Posts for tag: gum recession

By Hyannis Dental Associates
August 16, 2021
Category: Dental Procedures
Tags: gum recession  
GumRecessionDoesntHavetobePermanent

The worst outcome of periodontal (gum) disease is tooth loss—but it isn't the only form of misery you might suffer. One of the more troublesome results associated with gum disease is gum recession.

Normal gum tissue covers teeth from just above the visible crown to the roots, providing protection against bacteria and oral acid similar to the enamel on the crown. But advanced gum disease can weaken these tissues, causing them to pull away or recede from the teeth.

Not only can this diminish your smile appearance, but the exposed areas are more susceptible to further disease and painful sensitivity. And it certainly can accelerate tooth loss.

But there are some things we can do to reduce the harm caused by gum recession. If we're able to diagnose and treat a gum infection early while the gums have only mildly receded, the tissues could stabilize and not get worse.

The chances for natural regrowth are unlikely, especially the more extensive the recession. In such cases, the gums may need some assistance via plastic periodontal surgery. Surgeons reconstruct gum tissues by grafting like tissues to the area of recession. These grafts serve as a scaffold for new tissues to gradually grow upon.

There are two general types of grafting procedures. One is called free gingival grafting. The surgeon completely removes a thin layer of skin from elsewhere in the mouth (such as the palate), then shapes and attaches it to the recession site. Both the donor and recession sites heal at approximately the same rate, usually within 14-21 days. This procedure replaces missing gum tissue, but doesn't cover exposed tooth roots to any great extent.

In cases of root exposure, dentists usually prefer another type of procedure, known as connective tissue grafting.  The donor tissue is usually taken again from the palate, but the design of the surgery is different. A flap of tissue at the recipient site is opened so that after the connective tissue from the palate is placed at the recipient site to cover the exposed roots, the flap of tissue covers the graft to provide blood circulation to the graft as it heals.

Both kinds of procedures, particularly the latter, require detailed precision by a skilled and experienced surgeon. Although they can successfully reverse gum recession, it's much better to avoid a gum infection in the first place with daily oral hygiene and regular dental care.

If you would like more information on treating gum recession, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal Plastic Surgery.”

By Hyannis Dental Associates
December 25, 2019
Category: Dental Procedures
Tags: gum recession  
YouMayNeedSurgerytoRepairtheDamageofGumRecession

Gum recession is an all too common problem for millions of people that if left untreated could lead to tooth and bone loss. But the good news is not only can the process be stopped, much of the damage can also be repaired through periodontal plastic surgery.

Gum recession occurs when the gum tissue protecting the teeth detaches and draws back to expose the root surface. This exposure may result in a range of effects, from minor tooth sensitivity to eventual tooth loss. There are a number of causes for gum recession, including overaggressive brushing or flossing, biting habits or badly fitting dentures or appliances.

The most prominent cause, though, is periodontal (gum) disease, a bacterial infection triggered by plaque buildup on tooth surfaces due to poor oral hygiene. Fortunately, early gum disease is highly treatable by thoroughly cleaning tooth, root and gum surfaces of plaque and calculus (hardened plaque deposits), along with possible antibiotic therapy, to reduce the infection and promote tissue healing.

Unfortunately, advanced cases of gum recession may have already resulted in extensive damage to the tissues themselves. While disease treatment can stimulate some re-growth, some cases may require reconstructive surgery to repair and further rebuild the tissues.

There are several techniques periodontists (specialists in gums, bone and other dental support structures) or dentists with advanced training can perform to “re-model” recessed gum tissues. One of the major areas is placing tissue grafts (either from the patient or a human donor) at the site to encourage further tissue growth. Properly affixing a graft requires a great deal of training, skill and experience, especially in cases where the graft may need to be connected with adjoining tissues to establish a viable blood supply for the graft.

In skilled hands, a periodontal surgical procedure is fairly predictable with minimal discomfort afterward. And the lasting effects are well-worth it — not only will your health benefit from restored gum tissue and greater protection for your teeth, you’ll also enjoy a more attractive smile.

If you would like more information the treatment of gum recession, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal Plastic Surgery.”

By Hyannis Dental Associates
October 28, 2013
Category: Oral Health
GumRecessionandPlasticSurgery

Did you know that millions of Americans have some degree of gum recession? Are you one of them?

Gum recession is the loss of the pink gum tissue that surrounds your teeth and can lead to exposure of the root surface of your teeth. In addition to the obvious aesthetic issues, recession can also result in tooth loss in very severe cases.

So, what causes gum recession? Well, first of all, if you are genetically predisposed to having thin gum tissues, your gums will be more prone to receding than those with thick tissues. However, other factors include ineffective oral hygiene, excessive brushing and mal-positioned teeth. In addition, poor fitting appliances, such as partial dentures can also cause gum recession.

If you think you are suffering from gum recession, you should make an appointment with us immediately, so that we can perform a thorough examination to accurately diagnose your condition. We'll look at your teeth and their position within the supporting bone and surrounding gum tissue. Depending upon our diagnosis, we may recommend a technique known as gum or soft tissue grafting, which allows us to regenerate lost or damaged gum tissue. Grafting is the surgical manipulation of tissue, taking it from one site and moving it to another, so that it can attach and grow.

There are two basic gum tissue grafting techniques, the free gingival graft and the connective tissue graft. Here is a description of each:

  • Free Gingival Grafting. With this technique, we remove a thin layer of tissue from the roof of your mouth or any other site where the tissues are identical to gum tissue (the donor). We then shape and transplant it to the recipient site to create new gum tissue. Both donor and recipient sites heal within two to three weeks.
  • Connective Tissue Grafting. This technique is used to cover exposed roots in the treatment of gum recession. It involves more microsurgical maneuvers to prepare both the donor and recipient sites. We take donor tissue from beneath the surface of the roof of your mouth and then cover it with the gum tissue surrounding the exposed root. Another alternative is to use processed tissue rather than your own tissue as a donor material.

When you visit us for an appointment, we will assess which procedure is best-suited to your needs.

If you would like more information about gum recession and plastic surgery, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Periodontal Plastic Surgery.”



Hyannis Dental Associates

Hyannis, MA Dental Office
Hyannis Dental Associates
750 Attucks Lane
Hyannis, MA 02601-2902
(508) 778-4488

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