Gum Recession: Causes, Treatment, and Recovery

Gingival recession

Hello Dr.
Huang,
I recently noticed that the gum tissue on the right side of my lower jaw has slightly receded around one of my teeth, exposing a bit of the tooth root.
I became aware of this because when I brush that tooth, I feel a slight sensitivity (which I assume is due to brushing near the root).

I have a couple of questions for you, Dr.
Huang:
1.
In the case of slight gum recession, will the gum tissue around that tooth naturally grow back to its original state?
2.
If the gum tissue "will not" grow back on its own, what would be the best course of action to take at this point?
Thank you for your guidance, Dr.
Huang.

Axiang, 30~39 year old female. Ask Date: 2019/02/24

Dr. Huang Tingfang reply Dentistry

Dear Mr.
Ah Xiang,
Hello! Essentially, gum recession can lead to the exposure of tooth roots, which may cause sensitivity and discomfort, and it will not regenerate on its own! Here are some management methods:
1.
Brush your teeth gently; if you cannot change your brushing technique, try using an up-and-down motion.
2.
Apply a high-concentration fluoride gel.
3.
Surgical intervention may be necessary to restore gum height.
Please communicate more with your dentist! Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2019/02/24

More Info

Gum recession, also known as gingival recession, is a common dental issue where the gum tissue surrounding the teeth pulls back, exposing more of the tooth or even the tooth root. This condition can lead to various complications, including increased sensitivity, higher risk of cavities, and aesthetic concerns. Understanding the causes, treatment options, and recovery processes is crucial for maintaining oral health.

Causes of Gum Recession
1. Periodontal Disease: One of the most common causes of gum recession is periodontal disease, which is an infection of the gums caused by plaque buildup. If left untreated, it can lead to the destruction of the supporting structures of the teeth.

2. Aggressive Brushing: Brushing your teeth too hard or using a hard-bristled toothbrush can wear down the gum tissue. This is often exacerbated by improper brushing techniques.

3. Genetics: Some individuals may be genetically predisposed to gum recession. If your family has a history of gum disease or recession, you may be at a higher risk.

4. Hormonal Changes: Fluctuations in hormones, particularly in women during puberty, pregnancy, or menopause, can make gums more sensitive and susceptible to recession.

5. Tobacco Products: Smoking or using other tobacco products can contribute to gum disease and recession.

6. Misaligned Teeth or Bite Issues: Teeth that are not properly aligned can put excess pressure on the gums, leading to recession.

Treatment Options
If you notice gum recession, it’s essential to consult with a dental professional for a proper diagnosis and treatment plan. Here are some common treatment options:
1. Improved Oral Hygiene: The first step in managing gum recession is often improving your oral hygiene routine. This includes brushing gently with a soft-bristled toothbrush, flossing daily, and using an antibacterial mouthwash.

2. Scaling and Root Planing: If periodontal disease is present, your dentist may recommend a deep cleaning procedure known as scaling and root planing. This treatment removes plaque and tartar from below the gum line and smooths the tooth roots to promote healing.

3. Gum Grafting: If the recession is severe, a gum graft may be necessary. This surgical procedure involves taking tissue from another part of your mouth (or using donor tissue) and attaching it to the affected area to cover the exposed tooth root.

4. Pinhole Surgical Technique: This is a minimally invasive procedure where a small hole is made in the gum tissue, and the gum is repositioned to cover the exposed root.

5. Orthodontic Treatment: If misaligned teeth are contributing to gum recession, orthodontic treatment may be recommended to correct the alignment.

Recovery and Prognosis
The recovery from gum recession treatment varies depending on the procedure performed. For non-surgical treatments, improvement in gum health can often be seen within a few weeks with proper care. Surgical procedures like gum grafting may take longer, with full healing taking several months.
It’s important to follow your dentist’s post-treatment care instructions, which may include avoiding certain foods, maintaining a gentle oral hygiene routine, and attending follow-up appointments to monitor healing.

Conclusion
In response to your specific questions:
1. Will the gum tissue grow back on its own? Unfortunately, gum tissue does not typically regenerate on its own once it has receded. Therefore, if you notice gum recession, it is crucial to seek professional advice.

2. What should be done if the gum tissue does not grow back? If the gum tissue does not return to its original state, your dentist will likely recommend treatment options such as improved oral hygiene, scaling and root planing, or surgical interventions like gum grafting.

Maintaining regular dental check-ups and practicing good oral hygiene can help prevent further recession and protect your overall dental health. If you have any concerns about your gum health, do not hesitate to reach out to your dentist for personalized advice and treatment options.

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