Gums do not grow back on their own after bone grafting, but they can be surgically rebuilt as part of a comprehensive periodontal treatment.
What happens after a bone grafting?
Bone grafting (e.g., in the treatment of periodontal disease or in preparation for implants) is intended to rebuild the lost alveolar (jaw) bone. This is crucial because:
- Without an appropriate bone scaffold, the gums have nothing to support them on,
- Bone reconstruction can prevent further gum recession.
Can gums grow back?
Natural gum regrowth after bone grafting does not happen automatically. Periodontal surgery (e.g., gum grafting or surgeries to cover recession, e.g., connective tissue graft) can rebuild or move the gum line to the appropriate level.
Additionally, special membranes are used, which support the regeneration of gum tissues, including bone and root cement, which can promote partial regeneration of the gums. After bone grafting, avoid vigorous rinsing, spitting, or touching the wounds. There may be multiple stitches in the surgical site; do not attempt to remove them. If the stitches fall out, do not panic, call our office for instructions.
What happens after bone grafting?
Bleeding
Bleeding or redness in the saliva is normal for 24 hours. It should not be excessive but can be stopped by biting on a sterile cotton gauze placed directly on the wound for 30 minutes. If bleeding does not stop, call for further instructions.
Edema
Very mild swelling is normal after the procedure. To minimize swelling, apply an ice pack or towel filled with ice to the cheek where the procedure was performed. If possible, try to keep the area cool for 48 hours after the procedure.
Diet
Drink plenty of fluids. Avoid hot liquids or foods. Limit yourself to drinking and soft foods immediately after the procedure. Unless your doctor tells you otherwise, you should return to your normal diet as soon as possible.
Pain
Adult patients with moderate pain can take over-the-counter pain medication, such as Ibuprofen, every three to four hours, and may be taken every three to six hours. Please contact our office if you have any questions before taking any medication. For severe pain, take your prescription medication as directed. As soon as you feel any discomfort, start taking medication.
Antibiotics
Be sure to take your antibiotics as prescribed by your doctor to prevent infection. If your doctor did not prescribe antibiotics after your surgery, it may not have been necessary or you may have been given the correct dose before the procedure.
Oral hygiene
Good oral hygiene is essential for proper treatment. The night after the procedure, use any recommended mouthwash before going to bed. Brush your teeth gently. Do not use an electric toothbrush or Waterpik irrigator. If you notice any loosening or mobility of the bone grafts or gums, please call our office for instructions and to schedule an appointment.
Physical activity
Immediately after the procedure, you should limit physical activity to a minimum. Bleeding may occur during exercise. If this happens, you should stop exercising. Remember that you are probably not eating normally, which may weaken you and limit your ability to exercise.
In Conclusion
While gums do not naturally grow back after bone grafting, modern periodontal techniques make it possible to restore gum tissue through surgical intervention. Bone grafting plays a vital role in reestablishing the structural foundation needed for healthy gums and can prevent further recession. However, achieving full recovery requires careful post-operative care, including proper hygiene, medication, and activity restrictions. By following your dental professional’s instructions and considering additional procedures such as gum grafting, it is possible to rebuild both bone and soft tissue, supporting long-term oral health and function. Contact us today for an appointment!