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Gum Recession: Causes, Treatment and What Helps (2026)

Aykut Gürel, DDS, PhD
Aykut Gürel, DDS, PhD

Oral & Maxillofacial Surgeon

6 min read
Updated: April 19, 2026
Gum recession treatment and causes

Did You Know?

Gum recession (gingival recession) is the retreat of the gum tissue from the tooth surface, exposing the tooth root. It causes both aesthetic concerns and tooth sensitivity. Around 50% of adults have recession on one or more teeth.

01

What Is Gum Recession?

Gum recession is progressive — if untreated it can lead to bone loss and eventual tooth loss.


02

Causes of Gum Recession

1. Aggressive Brushing (Most Common)

A hard brush or excessive pressure traumatises the gum and causes recession. Canines and premolars are particularly affected.

2. Periodontal Disease

Untreated gingivitis progresses to periodontitis. Periodontitis erodes both the gum and the jaw bone.

3. Genetic Predisposition

Individuals with a thin gum biotype are at higher risk of recession. This is genetically determined.

4. Smoking

Smoking impairs gum circulation and slows tissue healing.

5. Bruxism (Teeth Grinding)

Bruxism loads the teeth with excessive force and accelerates recession.

6. Ill-Fitting Braces or Dentures

Poorly fitted orthodontic appliances or dentures can press on the gum and cause recession.

7. Hormonal Changes

During pregnancy and menopause, the gum tissue becomes more fragile.

8. Tooth Position

Teeth positioned outside the line of the jaw bone (vestibular position) are at higher risk of recession.


03

Signs of Gum Recession

  • Teeth appear longer than normal
  • Tooth roots become visible (yellowish in colour)
  • Hot/cold sensitivity
  • A notch felt at the gum line (palpable with a fingernail)
  • Increasing gaps between teeth at the root level
  • Bleeding gums on brushing (bleeding gums causes)

04

What Helps Gum Recession?

Home Measures (Preventive)

  • Use a soft toothbrush — discard hard brushes
  • Use gentle circular motions — avoid aggressive back-and-forth strokes
  • Desensitising toothpaste (such as Sensodyne) — reduces root sensitivity
  • Floss once a day — preserves gum health
  • Stop smoking — the single most important lifestyle change

Professional Treatment Options

1. Conservative Treatment (Mild Recession)

  • Brushing technique training: Demonstrating the correct technique
  • Desensitising treatment: Fluoride varnish, bonding to cover the root
  • Professional cleaning: Scale and polish

2. Gum Grafting (Moderate to Advanced Recession)

Tissue is taken from the palate or another site and transplanted to the recession area:

Graft TypeSourceAdvantagePrice (2026)
Connective tissue graftPalateMost common, high success3,000–6,000 TL per tooth
Free gingival graftPalateIncreases gum thickness2,500–5,000 TL per tooth
Alloderm (collagen matrix)Off-the-shelf productNo palatal wound4,000–8,000 TL per tooth
Tunnel techniquePalateMinimal incision, aesthetic4,000–7,000 TL per tooth

3. Pinhole Surgical Technique

A modern, suture-free, graft-free technique:

  • A small pinhole is made to shift the gum tissue over the exposed root
  • The tissue is supported with collagen strips
  • Healing is very rapid (1–2 days)
  • Multiple teeth can be treated in a single session

4. Orthodontic Treatment

In selected cases, moving the tooth back into the jaw bone can improve recession.


05

Can Gum Recession Be Stopped?

Yes — when the cause is removed, the recession stops:

  • Correct brushing technique
  • Control of inflammation with periodontal treatment
  • Control of bruxism with a night guard
  • Stopping smoking

However, lost gum tissue does not grow back on its own — a graft procedure is needed to rebuild it.


06

Preventing Gum Recession

  1. Soft brush + gentle technique — the most important preventive step
  2. Floss once a day
  3. 6-monthly dental check-ups and professional cleaning
  4. Stop smoking
  5. Night guard for bruxism
  6. Balanced diet — rich in vitamin C
  7. Mouthwash — antibacterial (short-term use)

07

For more on gum health:


08

References

  1. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003;134(2):220-225. PubMed
  2. Cairo F. Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontol 2000. 2017;75(1):296-316. PubMed
  3. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis. J Periodontol. 2018;89 Suppl 1:S159-S172. PubMed

Do you suspect gum recession? At Derya Dental Clinic in Maltepe we will assess your gums and explain your options.

📞 0216 572 05 20 💬 WhatsApp appointment

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This content is for informational purposes only and does not replace medical diagnosis or treatment. Please consult a specialist for decisions about your oral and dental health.

Frequently Asked Questions

Common Questions

How is gum recession treated?
Mild cases respond to correct brushing technique and desensitising treatment. Moderate-to-advanced cases are treated with gum grafting. Recessed gum tissue does not return on its own.
What helps gum recession?
A soft brush, gentle brushing, desensitising toothpaste and stopping smoking slow progression. To restore lost tissue, gum grafting is required.
Is gum recession dangerous?
It is not life-threatening, but if untreated it leads to tooth sensitivity, root decay, aesthetic concerns and, in advanced cases, tooth loss.
Will recessed gum tissue grow back?
Gum tissue does not regrow by itself. Lost tissue can be restored with gum grafting. Early intervention allows simpler treatment.
Is brushing the main cause of gum recession?
A hard brush and aggressive brushing are the most common causes. However, periodontal disease, genetic predisposition, bruxism and smoking also contribute.
How much does a gum graft cost in 2026?
Between 2,500 and 8,000 TL per tooth. The price depends on the type of graft (connective tissue, alloderm), the number of teeth and the surgical technique.
What helps gum recession at home?
Home measures only slow progression; they do not reverse it: - Soft-bristled toothbrush — discard hard brushes in favour of soft or extra-soft - Corrected brushing technique — the modified Bass technique (45° angle, vibratory motion) - Interdental brush or floss — once a day, without aggressive pressure - Salt-water rinse — eases inflammation (1 cup of warm water + 1 teaspoon of salt) - Desensitising toothpaste — containing potassium nitrate - Chlorhexidine mouthwash — on dentist's advice, short-term To stop progression, the most critical step is a professional assessment. A periodontal examination measures the pocket depth and determines the risk level.
Which specialist treats gum recession?
A periodontist (gum specialist) is the most appropriate practitioner. A general dentist can carry out the initial assessment; advanced cases are referred to a periodontist or oral surgeon. At Derya Dental Clinic, Uzm. Dt. Aykut Gürel manages all periodontal cases, including surgical intervention.
Does smoking worsen gum recession?
Yes — absolutely. Smoking reduces blood flow to the gum tissue, suppresses the immune response and doubles or triples the pace of periodontal disease. In smokers, healing is slower and graft success rates are lower. Stopping smoking before treatment dramatically improves outcomes.
At what age does recession start?
Recession can occur at any age. Recession from aggressive brushing can start in the 20s. Periodontitis-related recession usually becomes apparent in the 30s–40s. Around 50% of adults over 40 have recession on at least one tooth. ---
Aykut Gürel, DDS, PhD

Author

Aykut Gürel, DDS, PhD

Oral & Maxillofacial Surgeon

Dr. Aykut Gürel is an Oral & Maxillofacial Surgeon who graduated from Istanbul University and completed his residency at Marmara University. He specializes in dental implantology, zygomatic implant surgery, and digitally guided surgical planning.

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