Before considering a gum graft, the dentist first treats the cause of the gum tissue recession.
He evaluates the degree of retraction of the gum and the risks of evolution. Depending on the case, he may recommend :
- To use a less aggressive brushing technique with a soft bristle brush.
- To treat gingivitis and periodontitis.
- To remove piercings in the mouth.
- Wearing a mouthpiece at night to eliminate the effects of bruxism.
Good hygiene and tartar removal, coupled with medical treatment, may be sufficient for less serious cases.
The dentist resorts to gum grafting when the teeth are in danger of falling out or when the pain associated with exposing the tooth root is too great.
However, when the periodontium is too seriously affected, with significant bone loss, soft tissue grafting alone is not indicated because the gum would not have enough bone to support it.