I Think My Gums Are Receding
For many patients, solutions for gum recession can enhance both their appearance and overall dental health. Gum recession can happen even to people with good oral hygiene. There are many options available to treat receding gums.
Solutions for gum recession are available at Coronado Dentistry & Pediatrics in Coronado and the surrounding area. Call us today at (619) 435 6231 to schedule an appointment and learn more.
Signs of Gum Recession
For some patients, gum recession may set in subtly and go unnoticed for some time. The aesthetic changes following gum recession are the most apparent. These include visibly shrinking gums and exposed tooth roots. However, other common symptoms include:
- Bad breath
- Bleeding after brushing or flossing
- Loose teeth
- Pain at the gum line
- Red, swollen gums
Patients may experience concerns about their appearance during this time, as well as a fear of losing teeth. Additionally, teeth may be particularly sensitive to cold and heat (due to the exposed tooth roots).
“The aesthetic changes that follow gum recession are the most apparent.”
Causes of Gum Recession
Several factors can cause a person's gums to recede, regardless of the state of their oral hygiene. These include aggressive toothbrushing, body piercing, clenching or grinding teeth, crooked teeth or a misaligned bite, hormonal changes, insufficient dental care, periodontal disease, and tobacco products. Genetics may also be a factor. For example, parents may pass down weak, thin gums to their children.
Some patients may also find that their gums are receding only on one side. Usually, this is due to plaque concentrating in one area of the mouth. This may be due to neglecting oral hygiene on one side of the mouth, as excess plaque and bacteria at the gum line may release toxic substances that destroy gum tissue. Alternatively, a misaligned bite may cause more wear and tear to one side of the mouth than the other. Gum recession may happen on only one tooth for similar reasons or some physical trauma.
“Several different factors can cause a person’s gums to recede, regardless of the state of their oral hygiene.”
Treating Gum Recession
Some cases of gum recession are mild enough that they do not need treatment. Still, several treatment options are available for those who need it. These include composite restoration; desensitizing agents, varnishes, and dentin bonding agents; orthodontics; pink porcelain or composite; removable gum veneers; and surgery. Composite restorations are natural-looking, tooth-colored composite resins that cover the surface of the tooth root. They may be used to close any black gaps between the teeth.
Desensitizing agents, varnishes, and dentin bonding agents may help reduce the exposed tooth root's sensitivity. By lessening the nerve symptoms, desensitizing agents may ease the brushing of sensitive teeth and promote oral hygiene. Orthodontics (or braces) are more of a long-term treatment that moves a tooth slowly over time. This repositioning can help correct the margin of the gum.
Pink porcelain or composite that matches the color of the gums can be applied to the "gaps" to reduce the appearance of receded gums. Similarly, removable gum veneers, which usually consist of acrylic or silicone, can be applied in the "gaps." Finally, more severe cases of gum recession may necessitate surgery, usually a gum graft.
“Some cases of gum recession are mild enough not to need treatment.”
Preventing Gum Recession
Proper dental care is the number one way to prevent gum recession. This involves maintaining a routine where patients brush their teeth with a soft-bristled toothbrush at least twice daily and floss at least once daily. Patients should also see a dentist at least twice a year. At-risk patients may require more frequent visits, and a dentist that notices signs of gum recession may want to keep a vigilant watch that it does not worsen.
Patients may want to consider asking their dentist how to properly brush their teeth to ensure that they are not brushing too aggressively. Additionally, healthy lifestyle choices like eating a well-balanced diet and not smoking can lessen one's chances of gum recession dramatically.
It can be dangerous to leave gum recession untreated. Exposed tooth roots may decay very quickly, necessitating various expensive, painful procedures. Teeth may get more sensitive, and the appearance of the smile may become imbalanced. It is also possible that what patients are experiencing is not gum recession but undetected, worsening gum disease.
“…healthy lifestyle choices like eating a well-balanced diet and not smoking can lessen one’s chances of gum recession dramatically.”
Risk Factors for Gum Recession
Certain populations may be more at risk for gum recession than others. For instance, age is a leading risk factor for receding gums, with almost 90% of people older than 65 reporting a receding gum in at least one tooth. Those who smoke or use other tobacco products also face an increased risk of receding gums, as they are more likely to develop sticky plaque.
Some genetic conditions, like thin or weak gums, may also increase one's chances of gum recession. Patients with diabetes may also be more likely to have their gums recede, as the disease might reduce the blood supply to the gums.
“Certain populations may be more at risk for gum recession than others.”
Questions Answered on This Page
Frequently Asked Questions
New patients and emergency appointments welcome
Gum Disease Terminology
Chronic Periodontitis
Chronic periodontitis is the most common form of periodontitis, involving inflammation of the tissue surrounding the teeth and pockets forming as well.
Necrotizing Periodontal Disease
Necrotizing periodontal disease is an infection that causes lesions to form on the face and other symptoms due to the necrosis of gingival tissues, periodontal ligaments and alveolar bone.
Periapical Cyst
A periapical cyst is a pathological cavity, roots of the teeth, that typically has epithelium in the lining and contains fluid or soft matter.
Periodontal Disease
Periodontal disease is a serious inflammation of the gingival tissues and the periodontal membrane of the teeth that causes pain and helps form deeper gingival sulcus.
Periodontal Ligament
Periodontal ligaments are a group of tissue fibers that help attach the tooth to the alveolar bone, which can sustain damage from gum disease or improper oral hygiene.
Periodontal Pocket
A periodontal pocket is a potential area of space, known as a gingival sulcus, which is deeper than normal and can contain bacteria that cause an infection.
Periodontal Surgery
Periodontal surgery is the treatment of extreme levels of periodontal disease that can involve multiple techniques to remove the inflamed tissue and infection before it spreads.
Scaling and Root Planing
Scaling and root planing is a non-surgical therapy that involves the removal of dental plaque in hard to reach places with patients who do not take proper care of their teeth.
Tartar
Tartar forms when plaque builds up on the surface of the teeth and calcifies into a hard surface that is much more difficult to remove and will require professional treatment.