Gum grafts and pocket reduction surgery are two common procedures to manage receding gums and gum disease. In gum grafting, soft tissue is removed from elsewhere, such as the roof of the mouth, and attached to the gums to cover exposed tooth roots. With pocket reduction or flap surgery, the gums are lifted to clean out bacteria and infection, then repositioned.
Laser and pinhole gum surgeries have the advantage of being minimally invasive in gum disease treatment. With laser surgery, diseased gums can be removed without incisions, and the pinhole procedure treats gum recession without soft tissue grafting. Gums are repositioned through a small hole with no incisions.
Bone grafting is often done in combination with other gum surgeries to rebuild bone lost to gum disease.
Crown lengthening is more of a cosmetic procedure, although a dentist may recommend it to proceed with other dental work, such as installing a crown. This surgery involves removing and reshaping gum tissue to expose more tooth surface.
Gum contouring is a cosmetic procedure in which excessive or uneven gum tissue is reshaped to create a more pleasing smile.
A frenectomy is where the connective tissue, called the labial frenum, is cut. The labial frenum is between the upper lip and gum and also between the lower lip and gum. Cutting it allows for better spacing and can correct speech problems. Another connective tissue connects the tongue to the bottom of the mouth. If it is short or tight, it can cause speech issues known as being “tongue-tied.” An oral surgeon can also cut that tissue to improve speech and function.