Oral Health and Dental Management

Rooted in Care: Strategies for Prevention and Management of Gingival Recession

Lily Anderson^* Department of Dentistry, University of Alberta, Edmonton, Canada
^*Correspondence: Lily Anderson, Department of Dentistry, University of Alberta, Edmonton, Canada, Email:

Received: 23-Oct-2023, Manuscript No. OHDM-23-24055; Editor assigned: 26-Oct-2023, Pre QC No. OHDM-23-24055 (PQ); Reviewed: 14-Nov-2023, QC No. OHDM-23-24055; Revised: 21-Nov-2023, Manuscript No. OHDM-23-24055 (R); Published: 28-Nov-2023, DOI: 10.35248/2247-2452.23.22.1088

Description

Gingival recession, often colloquially referred to as receding gums, is a prevalent dental condition that impacts a significant portion of the population. Recognized by the exposure of tooth roots due to the loss of gum tissue, this condition raises concerns not only for oral health but also for aesthetic reasons. Considerate the intricate interplay of causes, recognizing symptoms, and exploring effective treatment options for gingival recession are essential steps in maintaining optimal oral health and addressing associated challenges [1].

Considerate the Causes of Gingival Recession

The development of gingival recession is a multifaceted process influenced by various factors. Poor oral hygiene practices stand out as a primary contributor. Inadequate brushing and flossing allow the accumulation of plaque and tartar along the gumline, fostering inflammation that can lead to recession. The choice of a toothbrush also matters; using a brush with rough bristles or aggressive brushing can expedite the wear and tear on fragile gum tissue, accelerating the development of recession. Periodontal diseases, encompassing gingivitis and periodontitis, play a pivotal role in the progression of gingival recession. These diseases involve inflammation and infection of the gums and supporting structures of the teeth. As these conditions advance, the gums pull away from the teeth, resulting in the exposure of the roots and the onset of recession [2-4].

Genetic factors play an important role in determining an individual’s susceptibility to gingival recession. Some people may inherit characteristics that make their gum tissue thinner or weaker, thereby increasing the likelihood of recession. Anatomical factors, such as the position of the teeth and the thickness of the surrounding bone, further influence the risk of gingival recession. Hormonal changes, particularly in women, contribute to the development of gingival recession. Hormonal fluctuations during puberty, pregnancy, and menopause can affect gum tissues, making them more prone to recession. Additionally, certain medical conditions, such as diabetes and autoimmune disorders, may elevate the risk of gingival recession [5].

Symptoms of Gingival Recession

The symptoms of gingival recession may initially be delicate, making early detection challenging. Individuals may observe that their teeth appear longer than usual, or they may experience increased sensitivity to hot or cold temperatures. As the condition progresses, exposed tooth roots become more visible, and there may be noticeable changes in the color and texture of the gums. In advanced cases, gingival recession can lead to tooth mobility and, in severe instances, tooth loss. The subtlety of these symptoms underscores the importance of regular dental check-ups. Professional evaluations by dentists can detect early signs of gingival recession, enabling timely intervention to prevent further progression [6-8].

Prevention and Management Strategies of Gingival Recession

Adopting good oral hygiene practices: Preventing and managing gingival recession starts with adopting and maintaining good oral hygiene practices. Regular and gentle brushing with a soft-bristled toothbrush, coupled with thorough flossing to remove plaque between teeth, forms the foundation for maintaining gum health and preventing recession.

Routine professional cleanings and check-ups: Routine visits to the dentist for professional cleanings and check-ups are important for detecting and addressing any signs of gum disease or recession in the early stages. Dental professionals can provide personalized advice on oral care practices and detect issues that might go unnoticed by individuals.

Gum grafting: For individuals already experiencing gingival recession, various treatment options exist. Gum grafting, a common surgical procedure, involves taking tissue from another part of the mouth (or, in some cases, a donor source) and attaching it to the receded area, covering the exposed roots. This procedure helps restore the gumline and reduces sensitivity.

Periodontal disease management: In cases where recession is associated with underlying periodontal disease, treating the disease becomes a pivotal step in preventing further recession. Scaling and root planning, a deep cleaning procedure, can effectively remove plaque and tartar from below the gumline, promoting the healing of the gum tissue.

