Major recession bottom teeth. gingival grafting help to save futher bone loss or just pull them all out? teeth pretty solid in place. bone graft to?

Severe periodontitis: You will need an exam and x-ray then a possible referral to a periodontist. You are correct to seek treatment and to consider non extraction.

Depends on diagnosis: You need a periodontist to evaluate you teeth both clinically and on x-rays. We cannot tell you the proper treatment w/ out a proper diagnosis. Your general dentist and periodontist need to work as a team here!

Unpredictable graft: Gingival graft only help in esthetic and provided attached gingiva (if you are lacking them), not help to save further bone loss. The best treatment in this case is deep clean, occlusal adjustment, good home care, follow up, and possible laser treatment (lanap). These procedures will stop the progression of bone loss. Good occlusion then will help to preserve your teeth for life time.

Why?: It is important to determine the factors contributing to the root exposure as well as the severity. Root exposure is accompanied by bone loss. A periodontist is best suited to handle this and should complete a thorough assessment. Once you are informed of the options, you may feel differently. At 72, with no mobility to the teeth, your bone is likely good enough for many years.