Gum recession - what should I do?
Dr.
Lai: Hello, I recently noticed that my gums have been receding.
My gums used to be very full, but now they have receded by three-quarters, and it feels like my tooth is about to fall out.
Only one-quarter of the gum tissue is still supporting that tooth, which is the third tooth from the front on the left side.
How could this happen? What condition is this? Please help me understand, thank you!
Long A, 20~29 year old female. Ask Date: 2005/04/27
Dr. Lai Yishao reply Dentistry
Gum recession is typically a symptom of periodontal disease.
More severe periodontal disease can lead to increased mobility of the teeth and even displacement.
It is recommended to seek prompt treatment and to ensure proper dental hygiene practices.
Reply Date: 2005/04/27
More Info
Gum recession, or gingival recession, is a common dental issue that can lead to significant oral health problems if not addressed promptly. It occurs when the gum tissue surrounding the teeth pulls back, exposing more of the tooth or even the tooth's root. This condition can lead to increased sensitivity, a higher risk of decay, and even tooth loss if left untreated. Understanding the causes and potential solutions for gum recession is essential for maintaining healthy teeth and gums.
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 not treated, it can lead to inflammation and the destruction of the supporting structures of the teeth, including the gums.
2. Aggressive Brushing: Using a hard-bristled toothbrush or brushing too aggressively can wear down the gum tissue. It's important to use a soft-bristled toothbrush and gentle brushing techniques to avoid damaging the gums.
3. Genetics: Some individuals may be genetically predisposed to gum recession. If you have a family history of gum disease or recession, you may be at a higher risk.
4. Hormonal Changes: Hormonal fluctuations, particularly in women during puberty, menstruation, pregnancy, or menopause, can make gums more sensitive and susceptible to recession.
5. Tobacco Use: Smoking or using other tobacco products can impair gum health and increase the risk of gum recession.
6. Misaligned Teeth or Bite Issues: Teeth that are misaligned or a bite that is not properly aligned can put excessive pressure on the gums and lead to recession.
7. Clenching or Grinding Teeth: Known as bruxism, this condition can cause excessive force on the teeth and gums, leading to recession over time.
Solutions for Gum Recession
1. Professional Dental Cleaning: Regular dental check-ups and cleanings are crucial. A dental professional can remove plaque and tartar that contribute to gum disease and recession.
2. Improved Oral Hygiene: Maintaining a rigorous oral hygiene routine is essential. This includes brushing twice a day with fluoride toothpaste, flossing daily, and using an antibacterial mouthwash to reduce plaque buildup.
3. Gentle Brushing Techniques: Switch to a soft-bristled toothbrush and use gentle, circular motions when brushing. Avoid aggressive scrubbing, especially along the gum line.
4. Addressing Underlying Conditions: If gum recession is due to periodontal disease, your dentist may recommend treatments such as scaling and root planing to clean the roots of the teeth and promote gum healing.
5. Surgical Options: In severe cases of 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 receded area to restore gum coverage.
6. Lifestyle Changes: Quitting smoking and managing stress can improve overall gum health. If you grind your teeth, consider using a mouthguard to protect your teeth and gums.
7. Regular Monitoring: Keep track of your gum health by regularly visiting your dentist. They can monitor any changes and recommend timely interventions.
Conclusion
Gum recession is a serious condition that can lead to significant dental issues if not addressed. Understanding the causes can help you take proactive steps to prevent further recession and maintain healthy gums. If you notice any signs of gum recession, such as increased tooth sensitivity or visible changes in your gum line, it is crucial to consult with a dental professional for a comprehensive evaluation and tailored treatment plan. By prioritizing your oral health and adopting good hygiene practices, you can help ensure the longevity of your teeth and gums.
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