Author Archives: Mary Cramer
Introduction to Gingival Recession
Gingival recession is also called receding gums, in which withdrawal of gingival margin from the crown of teeth happens, which leads to loss of gum tissues.
Mostly the gingival recession will be caused by periodontal diseases. Gingival recession increases the sensitivity of the teeth because of the exposed roots; the presence of long clinical teeth can evaluate it compared to other adjacent teeth. The margin between CEJ and gingival margin will enhance the level of recession.
It may occur directly by the effect of mechanical/physical activity and also due to the inflammatory actions in the gingival tissues.
In the youngest age of about 30-39 years, the recession prevalence was 37.8%. While in the age between 80-90 years, the prevalence is 90.4%.
What Are The Possible Causes of Gingival Recession?
Symptoms of Gingival Gums
➢ Cavities developed under the gum line
➢ The tooth experience roughness in the gum line
➢ The teeth roots got more exposed
➢ The size of the teeth appear longer than the normal teeth
➢ Over-sensitiveness of teeth
➢ Change in the teeth color
➢ In acute cases of gingivitis recession, the gums become swollen, red and inflamed.
➢ Gum bleeding and bad breath
How to treat Gingival Recession?
There are some basic treatment/methods for the gingival recession
Formation of Gingival Mask
Patients facing serious gingival recession on several teeth have an unaesthetic appearance. In this situation, a silicone flexible gingival mask has been used to treat the gingival recession.
Reconstructing teeth Crowns
Clinical crowns are usually inserted, which helps to cover up the exposed root surface.
Citric acid or tetracycline HCL has been applied to the roots before performing the soft tissue graft will help to restore the teeth from gingival recession.
Surgical Ways to Treat Gingival Recession
In this procedure, a semilunar incision has been made parallel to the gingival margin of the facial tissues and placed this tissue onto the exposed roots.
In this surgery, many isolated and multiple gingival recessions in the lower incisors have been treated to cover up the exposed roots and perform the mucogingival junction.
Connective Tissue Graft
It is the most widely used method to treat root exposure. In this procedure, the flap of gum is taken from the top of your mouth. Some connective tissues are taken and stitched into the gum tissue, which is present near the exposed roots.
This tissue has been used to regenerate the lost gum tissues. In this procedure, the deep cleaning of roots is performed to remove disease-causing bacteria from the teeth properly.
The AF is a method used in buccal gingival recessions to provide root coverage to your mouth's affected area.
Non-Surgical Ways to Treat the Gingival Recession
The non-surgical ways to treat the gingival recession are;
Prevention and Monitoring
If the effect of dental recession is minimal and there is no hypersensitivity present, there is no need to worry. If the situation becomes severe, like chronic periodontal disease or brushing trauma, you need to take some precautions. It is important to do oral hygiene to prevent teeth recession properly.
When some patients have uneven gingival zeniths due to recession and experience hypersensitivity, there is a need to seek immediate treatment.
With the progression in composite resin materials development, adhesive composites are becoming popular. They help to restore the gum recession. The localized recession defects can be minimized by applying bonding tooth-colored composite onto the exposed root surface area.
Placing the composite carefully and making sure that there will be no plaque present helps protect the teeth from gingival recession.
Use of Varnishes, Dentine Bonding and Desensitizing Agents
When the teeth' hypersensitivity increases, there is a need to block the dentinal tubules and stop the nerve stimulation.
There are many products available like mouthwash, toothpaste, and other desensitizing agents that will help protect and help to cure gingival recession.
These products mainly contain oxalates, potassium, strontium and silica to block the dentinal tubules, minimize the nerve excitability and cures the gingival recession.
Many studies have shown that the linguistic movement of orthodontic teeth will allow the growth of alveolar bone. Thinking of the gingival tissues and coronal shift in the gingival margin helps improve all the gingival recession defects.
Pink Composite or Porcelain
With the advancement in bonding agents, the development of pink porcelain or composite will help restore the teeth' hypersensitivity and gingival recession.
Removable Gingival Prosthesis
Using a removable gingival prosthesis can help regain a maximum number of receded tissues, fill the gaps, and improve the aesthetics.
Most dental practitioners and restorative specialists will see gingival recession patients. Mostly they treat the patients by using non-surgical techniques.
In severe cases, surgical procedures are also followed to treat the gingival recession.