Need a Periodontist? Why Your Gums Are Receding and Medically Approved Next Steps

If you've noticed your teeth looking longer, increased sensitivity to hot or cold, or your gums pulling away from your teeth, you may be dealing with gum recession. This is a common dental issue, but it's not something to ignore.

In many cases, seeing a periodontist—a dental specialist trained in gum health—can make a significant difference in protecting your teeth and overall health.

Let's break down why gums recede, what it means, and what medically approved next steps you should consider.

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What Is Gum Recession?

Gum recession happens when the gum tissue around your teeth pulls back or wears away, exposing more of the tooth—or even the root.

Unlike a cavity, gum recession doesn't grow back on its own. Once gum tissue is lost, it usually requires professional treatment to restore or stabilize it.

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Why Are Your Gums Receding?

There isn't just one cause. Gum recession typically develops over time due to a combination of factors.

1. Gum Disease (Periodontitis)

The most common cause is periodontal disease, a chronic inflammatory condition caused by bacterial plaque buildup.

When plaque isn't removed effectively:

• It hardens into tartar.
• Bacteria trigger inflammation.
• The immune response damages gum tissue and bone.
• Gums begin to pull away from teeth.

A periodontist specializes in diagnosing and treating this condition before it leads to tooth loss.

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2. Brushing Too Hard

Aggressive brushing or using a hard-bristled toothbrush can wear down enamel and irritate gum tissue over time.

Signs include:

• Recession along one or two teeth
• Notching near the gumline
• Sensitivity without deep pockets

Switching to a soft-bristled brush and using gentle pressure can help prevent further damage.

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3. Genetics

Some people are simply more prone to thin or fragile gum tissue. Even with good oral hygiene, recession may still occur.

If gum disease runs in your family, regular evaluations with a periodontist can help you stay ahead of potential problems.

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4. Teeth Grinding (Bruxism)

Chronic grinding or clenching puts excessive pressure on teeth and supporting structures. Over time, this can contribute to gum and bone damage.

A dentist or periodontist may recommend a custom night guard.

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5. Tobacco Use

Smoking and other tobacco products significantly increase the risk of gum disease and gum recession.

Tobacco:

• Reduces blood flow to gum tissue
• Weakens immune response
• Slows healing

Quitting can dramatically improve gum health outcomes.

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6. Hormonal Changes

Hormonal shifts—especially during pregnancy, menopause, or puberty—can make gums more sensitive and prone to inflammation.

If you notice changes during these times, it's worth discussing with a dental professional.

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When Should You See a Periodontist?

Many people start with a general dentist. However, you may be referred to a periodontist if:

• You have moderate to severe gum recession
• Your teeth feel loose
• You have deep gum pockets
• There is bone loss visible on X-rays
• Gum disease does not improve with routine treatment

A periodontist has advanced training in:

• Treating gum disease
• Performing deep cleanings (scaling and root planing)
• Regenerative procedures
• Gum graft surgery
• Dental implant placement

If you're experiencing any concerning symptoms and want to better understand what might be causing them, using a free Gum problems symptom checker can help you identify potential issues and determine whether it's time to schedule an appointment with a specialist.

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Medically Approved Next Steps

The right treatment depends on the cause and severity of your gum recession.

1. Professional Deep Cleaning

For early to moderate gum disease, a periodontist may recommend:

• Scaling: Removing plaque and tartar below the gumline
• Root planing: Smoothing tooth roots to help gums reattach

This is often the first-line treatment for periodontitis.

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2. Improved Oral Hygiene

Evidence-based recommendations include:

• Brush twice daily with a soft-bristled toothbrush
• Use fluoride toothpaste
• Floss or use interdental brushes daily
• Consider an antimicrobial mouth rinse if recommended

Proper technique matters more than force.

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3. Gum Grafting

If recession is advanced, a periodontist may recommend a gum graft.

This involves:

• Taking tissue from another area (often the roof of the mouth) or using donor tissue
• Placing it over exposed roots
• Allowing it to integrate and protect the tooth

Gum grafting can:

• Reduce sensitivity
• Protect roots from decay
• Improve appearance
• Prevent further recession

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4. Regenerative Procedures

If bone has been lost due to periodontitis, a periodontist may use:

• Bone grafts
• Guided tissue regeneration
• Biologic materials that stimulate healing

These procedures aim to restore supporting structures around teeth.

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5. Treating Underlying Conditions

Managing related health conditions can significantly improve gum health:

• Diabetes control
• Smoking cessation
• Stress management
• Addressing teeth grinding

Gum health is closely linked to overall health, especially cardiovascular disease and diabetes.

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Can Receding Gums Grow Back?

Unfortunately, gum tissue does not naturally regenerate once it's lost. However:

• Early treatment can stop progression.
• Gum grafting can restore coverage.
• Proper care can protect what remains.

The key is early intervention.

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What Happens If You Ignore Gum Recession?

It's important not to panic—but it's equally important not to ignore it.

Untreated gum recession can lead to:

• Tooth sensitivity
• Root decay
• Worsening gum disease
• Bone loss
• Tooth mobility
• Tooth loss

Advanced periodontal disease has also been associated with systemic inflammation and increased risk of certain health conditions.

This is why a consultation with a periodontist can be an important step if symptoms persist.

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How to Protect Your Gums Starting Today

You can begin improving your gum health immediately by:

• Switching to a soft toothbrush
• Brushing gently in circular motions
• Flossing daily
• Scheduling regular dental cleanings
• Avoiding tobacco
• Managing medical conditions like diabetes

If you notice:

• Bleeding gums
• Persistent bad breath
• Loose teeth
• Gum tenderness
• Receding gumlines

Don't wait months to act.

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The Bottom Line

Gum recession is common—but it's not harmless. While mild cases may be managed with improved oral care, more advanced cases often require evaluation by a periodontist.

A periodontist is specially trained to:

• Diagnose gum disease accurately
• Prevent further tissue and bone loss
• Perform advanced procedures when necessary
• Help you preserve your natural teeth

If you're noticing symptoms like bleeding, sensitivity, or visible gum changes and aren't sure how serious they are, you can quickly assess your situation with a free online Gum problems symptom checker to help guide your next steps.

Most importantly, if you experience severe pain, swelling, signs of infection (such as fever or facial swelling), or rapidly loosening teeth, seek prompt care and speak to a doctor or dental professional immediately. Some dental infections can become serious if left untreated.

Taking action early is not about fear—it's about prevention. With the right care, including guidance from a qualified periodontist, gum recession can often be stabilized and managed effectively, helping you protect your smile for years to come.