If gum recession is affecting your health or your appearance, a procedure called gingival (gum) grafting may be recommended. Although it might sound scary, a variety of gum grafting procedures are routinely performed by periodontists (specialists in the area of gingival tissue), and by some general dentists with specialized training in this field. Gum grafting involves carefully placing a small amount of new tissue in an area where little or no gum tissue currently exists — typically recommended to prevent further gum recession or to cover root surfaces of your teeth that have become exposed. The tissue used in this procedure may come from a variety of sources but usually is taken from the palate (roof of the mouth), after the area has been numbed for your comfort. Then it is delicately sutured (stitched) in place where it’s needed, using suturing material which may be finer than a human hair.
How do you know if you need a gum graft? Often, you can clearly see or feel the problem. Exposed tooth roots can make your teeth look overly “long,” and they also generally appear somewhat darker than your pearly white crowns. Gum recession is a condition that can increase with age, as we recognize when we hear the phrase “long in the tooth.” But the potential problems of gum recession aren’t just cosmetic — they can also seriously impact your oral health.
Gum grafting (also called gingival grafting or periodontal plastic surgery) is a surgical procedure that covers exposed tooth roots by adding new gum tissue. In gum recession the gums pull away from the teeth, exposing roots and causing sensitivity or risk of decay. A gum graft uses healthy tissue – often taken from the patient’s own palate or a donor source – to cover those roots and rebuild the gum line. In effect, “a gum graft can cover exposed roots to minimize dental sensitivity,” restoring a more youthful, even smile.
Gum grafting is usually performed by a specialist (periodontist) in an outpatient setting. The procedure starts with numbing the area (and often sedation for comfort). Next, the dentist cleans and prepares the exposed root surfaces, then places and sutures new tissue over the recession site. The grafted tissue then fuses with the surrounding gums as it heals. In summary, gum grafting “is frequently recommended for individuals suffering from gum disease,” because it stops root exposure that can lead to tooth decay and bone loss.
Many adults suffer from gum recession, often due to periodontal (gum) disease, aggressive brushing, genetics, or dental misalignment. When gums recede, they no longer protect the tooth roots. Without grafting, “tooth and jaw bone loss may occur,” which can jeopardize dental health. In downtown Boston and nearby communities, dentists see patients concerned about gum sensitivity, long-looking teeth, or bleeding gums. These are signs that a gum graft might be needed.
Gum grafting is not just cosmetic – it has serious health benefits. By covering roots, grafts protect against infection and decay. The Boston Dental Center notes that grafting “restores the appearance of the smile while mitigating the risk of further complications,” including painful sensitivity and accelerated decay that can lead to tooth loss. In other words, people who invest in gum grafting not only improve their smile aesthetics, but also safeguard their long-term oral health.
Typically, candidates for gum grafting have clear gum recession or risk factors that predict future recession. Common signs include:
Noticeable gaps between teeth and gums (exposed roots).
Increased tooth sensitivity to hot/cold foods and drinks.
Teeth that appear longer than normal due to receded gums.
Gums that bleed easily when brushing or flossing.
Risk factors include a history of periodontal disease, heavy tobacco use, bruxism (teeth grinding), and certain genetic traits. For example, smoking and poor oral hygiene are leading causes of gum recession. Patients with thin gum tissue may also need grafts preventively. In Boston, periodontists recommend evaluating any gum recession early – for many, even losing a little gum height on one tooth is a warning sign.
If you are experiencing any of the above issues, a gum graft consultation can determine if you need surgery. Dentists in downtown Boston, especially those near South Station in the Financial District, often see office workers or commuters noticing gum problems. As one review noted, Boston patients appreciate having a “convenient location … right at South Station” for advanced treatments like gum grafts.
There are several methods of gum grafting, chosen based on the patient’s needs and gum condition. The most common include:
Connective Tissue (Subepithelial) Graft: Tissue is taken from underneath the roof of the mouth (palate) and attached over the receded site. This buried graft is often used when a large area needs covering.
