Gingival recession - also known as gum recession and receding gums - is the exposure of the roots of the teeth caused by a loss of gum tissue. Gum recession can be a result of various factors, and unfortunately once lost, the gum tissues cannot grow back on its own. However, a dentist or periodontist can help treat and prevent it from worsening.
Fig 1. Gingival recession on lower incisors
Several factors can contribute to gum recession, including:
Poor Oral Hygiene
Plaque build-up around the gumline can cause inflammation. If left untreated, this can progress to periodontitis (advanced gum disease), which may result in the loss of bone support around the teeth leading to gum recession.
Aggressive Brushing
Brushing too hard or using a hard-bristled toothbrush can wear down the gums over time, contributing to recession.
Genetics
Some individuals are born with naturally thinner gum tissue, making them more prone to gum recession, especially when they are inflamed or subjected to aggressive toothbrushing.
Orthodontic Treatment (Braces)
Braces alone do not directly cause recession. However, if teeth are moved beyond the bone’s natural boundary, the supporting bone and gum tissue may thin out, making the area more susceptible to recession from brushing or inflammation.
Teeth Grinding and Clenching (Bruxism)
Excessive force from grinding or clenching can put pressure on the gums and surrounding tissues. Over time, this can contribute to gum recession.
Trauma or Injury
A direct impact or injury to the gums or teeth may cause gum tissue to recede in the affected area.
A thorough dental assessment is essential to diagnose gum recession accurately and identify its underlying cause. Treatment will vary depending on the severity and contributing factors.
Treatment Options May Include:
Improving Oral Hygiene
In early stages, improving brushing and flossing techniques can help prevent further damage. Dentists may recommend switching to a soft-bristled toothbrush and treating any existing gingivitis (inflammation of the gums).
Professional Dental Cleaning
A deep cleaning procedure, known as scaling and root debridement, removes plaque and tartar build-up beneath the gumline to reduce inflammation and support healing.
Gum Grafting Surgery
In cases of significant tissue loss or exposed tooth roots, a gum graft may be recommended. This involves taking gum tissues (often from the roof of the mouth) and grafting it to the affected area to cover exposed roots and protect the teeth.
When to See a Dentist
If you notice signs such as tooth sensitivity, visibly longer teeth, or notches near the gumline, schedule a dental appointment promptly. Early intervention can help preserve gum health, prevent further recession, and protect your teeth in the long term.
The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth.