Other issues like plaque control around the tooth and soft tissues further worsen gum shrinkage.
Sometimes horizontal scrubbing (incorrect brushing) also contributes to further gum loss.
Generally but not always surgical intervention in these cases can lead to significant improvement.
Creating new gums (gingival tissue) to achieve root coverage with natural appearance also prevent root caries (decay).
While providing this treatment, long term success is always in our mind.
Long term success also depends upon: