Gum recession: why gums pull back and what can be done
Receding gums rarely grow back on their own. Controlling the cause and protecting exposed roots can stop further loss and improve comfort.
Dr. Suneeta Veeramachaneni
11 October 2026 · 5 min read
Gum recession means the soft tissue margin has moved apically, exposing more of the tooth or root. The area can look longer, feel sensitive to cold and become harder to keep plaque-free. Understanding why recession occurred is the first step toward a stable plan.
Why gums recede
Aggressive brushing, thin gum tissue, gum disease, tooth position outside the bone envelope, piercings, grinding and tobacco use are common contributors. Orthodontic movement in a thin biotype can also uncover roots if not planned carefully.
Not all recession needs surgery. Stable, cleansable areas with mild sensitivity may be monitored with technique coaching, desensitising care and regular reviews. Progressive recession, poor aesthetics or difficulty cleaning warrant more active options.
Protecting exposed roots
Soft brushing, a non-abrasive toothpaste and interdental cleaning reduce further trauma. Bonding or sealing can cover sensitive root surfaces in selected cases. Addressing grinding with a night guard protects both enamel and fragile soft tissue margins.
If inflammation from plaque or calculus is present, periodontal therapy comes before cosmetic soft-tissue procedures. Building new gum over an infected site is unlikely to succeed long term.
When grafting is discussed
Gum grafting or related mucogingival procedures can increase tissue thickness, cover exposed roots in suitable defects and improve cleansability. Candidacy depends on defect type, tooth position, smoking status and home-care commitment.
A consultation at Krest Dental reviews whether monitoring, restorative covering, bite protection or referral for periodontal plastic surgery is the most responsible next step for your recession pattern.
Frequently asked questions
Can receding gums grow back naturally?
True recession does not usually reverse on its own. Improving hygiene and reducing trauma can halt progression; covering roots may require bonding or soft-tissue surgery.
Does gum recession always mean gum disease?
No. Disease is one cause, but toothbrush abrasion, thin tissue and tooth position can recede gums even when deep pockets are absent.
Written by
Dr. Suneeta Veeramachaneni, DDS, University of California, San Francisco
More about Dr. Suneeta Veeramachaneni, DDS, University of California, San Francisco
