Gum recession
Hello Dr.
Huang, after the dentures were placed, several tooth roots have been exposed in a short period of time and have now sunk to the bottom.
The situation is concerning.
Is there any remedy for this? Thank you for taking the time to respond, doctor.
Yao Xiansheng, 80~89 year old female. Ask Date: 2013/10/31
Dr. Huang Zhicheng reply Dentistry
Dear Mr.
Yao,
Hello.
Exposed tooth roots are likely a consequence of periodontal disease recovery, where the periodontal pockets have disappeared and the gums have receded.
If your teeth remain stable and do not move, there is no cause for concern.
It is recommended to regularly visit your dentist who specializes in prosthodontics for professional periodontal cleaning and root smoothing, which can help prevent further gum recession.
Wishing you safety and health.
Sincerely,
Dr.
Huang Chih-Cheng
Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare
Reply Date: 2013/10/31
More Info
Gum recession after denture placement can be a concerning issue, especially when several tooth roots become exposed. This condition can lead to sensitivity, increased risk of decay, and aesthetic concerns. Here are some expert recommendations and solutions for managing gum recession following denture placement.
Understanding Gum Recession
Gum recession occurs when the gum tissue surrounding the teeth pulls back, exposing more of the tooth or the tooth's root. This can happen for various reasons, including periodontal disease, aggressive brushing, hormonal changes, and even the placement of dentures. When dentures are not fitted properly or if they exert excessive pressure on the gums, it can lead to irritation and recession.
Immediate Steps to Take
1. Consult Your Dentist: The first and most crucial step is to return to your dentist or prosthodontist. They can assess the fit of your dentures and determine if adjustments are necessary. A poorly fitting denture can cause friction and pressure on the gums, leading to recession.
2. Maintain Oral Hygiene: Good oral hygiene is vital. Brush your teeth gently with a soft-bristled toothbrush and use a fluoride toothpaste. Floss daily to remove plaque and food particles that can contribute to gum disease.
3. Use a Non-Alcoholic Mouthwash: An antimicrobial mouthwash can help reduce bacteria in the mouth and promote gum health. Avoid mouthwashes with alcohol, as they can further irritate the gums.
4. Avoid Hard and Sticky Foods: Until you can see your dentist, try to avoid foods that can put additional pressure on your gums or cause discomfort. Soft foods are preferable.
Long-Term Solutions
1. Denture Adjustment or Replacement: If your dentures are causing gum recession, they may need to be adjusted or replaced. Your dentist can modify the dentures to ensure a better fit, reducing pressure on the gums.
2. Gum Grafting: In cases of significant recession, a gum graft may be recommended. This surgical procedure involves taking tissue from another part of your mouth (or using donor tissue) and attaching it to the receded area. This can help restore the gum line and protect the tooth roots.
3. Periodontal Treatment: If gum recession is associated with periodontal disease, your dentist may recommend treatments to address the underlying condition. This could include scaling and root planing, which removes plaque and tartar from below the gum line.
4. Regular Dental Check-ups: Regular visits to your dentist are essential for monitoring gum health, especially after denture placement. Your dentist can provide professional cleanings and check for any signs of gum disease or other issues.
5. Consider Alternative Denture Options: If traditional dentures continue to cause problems, you might explore alternatives such as implant-supported dentures. These provide more stability and can help prevent gum recession by distributing bite forces more evenly.
Conclusion
Gum recession after denture placement is a manageable condition, but it requires prompt attention and care. By consulting your dentist, maintaining good oral hygiene, and considering long-term solutions, you can help protect your gums and overall oral health. Remember, early intervention is key to preventing further complications. If you have any concerns or notice changes in your gum health, do not hesitate to reach out to your dental professional for guidance.
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