Gum Recession Treatment

Gingival recession should be treated by a dentist. This disease is very insidious, people with such a problem for a long time can not boast of a beautiful smile and snow-white teeth. If you identify the cause of this problem, then the disease can be dealt with without much difficulty. Gum recession tends to bother older people due to thinning of the tissue. But young people often turn to the doctor with this problem.

Gum recession problem

Causes of the disease

During a recession, a smile becomes unaesthetic, the roots of the teeth are exposed, which is why the person’s appearance changes for the worse. The reason for this can be both an anatomical predisposition and the presence of injuries. The main reasons include:

Types of malocclusion

  1. Features of the alveolar ridge of anatomical nature. With massive roots at the tooth, the cortical bone is thinned. In this case, the vestibular bones are poorly supplied with blood. In the place where the tooth adjoins the gum, defects occur.
  2. Incorrect bite or tooth misplacing.
  3. The presence of plaque. It is formed with poor or improper oral hygiene. As a result of this, the tissue becomes inflamed, gingivitis occurs, and epithelial tissues are shifted from this tissue. The gum rises, exposing the root.
  4. Insufficient capacity of the vestibule of the oral cavity, less than 5 mm.
  5. Gum damage. These damages can be single or regular. Injuries may occur in the following circumstances: damage with a fingernail; the use of a hard toothbrush; horizontal teeth brushing; sharp edges of teeth or overhanging crowns; bad habits, such as biting nails or pens; improper use of toothpicks.
  6. Mechanical correction of the bite. If orthodontic therapy is accompanied by the use of force, then the gum becomes thinner, and under special constructions, plaque can collect.
  7. When treating tooth decay, gum injury may also occur.

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Varieties of recession

This disease is divided into several varieties according to various indicators: the place of damage, the severity of the disease, the form of the course of the disease, etc. Depending on the type of treatment prescribed.

On the scale of the lesion, the recession is divided into:
Gingival Recession Scheme

  1. Local form, it develops in one tooth.
  2. Generalized when a variety of teeth are affected.

The recession is characterized by severity:

  • easy view when the length from the gum to the tooth is not more than 3 mm;
  • middle view, gum lowered by 3-5 mm .;
  • heavy look, distance more than 5 mm.

Classification of the disease for reasons of occurrence:

  1. Traumatic recession occurs due to injuries and injuries.
  2. Symptomatic recession, appears due to poor oral hygiene and as a result with gum disease.
  3. The physiological appearance appears as a result of tissue aging.

The disease is classified according to the method of flow:

  1. Visible form when it can be seen with the naked eye.
  2. The latent form, it is possible to detect it by sounding.

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Symptoms of the disease

Tooth structureAll types of recession have similar symptoms, but there are specific manifestations of the disease. Similar symptoms include the following:

  1. Deformation of the level of the gingival margin.
  2. Exposure of the root of the tooth.
  3. The teeth become sensitive to temperature changes, and pain occurs.
  4. The occurrence of caries in a damaged place.

Distinctive signs of traumatic recession:

  1. The magnitude of the traumatic recession is small, about 3 mm.
  2. Usually found at a young age.
  3. A swelling of the damaged area, but not always.
  4. Gums are not sore.
  5. There is no plaque, but tooth sensitivity is present.

In symptomatic recession:

  1. The location can be absolutely any.
  2. There is plaque.
  3. Bleeding gums.
  4. Inflammation and redness of the gums.
  5. Suppuration and loose teeth are possible.

Features of physiological recession:

  1. People are affected after 60 years.
  2. Gums are affected in many areas.
  3. The exposure of the roots is strong.
  4. There are wedge-shaped defects, but the teeth are not loose.
  5. Inflammation usually does not happen.

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Recession Therapy

How to treat pathology? Gingival recession is treated using an operative method. The meaning of the operation is to close exposed areas with tissues of the gingival mucosa. With this closure, several methods can be used:
Surgical treatment of gum recession

  1. The use of lateral flap. It is superimposed on the site of the recession most often with a localized appearance, since there is donor material in the soft tissues that surround the diseased tooth. It is from there that a flap can be cut that covers the exposed area of ​​the tooth. The effectiveness of the method is 100%, since the color of the fabric matches and well takes root.
  2. Moving the flap out of the gum area. Using this method, you can help the patient with a generalized recession. In this case, the gum should have a sufficient volume.
  3. Tissue transplantation from hard palate. This method has several disadvantages: the pain of the process; the tissue does not take root well or does not take root at all; the color of the palatine tissue is different from the color of the gum.
  4. Combination of a flap of gum tissue and palate. This type of operation is less traumatic, the tissues are better combined in color.
  5. Regeneration of a directed nature. This is a new method in plastic surgery, in which membranes are implanted into the gums, which contribute to the growth of their own tissue. Such membranes are divided into two types: non-resorbable membranes, they give a result in 73% of cases, but after a certain time they need to be removed; resorbable membranes, they do not need to be removed, but the result can be guaranteed only by 60%.

Surgical methods are used in advanced cases, at the initial stage of gum disease, it is enough to carry out conservative treatment.

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Non-surgical treatment for recession

This method of treatment is the use of collagen. But it will be effective only at an early stage of the disease. Most often it is used for inflammation, when the gum has risen to an insignificant level, and the roots of the teeth are not yet exposed. Collagen is introduced into the gum tissue, while its appearance improves and the bare part is closed.

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Preventive actions

Oral hygieneGingival recession not only brings aesthetic problems, it can also cause significant harm to health. Because of this disease, one or more teeth can be lost. Therefore, it is so necessary to start treatment in a timely manner and to prevent the development of complications.

The main preventive measures include the following:

  1. Even with minor manifestations of caries, treatment should be started immediately.
  2. Twice a year you need to visit the dentist’s office for preventive purposes.
  3. Injuries should be avoided and bleeding gums should be avoided.
  4. If there are malocclusions, correct them with gentle methods.
  5. If there are diseases that can lead to gum recession, they need to be treated in a timely manner.
  6. Mandatory is the observance of oral hygiene.

The treatment of any disease in the early stages makes it possible to completely get rid of the problem, and gum recession is no exception. With the advanced stage, the treatment will last a long time, and at the same time, all procedures will bring discomfort.

Therefore, at the first signs of a recession, you should immediately consult a doctor.


Ivan Ivanov

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