Gum recession
Hello, doctor.
I recently noticed a missing piece of gum.
A few days ago, I developed an ulcer on my gum, and I initially thought it would heal in a few days.
However, the ulcer has expanded to the junction between my teeth and gums.
Yesterday, while brushing my teeth, I noticed that a portion of my gum is missing, and it looks like it has receded.
I tend to brush my teeth quite vigorously.
Could the expansion of the ulcer cause gum recession, or is it due to the force I use while brushing? If the recession is caused by brushing too hard, will it heal on its own? How long might that take? Are there any health supplements or habits I should be aware of?
Mr. Chen, 10~19 year old female. Ask Date: 2023/04/17
Dr. Lin Jiayong reply Dentistry
Hello: Considering your age, it is uncommon to experience gum recession; more frequently, you may encounter issues such as gum redness or inflammatory ulcers.
If you still feel that a portion of your gum is missing, it is advisable to consult a physician for confirmation, as it could be a normal condition related to growth and development.
Reply Date: 2023/04/17
More Info
Gum recession, also known as gingival recession, is a dental condition where the gum tissue surrounding the teeth pulls back, exposing more of the tooth or the tooth's root. This condition can lead to various dental issues, including sensitivity, increased risk of cavities, and aesthetic concerns. Understanding the causes, treatment options, and prevention strategies for gum recession is essential for maintaining oral health.
Causes of Gum Recession
1. Aggressive Brushing: One of the most common causes of gum recession is brushing too hard or using a toothbrush with hard bristles. This can wear down the gum tissue and lead to recession.
2. Periodontal Disease: Gum disease, caused by plaque buildup, can lead to inflammation and infection of the gums, resulting in gum recession.
3. Genetics: Some individuals may be genetically predisposed to gum recession, making them more susceptible to this condition.
4. Hormonal Changes: Changes in hormone levels, such as those occurring during puberty, menstruation, or menopause, can make gums more sensitive and prone to recession.
5. Tobacco Use: Smoking or using other tobacco products can contribute to gum disease and recession.
6. Misaligned Teeth or Bite: Teeth that are not properly aligned can place excessive force on the gums, leading to recession.
7. Clenching or Grinding Teeth: These habits can put additional pressure on the gums and contribute to recession.
Treatment Options
1. Improved Oral Hygiene: The first step in treating gum recession is to improve oral hygiene practices. This includes gentle brushing with a soft-bristled toothbrush and regular flossing.
2. Professional Dental Cleaning: Regular visits to the dentist for professional cleanings can help remove plaque and tartar buildup, reducing the risk of gum disease.
3. Scaling and Root Planing: For more severe cases, a dentist may recommend scaling and root planing, a deep cleaning procedure that removes plaque and tartar from below the gum line.
4. Surgical Options: In cases of significant gum recession, surgical procedures such as gum grafting may be necessary. This involves taking tissue from another part of the mouth and attaching it to the affected area.
5. Desensitizing Agents: If gum recession has led to tooth sensitivity, dentists may recommend desensitizing toothpaste or treatments to alleviate discomfort.
Prevention Tips
1. Gentle Brushing: Use a soft-bristled toothbrush and gentle brushing techniques to avoid damaging the gums.
2. Regular Dental Check-ups: Schedule regular dental visits for cleanings and check-ups to catch any issues early.
3. Quit Smoking: If you use tobacco, quitting can significantly improve your gum health.
4. Healthy Diet: A balanced diet rich in vitamins and minerals can support gum health. Foods high in vitamin C, such as citrus fruits, can be particularly beneficial.
5. Manage Stress: Stress can contribute to teeth grinding and clenching, so finding ways to manage stress can help protect your gums.
Conclusion
In your case, the ulceration and subsequent recession of the gum tissue may be related to both the ulcer itself and the brushing technique. If the recession is due to aggressive brushing, it may improve with gentler techniques and proper oral care. However, if the recession is significant or accompanied by other symptoms, it is crucial to consult a dentist for a thorough examination and appropriate treatment.
Maintaining good oral hygiene practices, using a soft-bristled toothbrush, and avoiding aggressive brushing can help prevent further recession. Additionally, if you notice any persistent symptoms or changes in your oral health, seeking professional advice is essential for effective management and treatment.
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