Gum Reconstruction

Gum reconstruction is a surgical way to rebuild gum tissue that has pulled back from the teeth. At Harmony Dental Care, in West Covina, CA, gum grafting is planned around the cause of the recession and the number of teeth involved. This page explains what the procedure is, who it tends to help, what to expect, how costs and insurance are usually handled, and how to book a visit.

What is gum reconstruction?

Gum reconstruction, also called gum grafting, is a procedure that restores gum tissue lost to recession. When gums pull back, the roots of the teeth become exposed. Those roots are softer than the enamel that normally covers the crown, so they can be more sensitive and more vulnerable to decay and erosion.

During gum grafting, tissue is placed over the exposed root area. The goal is to cover the root, protect it, and help the gumline look more even. Grafting can also strengthen the attachment of gum tissue to the teeth and help preserve the bone that supports them.

Gum recession has several possible causes. Periodontal (gum) disease is one of the most common. Aggressive brushing, genetics, and thin gum tissue can also play a role. Because the cause affects the plan, your dentist will look at the reason for the recession before recommending a graft.

Who does gum reconstruction help?

Gum reconstruction is generally considered for people whose gums have receded enough to expose the roots of one or more teeth. Patients often notice longer-looking teeth, sensitivity to hot and cold, or a gumline that seems uneven. Some people notice these changes only when a dentist points them out during a cleaning or exam.

Without treatment, exposed roots can keep wearing down and may develop decay. Sensitivity can make everyday tasks, like brushing or eating cold foods, uncomfortable. Further recession can also happen over time. For these reasons, Harmony Dental Care treats the underlying cause of recession rather than only the symptoms.

If you are looking for help with a different kind of tooth problem, such as a damaged or missing tooth, the practice also offers dental crowns, dental bridges, and same-day CEREC crowns. Your dentist can tell you which option fits your situation.

Types of gum grafting procedures

There is more than one way to graft gum tissue. The right method depends on how much tissue is missing, how thick your gums are, and which teeth are affected. Harmony Dental Care offers these graft types:

• Connective tissue graft. This is the most common type. A small piece of tissue is taken from beneath the roof of the mouth (the palate) and stitched over the exposed root area. It is used to provide root coverage and to add thickness to the gums.
• Free gingival graft. Tissue is taken directly from the palate and placed at the recession site. This option is often considered for patients with thin gum tissue who need to increase overall tissue volume.
• Pedicle graft. Gum tissue next to the recession site is partly cut and moved over the exposed root. Because the tissue stays connected to its original blood supply, this method can support faster healing.
• Alloderm donor tissue. This is a biocompatible donor tissue matrix. Because it does not require taking tissue from the palate, it can reduce discomfort and healing time on the palate side.

Your dentist will explain which type is most suitable for you, and why. Some patients are candidates for more than one approach, so the plan is usually confirmed after an exam.

What to expect during gum reconstruction

Your first step is a consultation and exam. The team uses 3D digital X-rays, 3D scanners, and digital impressions to measure the tissue loss and study the area precisely. The office also offers 3D CBCT imaging when a more detailed view is needed. Your dentist will review the images with you and discuss your options.

On the day of your procedure, your dentist will use local anesthetic to numb the area. Harmony Dental Care also offers a numbing gel, warm blankets, and noise-canceling headphones to help you feel relaxed during treatment. Many patients find that the numbing and comfort steps make the visit easier, but everyone responds differently, so ask your dentist what to expect for your case.

The procedure itself involves placing the graft tissue and securing it with stitches. Dr. Khaef and Dr. Nguyen both perform gum grafting at the practice. Dr. Nguyen is a DMD who focuses on periodontal plastic surgery and minimally invasive techniques. Your treatment will be planned and performed with that personal attention in mind.

If you have questions before your visit, bring them with you. It helps to know which graft type is planned, how long the appointment is expected to take, and whether you will need a ride home. Your dentist can answer these questions in detail.

Recovery and aftercare

Healing takes time, and recovery varies from person to person. Your dentist will give you written instructions for eating, brushing, rinsing, and managing discomfort. Following those instructions closely is one of the best ways to support healing.

If you had tissue taken from the palate, that area may need extra attention while it heals. Using the Alloderm donor tissue option avoids that harvest site, which is one reason it is offered as an alternative for some patients.

Most patients have follow-up visits so the team can check the graft and the surrounding gums. Call the office right away if you notice symptoms that worry you, such as heavy bleeding, fever, or pain that gets worse instead of better. Keeping up with regular cleanings and exams after grafting also helps protect the gums over time.

Cost, insurance, and payment

The cost of gum reconstruction depends on how severe the recession is and how many teeth need treatment. Because each plan is different, the amount your insurance pays depends on your specific benefits. Gum grafting is often considered medically necessary when it treats severe recession, protects roots, or prevents tooth loss, and dental insurance may cover part of it. Coverage is never guaranteed, so please check with your plan.

Harmony Dental Care accepts PPO, Indemnity, Medi-Cal, Denti-Cal, Smile California, and CalOptima, along with most major dental insurance plans. Medi-Cal, Denti-Cal, and Smile California members receive full dental care through their plans, and the office handles authorizations and claims. CalOptima dental is a direct provider arrangement, so no referral is needed.

Before your visit, the office can complete a free insurance eligibility check so you know more about your benefits and a clearer estimate.

For patients who prefer to pay over time, the practice accepts CareCredit, Sunbit, Alpheon, and credit cards, and it offers an in-house membership plan. Ask about these options during your visit.

If you do not have insurance and are a new patient, the $59 New Patient Special includes a comprehensive exam, digital X-rays, and a professional cleaning. This special is for the exam visit, and it is separate from the cost of gum reconstruction itself.

Why patients choose Harmony Dental Care

Harmony Dental Care has served West Covina for 20 years. Patients from nearby communities, including Irwindale, Charter Oak, and Walnut, make the trip to the office for gum reconstruction and other periodontal care. Patients from across the greater Los Angeles area also choose the practice for gum surgery.

Dr. Nguyen and Dr. Khaef lead the team, and both are committed to continuing education and to the latest dental techniques. The clinical team has experience in periodontics, implant dentistry, cosmetic procedures, and restorative care.

The practice uses digital technology, including 3D digital X-rays, 3D scanners, digital impressions, and CBCT imaging, to plan treatment with precise measurements. The office also uses mercury-free materials and BPA-free resins in restorative care.

The practice has a 4.8 out of 5 rating from 148 Google reviews. Patients often mention the friendly front desk team and clear explanations of each step.

Harmony Dental Care is open Monday through Friday, 9:00 am to 6:00 pm. The office is closed on Saturday and Sunday.

How to book your gum reconstruction consultation

To schedule an evaluation for receding gums or gum reconstruction, call Harmony Dental Care at (626) 858-3305 during office hours. You can also book online using the scheduler on this page. New patients of all ages are welcome.

If you are experiencing root sensitivity or notice your gums pulling away from your teeth, the sooner you are seen, the sooner your dentist can review your options. Bring any questions you have about your symptoms, your insurance, or payment plans, and the team will help you through the next steps.

The practice is located at 148 N Grand Ave, West Covina, CA 91791.