine within 1–3 days, depending on how extensive the graft was.
Can any dentist do a gum graft, or do I need a specialist? Many general dentists perform gum grafts, but some refer patients to a periodontist – a dentist who specializes in gum tissue and supporting structures. Periodontists have extra training in advanced grafting techniques. At Arlington Dental, we have dentists with advanced periodontal training to handle grafts. If you see a general dentist, ask if they have special experience or if a periodontist might be recommended.
How much does a gum graft cost? Costs vary, but in the Arlington area, a single gum graft typically ranges from $800 to $1,200 per site. This depends on how many teeth are involved and the technique used. Your dentist can give you an exact estimate. Don’t forget to check your dental insurance – if the graft is considered medically necessary, insurance might cover a portion.
Will insurance cover my gum graft? If gum grafting is done to treat disease or prevent tooth loss (a medical necessity), many insurance plans cover part of the cost. For example, if you have active periodontitis and a graft is needed to stop damage, it’s usually covered like other periodontal treatments. However, if the graft is purely to improve a smile’s appearance, it may be considered cosmetic and not covered. We recommend calling your insurer before surgery. Arlington Dental’s team can help with pre-authorization when needed.
What are the different types of gum grafts? The main types are: free gingival graft (tissue from the palate to thicken gums), connective tissue graft (tissue from under the palate covering roots), and allograft (donor tissue so no palate incision). Free gingival grafts thicken gum tissue; connective tissue grafts cover exposed roots. If not enough tissue is available on you, a dentist may use an acellular dermal matrix (donated human tissue) instead. Your dentist will recommend the best type based on your situation.
What should I expect during the procedure? Before grafting, your gums will be numbed. The dentist then prepares the area and takes the graft (often from your palate or a donor bank) to place over the recession. Expect to be numb and completely comfortable. The graft is stitched gently in place. If a laser is used (as it often is at Arlington Dental), expect minimal bleeding. Overall, the procedure is typically completed in less than an hour for a single graft.
How do I care for my mouth after a gum graft? You’ll follow a soft-food diet for about a week, avoid hot drinks, and skip rigorous oral hygiene around the graft area initially. Use prescribed mouth rinses instead of brushing for the first few days. Your dentist will likely schedule a follow-up in 1–2 weeks to check healing. We provide detailed aftercare instructions, but the key is gentle cleaning and letting the graft stay undisturbed. You’ll notice gradual improvement in comfort and gum appearance over the next month.
How long do gum grafts last? When successful, gum grafts are permanent. The new tissue becomes a stable part of your gums. As long as you maintain good oral hygiene and see your dentist regularly, a gum graft should last a lifetime. Natural aging or new oral health problems can still affect your gums, but a graft restores a durable barrier. Many patients never need a second graft once the first one is healed and protected.
Q: Do gum grafts always work?
A: Gum grafts have a very high success rate when performed correctly. Most patients achieve full root coverage or significantly increased gum thickness after healing. According to clinical data, the procedure is “very predictable with a very high success rate”. Your dentist will ensure you are a good candidate and follow precise surgical protocols. Good home care after surgery is also crucial for success.
Q: Will the surgery change the color or texture of my gums?
A: Initially, the graft site may look lighter or slightly different in texture, but it typically blends in as it heals. Within a few months, grafted tissue usually matches the surrounding gum color and feel. Skilled periodontists shape the graft to match neighboring gums, so once healed, most people cannot tell where the graft was placed. Arlington Dental’s surgeons pay close attention to aesthetics during placement.
Q: Can I smoke or use tobacco after a gum graft?
A: Smoking or using tobacco significantly hinders healing. Nicotine constricts blood vessels and reduces blood flow, which is essential for graft survival. It also increases the risk of infection and graft failure. We strongly advise patients to quit smoking before a gum graft – ideally, several weeks in advance and through the healing period. Non-smokers have the best outcomes.
Q: How do I know if I need a gum graft?
A: Your dentist will diagnose gum recession by examining your gums and teeth during routine visits. If you have symptoms (sensitivity, visible root, or a history of periodontal disease), let your dentist know. In many cases, X-rays or periodontal probing (measuring pocket depths) help confirm the severity of recession. A good rule of thumb: if more than 2–3 mm of tooth root is showing, or if you have two or more gum recession notches, a graft may be recommended.
Q: What if I don’t get a gum graft?
A: Without treatment, gum recession will likely continue. Exposed roots are prone to decay and can eventually lead to tooth loss. You may also experience chronic sensitivity and more difficulty cleaning your teeth. Getting a graft early stops the recession and protects your teeth. In some mild cases, enhanced hygiene and monitoring might suffice, but many dentists consider grafting the best preventive measure against further damage.
Q: Will I need a bone graft with my gum graft?
A: Gum grafting and bone grafting address different problems. If you have lost underlying jawbone along with receding gums, your dentist may recommend a bone graft in addition to a gum graft. However, if only soft tissue has receded, a gum graft alone is sufficient. Your periodontist will take X-rays or scans to evaluate bone levels. Only if the bone support is inadequate will a separate bone graft be discussed.
Q: How much coverage will I get with one gum graft?
A: The amount of root coverage varies by case. In many procedures, dentists achieve 70–100% of the exposed root covered by the new gum. For a small recession area, full coverage is common. For larger areas, multiple grafts or techniques may be used to maximize coverage. Arlington Dental will explain the expected outcome during your consultation, often using photos from similar cases.
Q: Can children or teenagers get gum grafts?
A: Gum grafting is less common in very young patients because their jaws and gums are still growing. Typically, it is done on teens (post-growth spurts) or adults. If a teenager has severe gum recession due to genetics or orthodontic treatment, their orthodontist or periodontist might recommend a graft. Each case is evaluated individually.
Q: After a gum graft, how should I brush and floss?
A: Immediately after the graft, avoid brushing or flossing near the surgical site for about a week or as directed. After that, resume gentle brushing with a soft brush. Once fully healed, you can brush normally but may consider a softer technique or special toothbrush (like an end-tuft brush) at that spot. Flossing can also resume gently once the graft is secure. Regular professional cleanings will help maintain the health of the graft. Arlington Dental’s hygienists will show you the best techniques post-healing.
Gum grafting is a safe, effective solution for treating gum recession, reducing tooth sensitivity, and protecting your long-term oral health. At Arlington Dental, we take a personalized, compassionate approach to each case—whether you’re addressing discomfort from exposed roots or seeking to restore a more natural gum line. With advanced techniques, including laser-assisted grafting and minimally invasive options, we ensure your procedure is as comfortable and successful as possible.
If you’ve noticed signs of gum recession or are experiencing sensitivity near the gumline, don’t wait. Arlington Dental is committed to keeping the Arlington community’s smiles healthy and beautiful. Experience expert dental treatment in Arlington MA at Arlington Dental, 43 Broadway, Arlington, MA 02474. (781) 641-0500.
