What Does a Periodontist Do for Receding Gums? A Complete Guide

Receding gums are one of the most common dental concerns patients face, yet many people do not realize that early treatment can prevent long-term consequences. Gum recession may develop gradually, but without proper care, it can expose tooth roots, increase sensitivity, lead to gum disease, and even contribute to tooth loss.

A general dentist can diagnose the issue, but the most effective gum recession treatment typically requires the expertise of a periodontist for gum disease and soft tissue conditions. Periodontists are specialists trained to manage concerns involving the gums, bone, and periodontal ligament, making them the best-qualified professionals to treat receding gums and prevent progression.

This comprehensive guide explains why gums recede, how a periodontist treats the condition, and whether receding gums can grow back.

Why Do Gums Recede?

Gum recession occurs when the gum tissue pulls away from the tooth, exposing the root surface. Several factors can contribute to this condition, including:

• Periodontal disease
• Aggressive brushing
• Genetics
• Teeth grinding or clenching
• Misaligned teeth
• Hormonal changes
• Tobacco use
• Poor oral hygiene

While some mild recession may appear with age, noticeable or worsening recession should never be ignored, as it is often a sign of underlying gum disease or structural imbalances.

Symptoms of Gum Recession

Patients often seek help when they notice:

• Tooth sensitivity
• Teeth looking longer
• Notches near the gumline
• Bleeding when brushing
• Irritated or inflamed gums
• Loose teeth in advanced stages

A periodontist evaluates these symptoms and determines the exact cause before starting periodontal therapy for receding gums.

What Does a Periodontist Do for Receding Gums?

Periodontists offer specialized treatments to halt gum recession, rebuild lost tissue, and protect the roots of the teeth. Their approach is customized for each patient and based on the cause and severity of the recession.

Here are the most common treatments a periodontist provides.

1. Comprehensive Periodontal Examination

The first step is a detailed evaluation of your gum health, which may include:

• Pocket depth measurements
• Evaluation of bone support
• Assessment of inflammation
• Review of brushing habits and risk factors

This examination helps determine whether your gums are receding due to gum disease, trauma, genetics, or other conditions.

2. Periodontal Therapy for Receding Gums

If gum disease is contributing to the recession, the periodontist will focus on treating the infection. A standard treatment is scaling and root planing, which removes plaque and bacteria from deep periodontal pockets and smooths the tooth roots to promote healing.

Additional therapies may include:

• Antibacterial treatment
• Laser periodontal therapy
• Periodontal maintenance visits

This approach helps control gum disease and prevent the recession from getting worse.

3. Gum Grafting Procedures

One of the most effective ways to restore lost gum tissue is through gum grafting. A periodontist uses advanced grafting techniques to cover exposed roots, rebuild the gumline, and protect the teeth.

Types of gum grafts include:

• Connective Tissue Graft: The most common method, using tissue from beneath the roof of the mouth to cover exposed roots.
• Free Gingival Graft: Used for patients with thin gums to increase the amount of gum tissue.
• Pedicle Graft: Tissue from the adjacent gum is repositioned over the exposed root.

Gum grafting not only improves appearance but also reduces sensitivity and prevents further gum or bone damage.

4. Pinhole Surgical Technique

Some periodontists offer a minimally invasive alternative to traditional grafting called the Pinhole Surgical Technique. This technique involves creating a small opening in the gum and gently repositioning the tissue to cover the exposed roots.

Benefits include:

• No surgical incisions
• Faster healing
• Immediate cosmetic improvement

Not all patients are candidates, but for the right scenario, it can be an excellent option.

5. Regeneration Procedures

If gum recession is linked to bone loss from gum disease, a periodontist may perform regenerative treatments using special membranes, bone grafts, or biologic proteins to help your body rebuild lost structures.

Regenerative therapies help strengthen the tooth's foundation and support long-term dental stability.

6. Bite Adjustment or Orthodontic Referral

If misaligned teeth or bite imbalance contribute to recession, the periodontist may recommend:

• Bite correction
• Splinting
• Orthodontic treatment

Correcting structural issues prevents ongoing gum stress and future recession.

7. Education and Prevention

A periodontist also ensures patients understand how to protect their gums after treatment. This includes:

• Proper brushing techniques
• Soft bristle toothbrush recommendations
• Nightguard therapy if grinding is an issue
• Smoking cessation support
• Regular periodontal maintenance

Preventive care plays a key role in stopping recurrence.

Can Receding Gums Grow Back?

One of the most common questions patients ask is: can receding gums grow back?

Natural gum tissue does not regenerate on its own. Once the gum has receded, it cannot grow back without treatment. However, a periodontist can restore and rebuild the gumline through procedures like gum grafting and regeneration therapy.

Early intervention also prevents additional tissue loss, making it crucial to seek treatment as soon as symptoms appear.

When Should You See a Periodontist for Receding Gums?

You should schedule an evaluation if you notice:

• Increasing tooth sensitivity
• Gumline pulling away
• Visible roots
• Long looking teeth
• Persistent gum irritation or redness
• History of gum disease
• A family history of recession

If your gums are receding rapidly or your general dentist has recommended a specialist, prompt periodontal care can protect your oral health and prevent tooth loss.

Gum Recession Treatment at Charlotte Perio

Charlotte Perio is a trusted periodontal practice providing advanced gum recession treatment, periodontal therapy for receding gums, and gum grafting procedures. Their team offers comprehensive evaluations and state of the art periodontal care customized for every patient.

Patients choose Charlotte Perio for:

• Expertise in treating all stages of gum disease
• Advanced soft tissue and grafting techniques
• Minimally invasive periodontal procedures
• Dental implant care
• Long term gum health management
• A patient-focused approach and modern technology

Conclusion

Receding gums should never be ignored, and the sooner you seek help, the better your long term outcome. A periodontist specializes in diagnosing the cause, treating the condition, and rebuilding lost gum tissue through personalized periodontal therapy for receding gums. While receding gums do not grow back naturally, modern periodontal treatments can restore both the function and appearance of your smile.

If you notice signs of gum recession or gum disease, a specialized periodontal evaluation is the best step toward protecting your oral health.

If your gums are receding or you want expert gum recession treatment, Charlotte Perio provides specialized periodontal care to restore gum health and protect your teeth. Contact us to schedule your periodontal consultation today.