Gum recession is a common issue that can lead to tooth sensitivity, continued tooth root exposure, and esthetic concerns. We perform the latest surgical treatments that aim to restore and enhance gum tissue to improve oral health, prevent further recession, and achieve a more appealing smile.

Blonde caucasian woman with a big smile showing teeth wearing a blue shirt with arms folded


3D model of lower teeth showing a tissue graft being used to cover recession.

Root Coverage

Connective Tissue Grafting, also known as CTG, is a surgical procedure performed to treat gum recession and related issues. Gum recession can be caused by various factors, including orthodontic  tooth movement, periodontal disease, genetics, trauma, or even aggressive brushing. When the gum tissue recedes, it exposes the tooth's sensitive roots, which can lead to discomfort and aesthetic concerns.

Connective Tissue Grafting involves taking the middle layer of tissue from the roof of your mouth (palate) and transplanting it to the area of exposed roots. This graft serves to cover exposed tooth roots, prevent further gum recession, improve the appearance of your smile and reduce tooth sensitivity.

After Connective Tissue Grafting

Follow the instructions for post-operative care.

Download our Connective Tissue Grafting Post-Operative Guide here.


3D Illustration of upper jaw showing free gingival graft being place

Free Gingival Grafting, also known as FGG, is another surgical procedure performed to treat gum recession. Unlike CTG (connective tissue grafting) which aims to cover roots, Free Gingival Grafting aims to provide stable bands of keratinized (pink protective tissue around the tooth) tissue preventing further recession.

Much like the CTG, Free Gingival Grafting involves taking a small piece of tissue from the roof of your mouth (palate) and transplanting it to the area with receding gums. The key difference is that, in FGG, the top layer of tissue is taken and placed providing a wider band of tissue.

After Free Gingival Grafting:

Follow the instructions for post-operative care.

Download our Free Gingival Grafting Post-Operative Guide here.


Gloved hand holding tissue pliers holding donor tissue.

Traditionally, both CTG (connective tissue grafting) and FGG (Free Gingival Grafting) tissue grafting requires harvesting tissue from your own mouth, resulting in a second surgical site. However, we understand that this approach may not be the best choice for everyone. That's why we proudly offer alternative tissue options for gum grafting that eliminate the need for harvesting from your own mouth and cater to a variety of patient preferences.

Allograft is tissue from a carefully screened donor source. Xenograft, on the other hand, involves the use of tissue from an animal source. Both tissue sources provide an option that is both effective and comfortable.


close up Illustration of upper front teeth with an instrument creating pinhole in gums
close up Illustration of upper front showing end teeth showing result of pinhole surgery

Pinhole Surgical Technique®

The Pinhole Surgical Technique®(PST) is an innovative and minimally invasive procedure designed to treat gum recession. Unlike traditional gum grafting, PST eliminates the need for an additional grafting site or donor tissue.

A thorough evaluation by Dr. Ratliff will assess the extent of your gum recession and determine if you are a candidate PST. During the procedure,  a tiny pinhole-sized incision is carefully made in the gum tissue near the affected area. Through this pinhole incision, specialized instruments are used to gently lift and reposition the gum tissue, covering the exposed tooth roots. 

In some cases, collagen strips may be placed to aid in stabilizing the repositioned gum tissue, promoting healing, and maintaining the new gumline. The repositioned gum tissue naturally adheres to the teeth, eliminating the need for traditional sutures.

Following the procedure, it's essential to follow the post-operative care instructions. These instructions are specifically designed to optimize the healing process and ensure the long-term success of the treatment.

After Pinhole Surgical Technique®

Follow the instructions for post-operative care.

Download our Pinhole Surgical Technique Post-Operative Guide here.

Periodontal Therapies & Services

Periodontal Therapy

While there is no cure for periodontal disease, it can be treated surgically and maintained non surgically. Some treatments include scaling and root planing, osseous surgery, and perio-maintenance. Learn more more about our periodontal treatment options.

Implant Services

Dental implants replace missing teeth. Implants offer improved appearance, long-lasting teeth, and enhanced comfort over other options. Learn more to see if implants are right for you.

Laser Therapy

Laser therapy provides a no cut no sew alternative to traditional gum surgeries. Lasers can also aid in tissue regeneration. Learn more about laser therapy and the LANAP and LAPIP procedures.

Recession Therapy

Gum recession exposes the roots of teeth and can lead to sensitivity and decay. It also affects the aesthetics of your smile. Gum grafting is a procedure that helps cover exposed roots and regenerate lost gum tissue. Learn more about the surgical techniques used to treat recession.

Specialty Services

As a full service periodontal practice, Pure Perio utilizes the latest dental technologies, imaging, and surgical techniques allowing for the best patient care and customized treatments including hard tissue preservation, aesthetics, and regenerative services. Learn more about the specialty services offered.

Post Operative Care

Proper post-operative care is crucial for healing and recovery after oral surgery. Be sure to follow all instructions, and attend post operative appointments. With proper after care procedures, we can ensure smooth and comfortable healing. Learn more about procedure specific instructions.

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Pure Perio | 1775 Glenview Rd ste 212

Glenview Il 60025 | (847)724-6343

Patient Referrals

Let's collaborate for comprehensive patient care. Refer periodontal patients to Pure Perio for advanced diagnostics, precision treatment planning, and the latest regenerative therapies. Our periodontal specialists will seamlessly coordinate to restore optimal gum health and esthetic outcomes.