Lifestyle modifications: Dental professionals may recommend lifestyle modifications to address factors contributing to gingival recession. Quitting smoking is particularly emphasized, as smoking has been linked to an increased risk of gum disease and recession. Additionally, using a mouthguard at night can protect the teeth and gums from the detrimental effects of teeth grinding, which can exacerbate recession.

Surgical interventions beyond gum grafting: In addition to gum grafting, other surgical interventions may be considered for more severe cases of gingival recession. These include pocket depth reduction, where excess gum tissue is removed to eliminate pockets where bacteria can accumulate, and regeneration techniques that aim to stimulate the growth of new bone and gum tissue.

Orthodontic treatment: Orthodontic treatment may be recommended in cases where the recession is associated with misaligned teeth or bite issues. Correcting the alignment of the teeth can help distribute forces more evenly across the gumline, reducing the risk of recession [9].

Continuing Maintenance for Long-Term Oral Health

After undergoing treatment for gingival recession, continuing maintenance is important. Adhering to good oral hygiene practices, attending regular dental check-ups, and addressing any risk factors are essential to preventing the recurrence of recession and maintaining optimal oral health [10].

Conclusion

In conclusion, gingival recession is a common dental condition with intricate causes, including poor oral hygiene, periodontal diseases, genetic factors, hormonal changes, and certain medical conditions. Recognizing the symptoms and considerate the underlying causes are pivotal for preventing and managing this condition effectively. By maintaining excellent oral hygiene practices, seeking professional dental care, and considering appropriate treatments, individuals can preserve gum health, prevent the progression of gingival recession, and ensure a healthy and confident smile that lasts a lifetime.

References

1. Boke F, Gazioglu C, Akkaya S, Akkaya M. Relationship between orthodontic treatment and gingival health: A retrospective study. Eur J Dent. 2014;8(03):373-380.

   [Crossref] [Google Scholar] [PubMed]

2. Handelman CS. The anterior alveolus: its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae. Angle Orthod. 1996;66(2):95-110.

   [Crossref] [Google Scholar] [PubMed]

3. Kahn S, Rodrigues WJ, Barceleiro MD. Periodontal plastic microsurgery in the treatment of deep gingival recession after orthodontic movement. Case Rep Dent. 2013.

   [Crossref] [Google Scholar] [PubMed]

4. Kamak G, Kamak H, Keklik H, Gurel HG. The effect of changes in lower incisor inclination on gingival recession. Sci World J. 2015. 

   [Crossref] [Google Scholar] [PubMed]

5. Molon RS, Avila ÉD, Souza JA, Nogueira AV, Cirelli CC, Cirelli JA. Combination of orthodontic movement and periodontal therapy for full root coverage in a Miller class III recession: a case report with 12 years of follow-up. Braz Dent J. 2012;23:758-763.

   [Crossref] [Google Scholar] [PubMed]

6. Renkema AM, Fudalej PS, Renkema A, Bronkhorst E, Katsaros C. Gingival recessions and the change of inclination of mandibular incisors during orthodontic treatment. Eur J Orthod. 2013;35(2):249-255.

   [Crossref] [Google Scholar] [PubMed]

7. Squier CA, Ghoneim S, Kremenak CR. Ultrastructure of the periosteum from membrane bone. J Anat. 1990;171:233.

   [Google Scholar] [PubMed]

8. Steiner GG, Pearson JK, Ainamo J. Changes of the marginal periodontium as a result of labial tooth movement in monkeys. J Periodontol. 1981;52(6):314-320.

   [Crossref] [Google Scholar] [PubMed]

9. Wehrbein H, Bauer W, Diedrich P. Mandibular incisors, alveolar bone, and symphysis afterorthodontic treatment. A retrospective study. Am J Orthod Dentofacial Orthop. 1996;110(3):239-246.

   [Crossref] [Google Scholar] [PubMed]

10. Wennström JL, Lindhe J, Sinclair F, Thilander B. Some periodontal tissue reactions to orthodontic tooth movement in monkeys. J Clin Periodontol. 1987;14(3):121-129.

    [Crossref] [Google Scholar] [PubMed]