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February 23, 2026

Everything You Need to Know About Receding Gum Surgery

Watercolor of a healthy tooth rising from a restored gum line with a new leaf in soft azure and spring green

Hearing that you need surgery to correct receding gums can leave you anxious, scared, or simply confused. Those feelings are natural, and at Smile Arts Dental we treat them as part of the appointment rather than an interruption to it. Fear-Less Dentistry applies to gum surgery the same way it applies to a routine cleaning. Dr. Balaban provides periodontal therapy here in Carmel, including receding gum surgery, scaling and root planing, and laser treatment, and every case begins with a plain explanation of what is actually going to happen. Here is that explanation.

What receding gums are and why they happen

Receding gums are gum tissue that wears away or pulls back from the tooth. As the gum line drops, more of the tooth and its root sit exposed, which raises the risk of bacterial infection and, over time, tooth loss. The most common causes are periodontal disease, aggressive brushing, tobacco use, bruxism, underlying health conditions, and genetics. Some of those you can change and some you cannot, which is exactly why treatment starts with understanding your particular case rather than reaching for a standard fix.

How a gingival graft rebuilds the gum line

Gum recession surgery, also called a gingival graft, rebuilds receded gums and restores health and function to the teeth they protect. Dr. Balaban takes a small graft of soft tissue, usually from the roof of the mouth, and secures it over the exposed teeth and roots. Once healed, the graft covers the vulnerable root surface again.

The graft does its best work as part of a larger plan. Paired with consistent daily oral hygiene, sensible lifestyle changes, and regular dental visits, the procedure can prevent further decay and damage and lower the risk of bone and tooth loss.

Whether a graft is the right choice for you is its own question. Dr. Balaban answers it with a comprehensive oral exam, dental X-rays, a review of your medical history, and a conversation about your symptoms and habits. We cover the candidacy checklist, along with recovery expectations, in a companion post on what to know about receding gum surgery.

The benefits and the risks, plainly

Like any medical procedure, a gingival graft carries both. On the benefit side, the graft can minimize tooth sensitivity, protect your overall oral health, reduce further gum and bone loss, help you avoid losing teeth, lower the risk of decay and infection, and restore the natural proportions of your smile.

The potential risks and complications are worth knowing too:

  • Mild pain and swelling
  • Bleeding
  • Infection
  • Graft failure

None of these should be a surprise on the day of your procedure. Dr. Balaban walks through each one beforehand, so the plan you agree to is one you actually understand.

Grafting is one option, and it is not the only one

Not every case of recession calls for a graft. For some patients, Chao Pinhole gum rejuvenation corrects receding gums through a pinhole-sized opening instead, without the tissue harvesting of a traditional graft. And for gingivitis and periodontal disease at every stage, ongoing periodontal care can protect the gum line before surgery ever enters the conversation.

The first step is smaller than any of that: a conversation. Dr. Balaban can examine your gums, explain what he sees, and lay out the options that fit your case. Call Smile Arts Dental at (317) 575-1995 or request an appointment online, and if the word surgery is what has kept you from calling, say so in the note. That is precisely the patient this practice was built for.

This article is for general education only and is not a substitute for professional dental advice. For guidance about your own smile, talk with your dentist.

Ready when you are

Questions about your own smile? Ask us in person.