Gum graft cost guide

How much does a gum graft cost in 2026?

Updated April 23, 2026 8–10 min read Sources: ADA · AAO

Bottom line: A gum graft costs $600–$3,000 per tooth or area depending on the graft type, number of teeth involved, and whether a periodontist (specialist) performs the procedure. Insurance covers gum grafts at 50–80% when medically necessary for gum recession caused by periodontal disease. Purely cosmetic grafts are typically not covered.

Gum graft cost by procedure type

Graft type	Description	Best for	Cost range
Connective tissue graft (CTG)	Tissue from palate tunneled under gum	Single or multiple teeth	$600–$1,500 per tooth
Free gingival graft (FGG)	Strip of palate tissue attached directly	Thickening thin gum	$600–$1,200 per area
Pedicle graft	Adjacent gum tissue rotated over	Local recession only	$600–$1,200 per tooth
Alloderm (donor tissue)	Processed donor tissue, no palate harvest	Multiple teeth, less palate discomfort	$1,000–$3,000 per area
Multiple teeth (same session)	Several adjacent teeth at once	Broader recession	$1,500–$5,000

What causes gum recession?

The most common causes of gum recession are: periodontal (gum) disease, aggressive tooth brushing (brushing too hard with a stiff brush), thin gum tissue by genetics, teeth grinding and clenching, orthodontic tooth movement outside the bone, and tobacco use. Recession exposes root surfaces that aren't protected by enamel, leading to sensitivity, higher decay risk, and eventually tooth loss if untreated.

Does insurance cover gum grafts?

When gum recession is caused by periodontal disease or functional reasons (sensitivity causing inability to eat, risk of tooth loss), most dental insurance covers gum grafts as periodontal surgery at 50–80% after deductible. Cosmetic grafts done purely for aesthetics on otherwise healthy gum tissue are typically not covered. Your periodontist's office can submit a predetermination request to your insurer before treatment to confirm coverage.

What happens without treatment?

Untreated gum recession worsens progressively. As the root surface is exposed, it's vulnerable to decay and is not protected by enamel. Roots can erode faster than crown tooth structure. Advanced recession eventually threatens the stability of the tooth itself. Early treatment is significantly less expensive than waiting until more extensive grafting — or tooth loss — occurs.

Frequently asked questions

How painful is a gum graft? +

The procedure is done under local anesthesia so there's no pain during surgery. Post-operative discomfort from the palate donor site (for CTG and FGG) is the main source of soreness — typically managed with prescription or OTC pain medication for 5–7 days. Alloderm grafts eliminate palate harvesting and are generally less uncomfortable post-operatively.

How long does gum graft recovery take? +

Initial healing takes 1–2 weeks. Full tissue integration takes 4–6 weeks. You'll eat a soft diet for 2 weeks, avoid the surgical area while brushing, and attend a follow-up appointment at 1–2 weeks. Most patients return to normal activities within 2–3 days.

Does the graft tissue match my existing gums? +

Yes — grafted tissue blends with the surrounding gum tissue over several months. The initial color difference fades as vascularization occurs. Results are generally natural-looking, especially with connective tissue grafts where only a thin outer layer of the recipient's own gum remains visible.

Sources: American Dental Association (ADA) Health Policy Institute; American Association of Orthodontists (AAO) 2025 Consumer Survey; National Center for Health Statistics. All costs reflect 2026 US national averages and are estimates only. Individual prices vary by provider, location, and insurance plan.