Gingival recession
Dear Doctor: I have noticed gum recession, which may be due to previous orthodontic treatment and incorrect brushing techniques.
Most dentists have told me that gum recession cannot be reversed, but recently a dentist mentioned that there are minor surgical procedures that can address this issue.
I would like to know if there are currently any definitive techniques to restore receded gums.
Under what circumstances should gum recession be treated? (Because aside from this issue, my teeth do not have any serious problems.) Thank you for your clarification!
YY, 30~39 year old female. Ask Date: 2009/01/18
Dr. Yang Zhiren reply Dentistry
Hello: Some cases of gum recession that expose the tooth roots can be treated with periodontal surgery for coverage.
The decision will depend on the extent and condition of the recession.
You can come to our dental department for further evaluation and examination.
Dr.
Yang Zhiren, Director of the Dental Department, Hsinchu Hospital, Department of Health, Executive Yuan.
Reply Date: 2009/01/18
More Info
Gum recession, or gingival recession, is a common dental issue 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 problems, including increased sensitivity, a higher risk of cavities, and aesthetic concerns. While it was traditionally believed that gum recession could not be reversed, advancements in dental techniques have opened up new possibilities for treatment.
Understanding Gum Recession
Gum recession can be caused by several factors, including:
1. Improper Brushing Techniques: Using a hard-bristled toothbrush or brushing too aggressively can wear down gum tissue.
2. Periodontal Disease: This is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth.
3. Genetics: Some individuals may be more prone to gum recession due to genetic factors.
4. Hormonal Changes: Fluctuations in hormones, particularly in women, can make gums more sensitive and vulnerable to recession.
5. Tobacco Use: Smoking or chewing tobacco can contribute to gum disease and recession.
6. Misaligned Teeth: Crooked teeth or a misaligned bite can place excessive force on the gums, leading to recession.
Treatment Options
While complete reversal of gum recession may not always be possible, several treatment options can help manage the condition and improve gum health:
1. Non-Surgical Treatments:
- Scaling and Root Planing: This deep cleaning procedure removes plaque and tartar from below the gum line, helping to reduce inflammation and promote healing.
- Antimicrobial Treatments: These may include mouth rinses or gels that help reduce bacteria in the mouth and promote gum health.
2. Surgical Treatments:
- Gum Grafting: This is a common surgical procedure where tissue is taken from another part of the mouth (or a donor source) and attached to the area of gum recession. This can help cover exposed roots and restore the gum line.
- Pinhole Surgical Technique: A minimally invasive procedure where a small hole is made in the gum tissue, allowing the dentist to reposition the gum over the exposed root without needing to cut or stitch.
3. Regenerative Procedures: In some cases, dentists may use techniques that encourage the growth of new gum tissue, such as the use of growth factors or stem cells.
When to Seek Treatment
It's essential to consult with a dental professional if you notice signs of gum recession, such as:
- Increased tooth sensitivity
- Visible lengthening of teeth
- Notches at the gum line
- Changes in the appearance of your smile
If your gum recession is mild and not causing any discomfort or aesthetic concerns, your dentist may recommend monitoring the condition. However, if you experience pain, sensitivity, or if the recession is progressing, treatment may be necessary.
Conclusion
In summary, while gum recession can be a concerning issue, there are effective treatments available that can help manage and potentially improve the condition. If you are experiencing gum recession, it is advisable to consult with a periodontist or a dentist who specializes in gum health. They can provide a thorough examination and recommend the best course of action tailored to your specific situation. Remember, maintaining good oral hygiene practices and regular dental check-ups are crucial in preventing further gum recession and ensuring overall dental health.
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