Gum Recession Around Dental Bridges: Causes and Solutions

Gum recession in the middle and posterior areas of a dental bridge?

As a child, I loved eating candy and didn't brush my teeth, which resulted in cavities throughout my mouth.
At the age of 15, I had three dental bridges placed, covering four rows of molars (two rows on the top and two on the bottom).
I regained my new teeth and started brushing my teeth after every meal, both in the morning and at night.
The golden dental bridges have lasted for 23 years, during which I only had my teeth cleaned twice.
The dentist said there were no issues and no tartar, but reminded me not to brush too hard.
Recently, I noticed some gum recession around the middle and back of the upper two rows of the dental bridges, exposing the junctions at the base of the bridges.
I can clearly feel this with my fingers, and it slightly scrapes against the inside of my mouth.
I'm unsure if this gum recession is due to my brushing technique or simply a result of aging.
However, the lower two rows of dental bridges are fine.
I would appreciate your explanation regarding this issue.
Thank you!

Taipei de tiankong, 30~39 year old female. Ask Date: 2015/08/19

Dr. Huang Zhicheng reply Dentistry

Hello, when we are young, the dental crowns are short, but as we age, the gums recede, making the tooth roots appear exposed, or gaps may develop beneath the bridge.
As long as the fit of the dental crowns and bridges is good, there should be no issues.
However, we cannot overlook the atrophy caused by periodontal disease, so regular dental cleanings and maintenance are necessary.
Wishing you peace and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/19

More Info

Gum recession around dental bridges can be a concerning issue, especially for individuals who have had dental work done for many years. In your case, it seems that you have been using your dental bridges for 23 years without significant issues until recently. The recession of the gums around the dental bridges can be attributed to several factors, including brushing technique, age, and the health of the surrounding tissues.

Causes of Gum Recession Around Dental Bridges
1. Brushing Technique: One of the most common causes of gum recession is improper brushing technique. If you are brushing too hard or using a toothbrush with hard bristles, it can lead to the wear of the gum tissue. Over time, this can cause the gums to recede, exposing the underlying structures of the dental bridge. It’s essential to use a soft-bristled toothbrush and gentle circular motions to clean your teeth and gums effectively without causing trauma.

2. Age: As we age, our gums naturally recede due to a combination of factors, including the loss of bone density and changes in the connective tissue. This is a natural part of the aging process, and while it can happen to anyone, it may be more pronounced in individuals who have had dental work done.

3. Periodontal Disease: Although you mentioned that your dentist did not find any issues with calculus or gum disease, it’s important to note that periodontal disease can sometimes develop silently. If there is any underlying inflammation or infection in the gums, it can lead to recession. Regular dental check-ups are crucial for monitoring gum health.

4. Dental Bridge Fit: If the dental bridge is not fitting properly, it can create areas where plaque accumulates, leading to inflammation and gum recession. Over time, the pressure from the bridge can also affect the surrounding gum tissue.

5. Genetics: Some individuals are genetically predisposed to gum recession. If you have a family history of gum disease or recession, you may be more susceptible.

Solutions for Gum Recession
1. Improved Oral Hygiene: Focus on improving your oral hygiene routine. Use a soft-bristled toothbrush and fluoride toothpaste. Consider using an electric toothbrush, which can be more effective at removing plaque without excessive force. Floss daily to remove debris between teeth and around the bridge.

2. Regular Dental Visits: Schedule regular dental check-ups and cleanings. Your dentist can monitor the health of your gums and provide professional cleanings to remove any plaque or tartar buildup that you may not be able to reach at home.

3. Gum Grafting: If the recession is significant, your dentist may recommend a gum graft. This procedure involves taking tissue from another part of your mouth and attaching it to the area of recession to cover the exposed roots and restore gum health.

4. Adjusting the Bridge: If the dental bridge is contributing to the recession, your dentist may need to adjust its fit or consider replacing it. A well-fitting bridge can help distribute forces evenly and reduce irritation to the gums.

5. Lifestyle Changes: Avoid tobacco products, as they can exacerbate gum problems. Additionally, maintaining a balanced diet rich in vitamins and minerals can support gum health.

6. Consultation with a Specialist: If the recession continues to worsen or if you have concerns about your gum health, consider consulting a periodontist. They specialize in gum health and can provide targeted treatments.

In conclusion, gum recession around dental bridges can be caused by various factors, including brushing technique, age, and the fit of the dental work. By improving your oral hygiene, visiting your dentist regularly, and considering professional treatments, you can help manage and potentially reverse gum recession. Always communicate openly with your dental care provider about your concerns and follow their recommendations for maintaining your oral health.

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