Free Gingival Graft: A thin layer of tissue is removed directly from the roof of the mouth and stitched onto the recession. This builds thickness in very thin gums.
Pedicle (Lateral) Graft: Graft tissue is taken from gum near the tooth (still attached on one side) and stretched over the exposed root. This works when adjacent gums are thick.
Acellular Dermal Matrix (Allograft): Donor tissue is used instead of the patient’s own palate. As Acro Dental in Boston explains, AlloDerm “allows dentists…to avoid harvesting tissue from other areas of the mouth,” reducing extra surgical sites.
Each technique has pros and cons. Autografts (using your own tissue) tend to have high success and “will fuse with your gums” as they heal. Allografts avoid a second surgical wound, making recovery easier. Your Boston periodontist will recommend the best option after examining your gum thickness and need.
Types of Graft Techniques:
| Type | Source of Tissue | Typical Use Case |
|---|---|---|
| Connective Tissue Graft | Flap from palate | Most common; thickens shallow recessions |
| Free Gingival Graft | Outer layer of palate | Adds bulk when gums are very thin |
| Pedicle (Lateral) Graft | Nearby gum tissue | Small adjacent defects; gum flap remains attached |
| Acellular Dermal Matrix | Donor (AlloDerm) tissue | Cover multiple teeth; avoids extra incision |
For some patients, minimally invasive techniques like the Pinhole Surgical Technique (PST) are available. Pinhole grafting uses small punctures in the gum to stretch and reposition the existing tissue over exposed roots, often without any sutures or donor graft at all. While not a “true” graft of new tissue, Pinhole can correct modest recession in one visit and with very fast recovery. Many Boston dentists now offer pinhole or laser-assisted gum surgery as an option for qualified patients.
Gum grafting is typically done in a dental office as an outpatient surgery. Here’s what patients can expect:
Consultation and Planning: Your periodontist will examine your gums, take X-rays or scans, and discuss goals. A custom treatment plan will be made. If needed, infections or cavities are treated first.
Anesthesia: Numbing is applied to the graft site and donor site. Most offices also offer sedation (oral or IV) for comfort. Modern techniques and lasers can make the process gentle.
Harvesting the Graft: Using a scalpel or punch tool, tissue is taken from the palate or nearby gum. If AlloDerm or another graft material is used, this step is skipped.
Preparing the Recipient Site: The periodontist cleans the receded area and makes small incisions to create a pocket or flap.
Placing the Graft: The harvested tissue (or donor material) is placed over the exposed root and sutured in place. The graft will fully cover the affected area.
Closing and Protection: Both the new graft and any donor sites are stitched closed. A protective bandage (periodontal dressing) may be applied. The dentist will give after-care instructions and medication for comfort
“During the procedure, you should feel comfortable,” notes Congress Dental. Many patients report that “with lasers, there is often no need for stitches” and most of the time in the chair is just 30–60 minutes per treatment area. After grafting, immediate improvements in gum line symmetry are visible.
After gum grafting, proper care is essential for healing. Most people find recovery to be straightforward. According to Congress Dental, “it generally takes one to two weeks to fully recover,” though many can return to work in just a few days. Key aftercare guidelines include:
Pain Management: Any discomfort is usually mild. Over-the-counter pain relievers often suffice. If tissue was taken from the palate, the donor site may feel like a “pizza burn” for a day or two.
Oral Hygiene: Avoid brushing or flossing the surgical area until your dentist tells you to. You’ll likely use a special antimicrobial mouthwash to keep the area clean.
Diet: Eat soft, cool foods (e.g. yogurt, eggs, applesauce) for the first few days. Do not disturb the graft – avoid chewing directly on that side. No very hot or crunchy foods until healing progresses.
Activity: Plan light activity for 1–2 days. No heavy lifting or vigorous exercise immediately after.
