No, composite bonding is not recommended for patients with active gum disease. Before undergoing any cosmetic dental procedure, it is crucial to have healthy gums, as gum disease can compromise the longevity and success of treatments like composite bonding.
Gum disease affects the tissues that support your teeth and can lead to inflammation, recession and even tooth loss if left untreated. Addressing gum health first ensures that any cosmetic work is stable and long-lasting.

Composite bonding is not recommended for patients with active gum disease.
The Impact Of Gum Disease On Dental Treatments
Gum disease is a common condition that affects a large percentage of adults in the UK. The British Society of Periodontology (BSP) reported that more than 45% of adults in England show signs of gum disease, ranging from mild gingivitis to severe periodontitis.
The condition is caused by plaque build-up along the gumline, leading to inflammation, bleeding and infection. If left untreated, it can weaken the structures supporting the teeth, making cosmetic procedures like composite bonding ineffective.
When gums are unhealthy, they tend to recede, exposing the roots of the teeth and creating an uneven gum line. This movement can alter the positioning of teeth, making it difficult for bonding material to adhere properly. Additionally, swelling and inflammation caused by gum disease can result in a poor fit, leading to premature failure of the composite bonding.
Why Composite Bonding Requires Healthy Gums
Composite bonding involves applying a tooth-coloured resin material to the teeth to improve their shape, size or colour. This procedure relies on a strong foundation to ensure the bonding remains securely attached. If gum disease is present, the gums may continue to recede, exposing the bonded areas and potentially leading to gaps or detachment of the material.
Another concern is the bacterial environment in the mouth. Active gum disease means there is an ongoing infection, which can compromise the bonding material and cause it to degrade faster. Bacteria from inflamed gums may also contribute to further dental problems, requiring more corrective treatments in the future.
How To Treat Gum Disease Before Composite Bonding
If you are considering composite bonding but have gum disease, the first step is to undergo periodontal treatment. Dentists will typically recommend professional cleaning, known as scaling and root planing, to remove plaque and tartar build-up. More advanced cases may require further treatment, such as deep cleaning or even minor surgical procedures to restore gum health.
Once the gums have healed and any inflammation has subsided, your dentist can assess whether composite bonding is suitable for you. They will check for stability in your gum tissue, ensuring that there is no ongoing recession or infection before proceeding with the cosmetic treatment.
Alternative Cosmetic Options For Patients With Gum Disease
For those who have had severe gum disease that has resulted in gum recession or tooth movement, other cosmetic options may be more appropriate. Veneers or crowns can sometimes provide a more stable solution than bonding, as they offer more structural support and can help mask imperfections more effectively. Orthodontic treatments may also be recommended to reposition teeth affected by gum disease before considering aesthetic enhancements.
Additionally, gum grafting procedures can help restore lost gum tissue, improving both oral health and the appearance of your smile. This is often suggested before undergoing cosmetic treatments to ensure a stable gumline and a more natural-looking result.

Veneers or crowns may sometimes provide a more stable solution than tooth bonding, as they can help mask imperfections more effectively.
How To Maintain Gum Health After Composite Bonding
Even after receiving treatment for gum disease and undergoing composite bonding, maintaining good oral hygiene is essential. Daily brushing with a soft-bristled toothbrush, flossing and using an antibacterial mouthwash can help prevent gum disease from returning. Regular dental check-ups and professional cleanings will also ensure that your gums remain healthy and that your bonded teeth stay in excellent condition.
Avoiding habits that can damage composite bonding, such as chewing on hard foods, biting nails or using teeth to open packaging, will also extend the lifespan of your cosmetic treatment. A well-maintained oral care routine will not only preserve your bonding but also protect your overall dental health.
The Bottom Line
Composite bonding is an effective cosmetic solution for improving the appearance of teeth, but it should not be performed when gum disease is present. Ensuring healthy gums before undergoing bonding is crucial for the longevity and success of the treatment.
If you have concerns about your gum health and its impact on cosmetic dental treatments, get in touch today and our expert dentists will help you determine the best course of action for achieving a healthy and aesthetically pleasing smile.