Gum Recession: Symptoms, Causes, and Treatment Options - Dentistry

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Gum recession


I would like to consult a doctor.
Due to poor oral hygiene during my childhood, I have noticed persistent gum recession over the past few years.
Compared to before, my teeth appear significantly longer, and my gums have become increasingly sensitive.
Occasionally, they become inflamed and swollen.
I have undergone dental cleanings several times, but my gums swell again after about a week.
Sometimes, when I brush my teeth, I experience pain in my gums.
Could this be a symptom of periodontal disease? What should I do to address the ongoing gum recession and the symptoms mentioned? Thank you for your assistance.

Ms. Wu, 10~19 year old female. Ask Date: 2023/10/29

Dr. Zeng Guanghui reply Dentistry


Hello Ms.
Wu: If your gums still show signs of inflammation after a dental cleaning, it indicates that there may still be plaque or tartar attached to the root surface beneath the gums, or that periodontal pockets may still be present.
It is recommended that you return for a follow-up appointment with your dentist for further examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/10/29

More Info


Gum recession, or gingival recession, is a common dental issue characterized by the gradual loss of gum tissue, leading to the exposure of the roots of the teeth. This condition can result in various symptoms and is often associated with several underlying causes. Understanding these symptoms, causes, and treatment options is crucial for effective management and prevention of further complications.


Symptoms of Gum Recession
1. Exposed Tooth Roots: One of the most noticeable signs of gum recession is the exposure of the tooth roots, which can make teeth appear longer than usual.

2. Sensitivity: As the gums recede, the exposed roots can lead to increased sensitivity to hot, cold, or sweet stimuli.

3. Pain or Discomfort: You may experience pain or discomfort when brushing, especially if the toothbrush comes into contact with the exposed areas.

4. Inflammation and Redness: The gums may become inflamed, red, and swollen, indicating possible infection or irritation.

5. Bleeding: You might notice bleeding during brushing or flossing, which can be a sign of gum disease.

6. Bad Breath: Persistent bad breath can occur due to bacteria buildup in the gum pockets.


Causes of Gum Recession
1. Poor Oral Hygiene: Inadequate brushing and flossing can lead to plaque buildup, which can cause gum disease and recession.

2. Periodontal Disease: This is a major cause of gum recession. Gingivitis, the early stage of gum disease, can progress to periodontitis, leading to significant gum loss.

3. Genetics: Some individuals may be genetically predisposed to gum disease and recession.

4. Aggressive Brushing: Using a hard-bristled toothbrush or brushing too vigorously can damage the gum tissue.

5. Hormonal Changes: Changes due to pregnancy, menstruation, or menopause can make gums more sensitive and susceptible to recession.

6. Tobacco Use: Smoking or chewing tobacco can impair gum health and contribute to recession.

7. Misaligned Teeth: Crooked teeth or an improper bite can place excessive force on the gums, leading to recession.


Treatment Options
1. Improved Oral Hygiene: The first step in managing gum recession is to enhance your oral hygiene routine. Use a soft-bristled toothbrush and gentle brushing techniques to avoid further irritation.

2. Regular Dental Check-ups: Regular visits to the dentist for professional cleanings and check-ups can help monitor gum health and catch any issues early.

3. Scaling and Root Planing: This deep cleaning procedure can remove plaque and tartar from below the gum line, helping to reduce inflammation and promote healing.

4. Antibiotics: If there is an infection, your dentist may prescribe antibiotics to help control the bacteria.

5. Surgical Options: In more severe cases, surgical procedures such as gum grafting may be necessary to restore lost gum tissue. This involves taking tissue from another part of your mouth and attaching it to the affected area.

6. Lifestyle Changes: Quitting smoking, managing stress, and maintaining a balanced diet can improve overall gum health.


Conclusion
Given your symptoms of persistent gum recession, sensitivity, inflammation, and pain, it is advisable to consult a dental professional for a thorough examination. They can determine whether you have periodontal disease and recommend appropriate treatment options tailored to your specific needs. Early intervention is key to preventing further gum loss and maintaining your oral health. Additionally, adopting better oral hygiene practices and making lifestyle changes can significantly improve your gum health over time.

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