Treatment of gingival recessions - Dental Fraternity
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Treatment of gingival recessions

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A tooth recession is the exposure of the tooth root surface. We can speak of a gingival recession when the gingival margin is below the enamel-cement boundary. This leads to the exposure of the tooth root, and thus exposes it to the harmful effects of external factors. The root exposed in this way is characterized by sensitivity and lack of resistance to damage. Teeth in gingival recession are especially prone to caries. Gingival slippage is not only painful tooth necks, but also the disappearance of periodontal bone, which is not well protected and nourished. In some cases, tooth recession is associated with pulpitis, and hence the need for endodontic treatment. In the worst case, a recession can lead to tooth loosening and loss.

There are many reasons for a recession. These are, among others:

  • improper brushing technique;
  • long-lasting inflammation around the tooth;
  • malocclusion;
  • gingival biotype;
  • incorrect prosthetic and conservative restorations;
  • occlusal overload;
  • the effect of orthodontic treatment.

Proper and correct tooth brushing

A very important issue that patients struggling with the problem of exposed tooth necks must pay attention to is proper and correct tooth brushing. Seemingly trivial and basic activity may contribute to the deterioration of the condition of our gums. Remember to adapt your brushing technique to the condition of your teeth. Particular attention should be paid to preventing the formation of tartar. The softness of the brush bristles is also of great importance. For patients with gingival recession problems, soft to medium-soft bristles are recommended.

There are several stages of gingival recession:

1

This degree of recession affects only the alveolar gingiva and is the most promising recession class, meaning that prevention will be much easier and least invasive.

2

This degree of recession affects only the alveolar gingiva and is the most promising recession class, meaning that prevention will be much easier and least invasive.

3

This degree of recession is reaching or exceeding the mucosa. It can also be associated with the loss of the gingiva from the interdental spaces or with incorrect tooth positioning.

4

It covers the mucous membranes and is associated with an extensive loss of gingival tissues and bones in the interdental spaces.

Proper brushing

Treating a recession begins with eliminating the factors that contribute to damage to the necks of the teeth. First, remove the tartar and deposits that lie on the teeth. A patient suffering from a recession should be taught the appropriate method of brushing teeth and caring for oral hygiene. It is also very important to change the toothbrush to one that will damage the gums as little as possible.

Gum reconstruction method

Treating gingival recessions involves repairing the gum tissue that has been lost. For this purpose, a surgical procedure classified as so-called should be performed. Periosurgery (mucogingival surgery), which consists in rebuilding atrophic gums The exact method of gingival reconstruction and treatment of gingival recession is selected individually for each patient after a thorough interview and medical consultation. The procedure is performed in a dentist’s office under local anesthesia.

Controlled regeneration method

The treatments performed to treat gingival recessions include, among others, transplant of tissue taken from the palate or moving a flap of mucosa from the recession area. Another approach may be to use a controlled regeneration method. This method consists in supplementing the bone defect – the type of supplementation is selected by the doctor adequately to the patient’s health condition.

Tomasz Kaczyński

DOCTOR OF MEDICAL SCIENCES / SPECIALIST IN PERIODONTOLOGY

Tomasz Kaczyński, MD, graduated with honors from the Faculty of Medicine and Dentistry at the Medical University of Warsaw. He […]

Bartłomiej Szczodry

DENTIST | MAXILLOFACIAL SURGEON | MANAGING PARTNER

A graduate in medicine and dentistry at the Medical University of Warsaw. Since 2010, he has been a lecturer and […]

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