A tooth is supported by bone and surrounded by gum tissue (gingiva), which forms a protective seal around the tooth. Gingival recession occurs when the gum tissue gradually moves away from the tooth, exposing the root surface.
As the root becomes exposed, patients may experience tooth sensitivity, an increased risk of root decay, and concerns about the appearance of their smile. If the underlying cause is not addressed, recession can continue to progress and may eventually compromise the long-term health and stability of the tooth.
Common signs of gingival recession include:
Teeth that appear longer than normal
Tooth sensitivity to hot, cold, or sweet foods and drinks
Visible root surfaces
Notches or grooves near the gum line
Bleeding or inflamed gums
Root cavities (decay below the gum line)
Loose teeth in advanced cases
Changes in the appearance of your smile
Early diagnosis and treatment can help prevent further damage and improve both function and aesthetics.
Several factors may contribute to gingival recession.
Brushing too hard or using an incorrect brushing technique can gradually wear away gum tissue. This type of recession is commonly seen on the front surface of the tooth and may be accompanied by a notch near the gum line.
Periodontal disease is an infection of the gums and supporting structures of the teeth. As the disease progresses, inflammation and bone loss can occur, causing the gums to recede.
Risk factors include:
Poor oral hygiene
Smoking or tobacco use
Diabetes
Family history of periodontal disease
This type of recession often affects multiple surfaces of a tooth and may involve several teeth throughout the mouth.
Some individuals naturally have thinner gum tissue and thinner supporting bone. These patients may be more susceptible to gum recession, even with excellent oral hygiene.
Crooked teeth, crowded teeth, or an uneven bite can place excessive pressure on the gums and supporting bone. Deep bites, where the upper teeth excessively overlap the lower teeth, may also contribute to recession in specific areas.
Additional causes of gingival recession may include:
Abnormal frenum (muscle) attachments
Aggressive flossing techniques
Fingernail or oral habit trauma
Lip or tongue piercings
Teeth grinding or clenching
Treatment depends on the cause and severity of the recession. When significant root exposure is present, gum grafting procedures may be recommended to restore lost tissue and protect the tooth.
The most commonly performed procedure is a connective tissue graft.
During this procedure, a small piece of tissue is carefully taken from the palate (roof of the mouth) and positioned over the exposed root surface. The graft is then secured in place to encourage healing and integration with the surrounding gum tissue.
The procedure is performed under local anaesthetic and most patients experience only mild discomfort during recovery.
Gum grafting can:
Cover exposed root surfaces
Reduce tooth sensitivity
Improve the appearance of the smile
Protect against further recession
Reduce the risk of root decay
Improve long-term tooth stability
In many cases, substantial or complete root coverage can be achieved, depending on the anatomy of the defect and surrounding tissues.
While not all recession can be prevented, the following measures can significantly reduce your risk:
Use a soft-bristled toothbrush
Brush gently using the correct technique
Floss carefully and consistently
Maintain regular dental and periodontal examinations
Seek treatment for gum disease early
Consider orthodontic treatment if teeth are significantly crowded or misaligned
Avoid habits that traumatise the gums
Stop smoking and tobacco use
Regular monitoring allows early detection and treatment before recession becomes more severe.
As periodontists, we specialise in the prevention, diagnosis, and treatment of gum recession. Whether your concerns are sensitivity, aesthetics, or protecting the long-term health of your teeth, we can assess your condition and recommend the most appropriate treatment options for your individual needs.
Book a consultation to assess the recession