Receding gums
Understanding gum recession
The signs and causes of receding gums, whether gums grow back, and how recession is treated, from deep cleaning to gum grafts.
What Is Gum Recession?
Gum recession is when your gum tissue pulls away from your teeth and exposes the roots underneath, and Cleveland Clinic describes it as a form of gum disease. The exposed roots make your teeth more vulnerable to cavities, and your teeth can become more sensitive when brushing or eating.
Recession can be mild, moderate or severe, and it may affect one tooth or several. It is common: approximately 88% of people over the age of 65 have gum recession on one or more teeth. It can affect people of all ages, but it is most common in people over 65.
What Are the Signs of Receding Gums?
The signs of receding gums begin with gums that pull away from the teeth, making the teeth appear longer, as the National Institute of Dental and Craniofacial Research (NIDCR) describes it. The most apparent sign is an exposed tooth root.
Other warning signs include pain or discomfort near the gum line and sensitivity to heat, cold and sweets, when brushing and flossing, or during dental cleanings. Left untreated, gum recession can lead to bone loss, loose teeth or even tooth loss. If you notice any of these signs, schedule an appointment with your dentist.
What Causes Gum Recession?
Gum recession is caused by brushing too hard, plaque or tartar buildup, periodontal disease, injury to the gum tissue, misaligned teeth, smoking or chewing tobacco, and lip or tongue piercings, according to Cleveland Clinic. Poor oral hygiene often contributes, but not always: many people simply have a genetic predisposition to thin gum tissue.
You are more likely to develop recession if you have periodontal disease, had braces or other orthodontic treatment, use chewing tobacco, have a lip or tongue piercing, or brush your teeth aggressively. Smoking or using tobacco products is the most significant risk factor for gum disease, and tobacco can also delay healing and make treatment for gum disease less successful.
Can Receding Gums Grow Back?
Receding gums can't grow back, according to Cleveland Clinic, but you can take steps to keep gum recession from getting worse. Gum recession can't be cured, but it can be successfully managed with proper treatment and care, and where gum tissue is missing, a gum graft is used to replace it.
Timing matters. The sooner gum recession is detected and treated, the better chance you have of establishing optimal oral health. Call your dentist or periodontist at the first sign of problems, such as tooth roots that look more visible than they used to or teeth that have become more sensitive.
How Is Gum Recession Treated?
Gum recession treatment depends largely on what caused it, Cleveland Clinic explains: mild cases may be improved with nonsurgical treatments, but in most instances gum recession surgery is needed to fully correct the problem.
When recession comes from periodontal disease, scaling and root planing, a deep cleaning done under local anesthesia, removes the bacteria deep under the gum line, and occasionally a periodontist may recommend placing an antibiotic directly under the gums. Dental bonding can cover an exposed root with tooth-colored composite resin, making it less noticeable and more comfortable. If a tooth is crooked, tipped or rotated, orthodontics can move it into proper alignment, and the gum margin may correct itself over time.
What Is Gum Graft Surgery for Receding Gums?
Gum graft surgery for receding gums replaces missing gum tissue, and Cleveland Clinic calls it the most predictable and long-lasting treatment option for gum recession. Typically, a periodontist performs it. The graft is usually taken from the roof of the mouth but occasionally comes from sterilized human donor tissue, and the surgeon stitches it into place.
There are several types of gum grafting procedures, and your surgeon can help determine which one is right for you. In most cases, people feel back to normal in about two weeks; recovery depends on how many teeth were treated, where the graft came from and the type of procedure. With moderate to severe recession, your dentist will likely refer you to a periodontist or oral surgeon for a gum grafting consultation.
How Can You Reduce Sensitivity From Receding Gums?
To reduce sensitivity from receding gums, use a desensitizing toothpaste at home, and your dentist can apply fluoride varnish or other desensitizing agents, Cleveland Clinic advises. Exposed roots are sensitive because they aren't covered with protective enamel; they are covered with cementum, which isn't as strong.
Look for a toothpaste with active ingredients such as potassium nitrate, stannous fluoride, arginine and strontium chloride, which help calm the nerves inside your teeth. Desensitizing toothpaste works best when used long term, and it can take several weeks to start working. Your dental hygienist can also use numbing agents to make you more comfortable during dental cleanings.
How Can You Prevent Gum Recession?
Preventing gum recession comes down to daily care of your teeth and gums, which can significantly reduce your risk of infection-related gum recession, although Cleveland Clinic notes recession can't always be prevented, especially if you are genetically predisposed to thin gum tissue.
Brush your teeth thoroughly twice a day with a soft-bristled toothbrush, floss once a day, use an antimicrobial mouthwash twice a day, and don't smoke or use chewing tobacco. Follow your dentist's recommendation for cleanings: many people can maintain healthy gums with six-month cleanings, but some may need more frequent visits.
Gum Recession Treatment at Smile Care Valencia
For gum recession, we have a range of treatment options available at our dental practice. Our team includes Dr. Raffie Garabedian, a periodontist, alongside Dr. Robert P. Hedvat, a general dentist practicing since 2011, and Dolores, our registered dental hygienist.
We use laser dentistry for selected gum and soft-tissue procedures; in appropriate cases it may reduce bleeding, minimize discomfort and make recovery easier. Read more about our periodontist, gum disease treatment and laser dentistry.
Insurance and Payment
We accept most PPO dental plans. Benefits and network participation vary by plan, so our team will gladly verify your coverage before treatment. We also accept CareCredit and offer financial arrangements. Call (661) 255-1211 or request an appointment online.
Common questions
Gum Recession Questions
Can a receding gum on one tooth grow back?
A receding gum on one tooth can't grow back, just as receding gums elsewhere in the mouth can't. Treatment can keep the recession from getting worse, and a gum graft can replace missing gum tissue.
Can hard brushing cause gums to recede?
Yes, hard brushing can cause gums to recede: brushing too hard or too aggressively is one of the causes of gum recession. Use a soft-bristled toothbrush and brush thoroughly twice a day.
Can orthodontic treatment cause gum recession?
Orthodontic treatment is linked to gum recession: Cleveland Clinic says you are more likely to develop recession if you had braces or other orthodontic treatment. Orthodontics can also help, because a crooked, tipped or rotated tooth can cause recession, and once it is moved into proper alignment the gum margin may correct itself over time.
How soon should gum recession be treated?
Gum recession should be treated as early as possible, because the sooner it is detected and treated, the better chance you have of establishing optimal oral health. Call your dentist or periodontist at the first sign of problems.
Where can I get gum recession treatment in Valencia?
You can get gum recession treatment at Smile Care Valencia, 23838 Valencia Blvd., Suite 301, Valencia, CA 91355, serving Santa Clarita, where Dr. Raffie Garabedian, a periodontist, is part of our team. Call (661) 255-1211 to book a visit.