Dental Issues: Genetics, Gum Recession, and Treatment Options - Dentistry

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Dental issues


Hello, Doctor: I would like to ask three questions.

1.
Are there teeth that are more prone to cavities and others that are less so? Is there a genetic factor involved? My father has excellent teeth and has never had a cavity even in his 50s, while my mother is more prone to cavities.
My younger brother often neglects brushing his teeth but has no cavities, while I brush diligently and, at 25 years old, have developed a cavity.
2.
The doctor mentioned that I brush too hard, which has caused some gum recession.
What can be done about gum recession? Will it really not grow back?
3.
Over two years ago, I had a root canal treatment on my lower third molar and had a crown placed.
Recently, I noticed that the area around the gum has turned black.
What could be the reason for this? What should I do? Can the crown be removed for treatment and then reattached?
I kindly request the doctor to provide answers to my questions.

Miss Zhong, 20~29 year old female. Ask Date: 2020/11/08

Dr. Zeng Guanghui reply Dentistry


Dear Ms.
Chung,
1.
If the teeth are well mineralized, they are less likely to develop cavities; however, this is contingent upon maintaining proper oral hygiene to prevent plaque accumulation on the tooth surface.
Otherwise, even well-mineralized teeth can still develop cavities over time if oral hygiene is neglected.
2.
It is advisable to correct your brushing technique by using the Bass method, which is less likely to injure the gums.
Mild gum recession may still have the potential to return to normal.
3.
If the dental braces contain metal materials, combined with gum recession, it can lead to darkening around the gums.
If aesthetics are a concern, the only option is to remove the existing braces and have new ones made.
Sincerely,
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital

Reply Date: 2020/11/08

More Info


Hello! Thank you for your questions regarding dental issues, which are quite common and can be influenced by a variety of factors including genetics, oral hygiene practices, and overall health. Let’s address your three questions in detail.

1. Do some people have teeth that are more prone to cavities than others? Is there a genetic component?
Yes, there is a genetic component to dental health. Some individuals may inherit stronger enamel or a more favorable oral environment that makes them less susceptible to cavities. Factors such as saliva composition, the presence of certain bacteria in the mouth, and even the shape of teeth can influence cavity risk. For example, some people have deeper grooves in their molars, which can trap food and bacteria, leading to a higher risk of decay. Your father's strong dental health may be attributed to genetics, while your mother's susceptibility could be due to a combination of genetic factors and possibly her oral hygiene habits. It’s also important to note that lifestyle choices, such as diet and oral hygiene practices, play a significant role in dental health. Regular brushing, flossing, and dental check-ups are crucial in preventing cavities, regardless of genetic predisposition.

2. What can be done about gum recession? Will it grow back?
Gum recession is a common issue that can be caused by several factors, including aggressive brushing, periodontal disease, or even genetic predisposition. Once gums have receded, they do not typically grow back on their own. However, there are treatment options available. A dentist may recommend a soft-bristle toothbrush and proper brushing techniques to prevent further recession. In more severe cases, surgical options such as gum grafting can be considered, where tissue is taken from another part of your mouth and attached to the receded area. It’s essential to consult with a periodontist, a specialist in gum health, to assess the extent of the recession and discuss the best treatment options for your specific situation.

3. What causes the darkening of the gums around a crowned tooth, and can the crown be removed for treatment?
The darkening of the gums around a crowned tooth can be due to several reasons. One common cause is the reaction of the gum tissue to the materials used in the crown, especially if it contains metal. Over time, metal can corrode and cause discoloration in the surrounding gum tissue. Another possibility is that there may be an underlying issue such as gum disease or an infection that needs to be addressed. If the crown needs to be removed for treatment, this is typically feasible. Your dentist can assess the situation and determine if the crown can be safely removed and replaced after addressing any underlying issues. It’s crucial to address this discoloration promptly, as it may indicate a more significant problem that could affect your overall oral health.

In summary, dental health is influenced by a combination of genetic factors, oral hygiene practices, and overall health. If you have concerns about cavities, gum recession, or discoloration around crowns, it’s essential to consult with your dentist for a thorough examination and personalized treatment plan. Regular dental visits and maintaining good oral hygiene can significantly impact your dental health and help prevent future issues. Thank you for your questions, and I hope this information helps you understand your dental concerns better!

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