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1st Gum Disease - Dental Procedure For Dental Recession. |
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Dental Procedure For Dental Recession
By Laura Minsk, DMD
Dental
recession is a displacement of the gum around
the teeth that results in greater tooth exposure and a longer looking tooth. As
the gum that protects the root surface of the tooth is lost, not only does it
create an esthetic deformity, it makes the tooth more sensitive to changes in
temperature (hot and cold), touch, and to proper oral hygiene techniques. The
exposed root surfaces also are more susceptible to cavities. Causes of
dental recession
include:
- Periodontal disease:
The
bacteria that cause gingivitis can release toxins that injure the gum
tissues and create gum recession. Once the gum is affected by gingivitis
(see article "Gingivitis"),
it is even more susceptible to further
dental recession and bone loss. So if the gum is red, swollen, or bleeds when
probed, it is more likely to continue receding. Eventually, there may not be
enough healthy gum and bone left to protect the tooth and the tooth may need
to be removed. If there is less than 2 mm of healthy gum in an area of
recession, a dentist may recommend a gum graft to help prevent further gum
recession and help protect the tooth.
- Trauma:
Medium or hard bristle toothbrushes, brushing too hard, or brushing
inappropriately can damage the teeth and the gums. It is very important to
use a soft bristle toothbrush when cleaning the teeth, and to follow proper
technique. Mechanical trauma to the gums also can be caused by improperly
fitting dental restorations or dentures. Fillings that are rough or dentures
that are loose or poorly designed can injure the gums and cause them to
recede.
Gums also may recede as a result of orthodontic treatment or from
manipulation during restorative procedures. To prevent this from occurring, a
dentist may recommend gum grafting before orthodontics or restorative
treatment.
Gum grafts are indicated if an individual has root sensitivity to touch or
temperature changes, if new restorative work will be done in the area of
the
dental recession, if the roots are susceptible to cavities, or if an individual is
having problems following proper plaque control procedures. In addition, gum
grafts are cosmetic periodontal procedures that can be performed to enhance
smiles if recession has created esthetic problems such as long teeth or
exposed roots.
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