Follow-up: You will return to the dentist in about 1 week to check healing and remove any non-dissolvable sutures. Full integration of the graft takes a few weeks.
If any unusual pain, bleeding, or swelling occurs beyond expectations, contact your dentist. According to Summit Periodontics, most “patients typically have a follow-up appointment about a week after surgery” to ensure things heal well. With good care, the grafted tissue will fuse with your gums and create a strong, lasting seal.
Immediate Results: Patients often notice improved gum height right after surgery, with final results setting in over a few weeks. Arch Street Dental emphasizes that results can be permanent if you “keep up with daily care”. In other words, maintain excellent oral hygiene and regular checkups to protect your new gum profile.
If you have gum recession, surgery isn’t the only option – your dentist may consider other approaches:
Pinhole Surgical Technique (PST): As noted, PST (also called the Chao Pinhole) can treat recession without grafting new tissue. It is quicker and has an even faster recovery, but it’s not suitable for severe cases.
Laser Gum Surgery: Some offices use lasers to recontour gums and encourage tissue regeneration. Laser surgery can often sculpt tissue without incisions, minimizing bleeding.
Preventive Care: For mild cases, simply improving home care (e.g. softer brushing, treating gingivitis) may slow recession. Desensitizing toothpaste can help sensitivity.
Your periodontist will discuss pros and cons. In many Boston practices, the latest tools – lasers, microscopy, and sedation – make gum surgery more comfortable and effective than ever. Often a periodontist will combine treatments (for example, a small laser reshaping with a targeted graft) to achieve optimal results.
When searching for gum grafting in Boston, location matters. Boston’s Financial District (near South Station) has several experienced specialists. Look for a board-certified periodontist or a dentist with advanced gum surgery training. Reviews and before/after photos (often on practice websites) can give confidence.
For instance, Congress Dental Group is “located just minutes from South Station” and highlights decades of advanced care in that district. Transportation in Boston is easy: the MBTA’s Red and Silver Line subway stop at South Station puts you blocks from many offices. Many periodontists also offer evening or weekend appointments for working patients.
What is gum grafting and why is it done?
Gum grafting is a surgery to cover exposed tooth roots by adding gum tissue. It’s done to stop root decay and sensitivity caused by gum recession. Grafting restores a healthy gum line and protects the teeth.
How long does gum grafting take and heal?
The procedure usually takes 30–60 minutes per area under local anesthesia. Healing is mostly complete in 1–2 weeks, and people often return to normal activities within a few days.
Is gum grafting painful?
The procedure is performed under anesthesia, so you won’t feel pain during surgery. Afterwards, mild discomfort is typical but usually managed with over-the-counter pain relievers. (If tissue was taken from the palate, the donor site may ache like a “pizza burn” for a day or two.) Overall most patients find the recovery easier than expected.
What are the different types of gum grafts?
The main types are connective tissue grafts, free gingival grafts, and pedicle grafts, all using your tissue, plus acellular dermal matrix grafts. Each uses tissue from different places (roof of mouth vs. adjacent gum) and is chosen based on how much coverage is needed.
How do I prepare for a gum graft procedure?
There’s usually no special preparation needed except normal oral hygiene. You should arrange a ride home if you plan sedation. No fasting or diet change is required in advance. Your dentist will review aftercare, but otherwise just come for your appointment.
What is the recovery like after a gum graft?
You can expect a soft tissue healing period of 1–2 weeks. During this time, stick to soft foods, avoid brushing the surgical area, and follow any mouthwash or antibiotic instructions. You’ll likely have a follow-up in a week or so to check on healing.
When is the pinhole surgical technique an option?
Pinhole grafting is an alternative for mild to moderate gum recession. It doesn’t use scalpels or grafts but repositions your existing gum. It offers fast healing and is less invasive, but it may not be suitable if you need large volume of new tissue.
How much does gum grafting cost in Boston?
