Gum Issues: Deep Gums and Dental Health Concerns - Dentistry

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Gum problems


Hello Doctor, I noticed that one of my teeth has particularly deep gums (as shown in the attached image), while the gums between my teeth appear to be quite normal.
I would like to ask if this is related.
Today, when I went for a dental cleaning, the dentist didn't mention anything specific, only that there was more tartar on the lower teeth, which took longer to clean.
Could it be that the deep appearance of the gums is due to the cleaning, and will it improve in a few days? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2021/08/14

Dr. Lin Jiayong reply Dentistry


Hello: The height of the gums is related to the alignment of the teeth and the condition of the alveolar bone.
If you are concerned about gum disease, it is recommended to take X-rays to assess the condition of the alveolar bone.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/14

More Info


Understanding gum issues, particularly when it comes to deep gums and dental health concerns, is crucial for maintaining overall oral health. Based on your description, it appears that you are experiencing some gum recession or deepening of the gum tissue around a specific tooth, which can be indicative of several underlying issues.

Firstly, it’s important to understand that healthy gums should fit snugly around your teeth. When you notice that the gum tissue appears deeper around a particular tooth, it could be a sign of gum recession. Gum recession occurs when the gum tissue pulls back from the tooth, exposing more of the tooth's surface or even the tooth's root. This can lead to increased sensitivity, a higher risk of cavities, and aesthetic concerns.

The fact that your dentist noted the presence of more tartar (calculus) on the lower teeth suggests that plaque buildup may be contributing to your gum issues. Tartar can irritate the gums, leading to inflammation and potentially causing the gums to recede further. Regular dental cleanings are essential to remove this buildup and help maintain gum health. If you have not been consistent with your dental visits, it may be beneficial to establish a routine schedule for cleanings, typically every six months, or as recommended by your dentist.

In your case, the deep gums could also be a result of periodontal disease, which is an infection of the tissues that hold your teeth in place. Early stages of periodontal disease may present with swollen, bleeding gums, while more advanced stages can lead to significant gum recession and tooth mobility. If your dentist did not express concern during your recent visit, it may indicate that your condition is not severe at this time. However, if you continue to notice changes or if you experience discomfort, it would be wise to seek a second opinion or a referral to a periodontist, a specialist in gum disease.

Regarding your concern about whether the appearance of deeper gums could be temporary due to recent dental cleaning, it is possible. After a thorough cleaning, the gums may appear slightly different as they adjust and heal. However, if the deep appearance persists or worsens, it is essential to follow up with your dentist.

In addition to professional cleanings, maintaining good oral hygiene at home is critical. This includes brushing your teeth at least twice a day with fluoride toothpaste and flossing daily to remove plaque from between the teeth and below the gum line. Using an antibacterial mouthwash can also help reduce plaque and gingivitis.

Lastly, lifestyle factors such as smoking, poor nutrition, and certain medical conditions (like diabetes) can exacerbate gum issues. If you have any chronic health conditions, it’s important to manage them effectively, as they can impact your oral health.

In summary, while the deep gums you are experiencing could be related to tartar buildup or other factors, it is essential to monitor the situation closely. Regular dental visits, good oral hygiene practices, and addressing any underlying health issues will be key to maintaining your gum health. If you have ongoing concerns, don’t hesitate to seek further evaluation from a dental professional.

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