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June 23, 2026

What to Know About Receding Gum Surgery: Candidacy and Alternatives

Watercolor of a healthy tooth cradled by protective green leaves in soft azure and spring green

If your dentist has told you that you need surgery to correct receding gums, you may feel anxious, scared, or confused. Those feelings are completely natural, and at Smile Arts Dental they shape how we work. Fear-Less Dentistry means the conversation around a procedure matters as much as the procedure itself, so this post focuses on the questions patients actually ask: am I a candidate, what are my alternatives, and what should I weigh before deciding. For a step-by-step walkthrough of the graft procedure itself, see our companion post on receding gum surgery.

A quick refresher on what is being treated

Receding gums are gum tissue that has worn away or pulled back from the tooth. That exposes the tooth and its root, which raises the risk of bacterial infection and tooth loss. The most common causes are periodontal disease, aggressive brushing, tobacco use, bruxism, underlying health conditions, and genetics. When recession is advanced, a gingival graft rebuilds the lost tissue: Dr. Balaban uses soft tissue taken from the roof of your mouth to cover the exposed teeth and roots.

Are you a good candidate?

Candidacy is never guessed at. Dr. Balaban performs a comprehensive oral examination, takes dental X-rays, reviews your medical history, and talks through your symptoms and lifestyle before recommending anything. You may be a good candidate for gum recession surgery if you:

  • Have visible gum loss
  • Have worsening tooth sensitivity
  • Have thin or delicate gums
  • Have healthy bone structure
  • Do not smoke
  • Can commit to consistent daily oral hygiene and ongoing periodontal treatment

Notice that the last two points describe you rather than your gums. A graft succeeds as a partnership. The surgery rebuilds the tissue, and your daily habits, lifestyle changes, and regular dental visits protect the result, prevent further decay and damage, and lower the risk of bone and tooth loss.

If a graft is not the right fit

A gingival graft is one option rather than the only one. Dr. Balaban also offers Chao pinhole gum rejuvenation, an alternative technique for treating recession, and for some patients it is the better path. For gum disease at every stage, from early gingivitis onward, the practice provides in-depth ongoing periodontal therapy, including scaling and root planing and laser treatment. Catching recession early can keep the surgical question from ever coming up.

Weighing the benefits against the recovery

The benefits of a graft are meaningful: it can minimize symptoms like tooth sensitivity, protect your oral health, reduce further gum and bone loss, help you avoid tooth loss, lower the risk of decay and infection, and improve the appearance of your smile. Like any medical procedure, it also carries risks, and honest candidacy conversations include them. The potential complications are mild pain and swelling, bleeding, infection, and, in some cases, graft failure. Part of Dr. Balaban’s evaluation is making sure the expected benefit clearly outweighs those risks for your particular mouth.

Talk through your options with Dr. Balaban

Dr. Balaban provides personalized solutions for receding gums here in Carmel, IN. He can determine whether a gingival graft, pinhole rejuvenation, or ongoing periodontal care is the right fit for you, and he will explain the reasoning at whatever pace you need. Call (317) 575-1995, or request an appointment online to get started.

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

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