The cost varies by practice and case complexity. In Massachusetts, grafting often starts around $1,000–$2,000 per site. Because gum grafts are often medically necessary to prevent tooth loss, insurance may cover part or all of the cost. Patients should check their individual plan and ask the dentist’s office about coverage.
Can smoking affect my gum graft?
Yes. Smoking and tobacco use greatly slow healing and increase the risk of graft failure. One of the common causes of gum recession is smoking. To optimize results, quitting or reducing tobacco use before and after surgery is strongly advised.
What results can I expect from gum grafting?
You should expect a noticeable improvement in gum coverage and symmetry. The graft “protects the roots from further problems” and gives a more even smile line. Many patients report long-lasting, permanent results if they maintain good oral care.
What is a gum graft?
A gum graft (gingival graft) is a procedure where tissue is transplanted to cover exposed tooth roots. It can use your own gum tissue or donor material to rebuild the gum line and protect teeth from decay.
Why might I need a gum graft?
If your gums have receded and roots are exposed (causing sensitivity, decay risk, or aesthetic concerns), a graft strengthens and stabilizes the gum around that tooth. It can prevent further bone loss and tooth damage.
How is gum graft surgery performed?
After numbing the area, the periodontist makes a small incision at the site needing coverage. Tissue (from your palate or donor) is placed over the exposed root and sutured in place. The sites are then bandaged to heal. The process typically takes under an hour per area.
How long does gum graft surgery take?
A single gum graft procedure usually takes about 30–60 minutes per treated area, depending on extent. This does not count time for prep and recovery.
What is the recovery time after a gum graft?
Most of the healing occurs within 1–2 weeks. By about two weeks, the gums should be firmly reattached, though final tissue integration may take a month or more. You can return to light work within a day or two and gradually resume normal routines under your dentist’s guidance.
How much does gum grafting cost?
Prices vary. In Boston-area practices, a gum graft typically costs on the order of $1,000–$2,000 per site. If multiple teeth are involved, the cost goes up. Insurance often covers some or all of the procedure if it’s deemed medically necessary, so check with your provider.
Does insurance cover gum grafting?
Insurance coverage depends on your plan. Because grafts are often needed to treat disease, many medical and dental policies offer partial or full coverage. In many cases, at least part of the fee can be billed to insurance. Your periodontist’s office can help estimate coverage.
What are the types of gum grafts?
The main types are: Free Gingival Graft (tissue from palate to thin areas), Connective Tissue Graft (palate tissue under a flap to cover roots), Pedicle Graft (gum flap repositioned), and Allograft (Acellular Dermal Matrix) using donor tissue. Each is suited to different situations.
What foods should I avoid after a gum graft?
Avoid crunchy, spicy, or hot foods that could irritate the graft. Stick to soft, cool foods (like yogurt, mashed potatoes, smoothies) for the first few days. Also avoid alcohol or acidic drinks that could sting the surgical site. Don’t chew gum near the graft.
How do I find a gum graft specialist near South Station?
Search for a periodontist or periodontal surgeon in downtown Boston. Many specialists list their proximity to landmarks. For example, Congress Dental Group notes being “just minutes from South Station”.
Each of these answers addresses a common query about gum grafting in Boston, MA (especially near South Station). For more detailed information or personalized advice, schedule a consultation with a qualified Boston periodontist or dentist.
Gum grafting is a highly effective procedure for treating gum recession, restoring oral health, and enhancing the appearance of your smile. Whether you’re experiencing tooth sensitivity, aesthetic concerns, or early signs of gum disease, a customized gum grafting treatment can offer lasting protection and peace of mind. In Boston, MA – especially near the South Station area – patients have access to experienced periodontists and modern techniques, including minimally invasive options like the Pinhole Surgical Technique. If you’re noticing receding gums or related symptoms, don’t wait. Schedule a consultation with a Boston gum grafting specialist in Congress Dental Group to explore your options and safeguard your smile for the future.
