Exposed Tooth Roots
Cover darker root surfaces showing above the gumline

Gentle, predictable gum grafting with Dr. Cook to restore receding gums, protect exposed roots, and bring comfort back to your smile.
Restore lost gum tissue, calm sensitivity, and stabilize your bite.
Many of our patients first notice gum recession when sipping iced coffee on the porch or biting into something cold. Others see it in the mirror as teeth that suddenly look longer or as a thin, darker line of root showing above the gumline. Recession can come from years of hard brushing, periodontal disease, grinding, thin natural tissue, or a history of orthodontics. It rarely heals on its own, and over time it can expose roots to decay, sensitivity, and even bone loss.
Gum grafting is a microsurgical procedure that adds healthy gum tissue to areas of recession. Dr. Cook places the tissue gently over exposed roots or thin gumlines, where it heals into a thicker, stronger band of protective gum. Depending on your needs, he may use tissue from your own palate, processed donor tissue, or a less invasive pinhole technique. The goal is always the same, a comfortable smile with healthy, stable gums that protect your teeth for decades.
Good to Know
A surgical procedure that rebuilds receded gum tissue.
Gum grafting, also called gingival or periodontal grafting, is a surgical procedure that adds new tissue to areas where the gum has receded or worn thin. The goal is to cover exposed roots, calm sensitivity, prevent further recession, and protect the bone that supports your teeth.
Dr. Cook offers three approaches: connective tissue graft (CTG), free gingival graft, and the minimally invasive pinhole technique. For patients who prefer to avoid palate harvesting, donor tissue such as AlloDerm is a well-studied alternative. He will recommend the method that fits your anatomy and goals.
Most patients complete treatment in a single session and return to normal activities within two weeks.
Gum grafting solves several connected issues at once.
Cover darker root surfaces showing above the gumline
Calm sharp pain from cold drinks, air, and brushing
Stop gum tissue from continuing to pull away from teeth
Add a thicker, stronger band of protective gum
Reinforce gums before Invisalign or 6 Month Smiles
Improve gum appearance around restorations and implants
Gum grafting covers exposed roots, reduces sensitivity, and gives your gum line the stability it needs to last for decades.
Most patients feel noticeable relief from cold and air sensitivity
Coverage shields exposed roots from decay and abrasion
Stabilizes recession so it does not keep advancing year after year
Healthy gum supports the underlying bone that holds teeth in place
Restores a more even, natural-looking gumline along your smile
Properly placed grafts remain stable for many years to decades
How the three most common gum grafting options compare.
| Treatment | Best For | Tissue Source | Recovery | Key Advantage | Ideal For | What to Know |
|---|---|---|---|---|---|---|
| Connective Tissue Graft | Root coverage | Palate (subsurface) | Mild, 1 - 2 weeks | High success rate | 1 or more teeth | Best color match |
| Free Gingival Graft | Thicker gum band | Palate (surface) | Moderate | More keratinized tissue | Thin gum risk | Slight visible scar |
| Pinhole Technique | Multiple recession sites | No harvest needed | Minimal | No cuts or sutures | Fastest recovery | Mild recession only |
Gum grafting works best for adults with healthy overall mouths, controlled gum disease, and visible recession that is causing sensitivity, esthetic concerns, or risk of further bone loss.
Dr. Cook will examine your gums, review your medical history, and discuss every option, including whether the pinhole technique or donor tissue might let you avoid palate surgery entirely. You will leave the consultation with a clear, honest plan.
A calm, step-by-step process from your first consultation to full healing, so you always know what to expect at every stage.
Dr. Cook reviews your gum levels with intra-oral photos and discusses which graft technique fits your case best.
Dr. Cook places gentle local anesthesia, and adds oral or IV sedation when patients prefer extra relaxation.
Dr. Cook harvests a small amount of palate tissue or prepares donor tissue (AlloDerm) and optional PRP from a quick blood draw.
Using microsurgical instruments and fine sutures, Dr. Cook places the tissue over the receded area and secures it for predictable healing.
You return for a comfortable check at 1 to 2 weeks, with most patients fully healed by 6 to 8 weeks.
Gum grafting is low risk for most healthy adult patients.
Mild swelling, soreness at the graft or palate site, and a feeling of tightness are normal in the first 7 to 10 days. Most patients manage comfortably with over-the-counter pain relief and the rinse Dr. Cook prescribes.
Less common issues include partial graft shrinkage, minor color variation between the graft and surrounding gum, or a small chance of delayed healing in smokers or patients with certain medical conditions.
Contact our Santa Rosa Beach office if you notice unusual, severe, or worsening symptoms as the graft heals.
We provide clear, upfront pricing for gum grafting so you can plan your care with confidence and no unexpected costs.
Gum grafting at Cook Family Dentistry typically ranges from $600 to $1,500 per tooth or treatment area, depending on the technique used, the number of sites treated, and whether donor tissue or PRP is added. Your written estimate covers the consultation, all surgical fees, and a follow-up visit.
Many dental plans cover a portion of gum grafting when it is needed for periodontal health and root protection. Our team will verify your benefits before treatment and provide a clear out-of-pocket estimate so there are no surprises.
We believe cost should never stand between you and a healthy smile. We offer:
Patients have trusted Dr. Cook for advanced dentistry since 2011.
Book NowComprehensive Implant Residency and Dawson Academy fellowship
Magnification and fine sutures for gentler healing
Optional platelet rich plasma for faster, more comfortable recovery
Oral or IV sedation options for anxious or complex cases
Oral sedation available for anxious patients.
Urgent recession cases seen promptly.
Pair gum grafting with these complementary periodontal and surgical options at Cook Family Dentistry.
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Learn moreMost patients are surprised at how comfortable the procedure is. Dr. Cook uses local anesthesia, and oral or IV sedation is available if you would prefer to feel more relaxed. Many patients describe the day-of experience as easier than they expected, with mild soreness for 3 to 5 days that is well managed by ibuprofen or acetaminophen.
Most patients feel comfortable within 1 to 2 weeks and return to normal eating soon after. The gum tissue continues to mature for about 6 to 8 weeks, with the final stable result usually visible by 3 months. PRP, when added, can shorten the early healing window for many patients.
Yes. For many patients, Dr. Cook can use processed donor tissue such as AlloDerm, which is safe, well studied, and avoids palate surgery altogether. The pinhole surgical technique is another minimally invasive option that uses your existing gum tissue without any harvesting at all.
Unfortunately, no. Once gum tissue has receded, it does not grow back on its own. The good news is that gum grafting, or the pinhole technique in eligible cases, can restore the lost tissue and protect your roots from further damage. Catching recession early gives you more conservative options.
When placed by an experienced provider on a healthy mouth with good home care, gum grafts are very stable and can last for decades. Long-term studies show high success rates for root coverage at 5, 10, and even 15+ years. Regular cleanings and a gentle brushing technique protect the result.
Many dental insurance plans cover gum grafting when it is needed for periodontal health, sensitivity relief, or to prevent further recession. Cosmetic-only cases may be paid out of pocket. Our front desk will verify your benefits before treatment and walk you through every cost in writing.
Yes. We work with CareCredit and Sunbit so you can spread your investment over manageable monthly payments, typically 6 to 60 months. Our team reviews every option with you before you commit, with no pressure. Call (850) 622-2226 to discuss what fits your budget.