With receding gums, part of the root of one or more teeth is exposed and the tooth appears longer. In addition to a possible cosmetic problem, the patient may have discomfort in the cold or difficulty in brushing. Root coverage is performed microsurgically.
With gingival recession, the gum recedes, the root of the tooth is exposed and the tooth looks longer. In addition to an aesthetic problem, we may have discomfort in the cold or when brushing. Moreover, the tooth can become more vulnerable to tooth decay.
Causes
Thin gums are more prone to recession. There are many causes of receding gums. More common causes are periodontal disease, bridle attachment, vigorous brushing or tooth positioning. It is very important to diagnose the cause of gum recession before any corrective surgery.
Root coverage (esthetic plastic surgery)
Root coverage is achieved microsurgically, usually using a gum graft from the palate. In some cases, an artificial graft can be used (instead of taking a graft from the palate). The additional application of the tissue regeneration protein Emdogain can also yield better results.
Depending on the degree of recession, an estimation of the expected result can be weighed by the periodontist before microsurgical correction. Smoking is a factor that has an aggravating effect on the result of the operation.
Severe recession in the area of the lower canine due to prolapse in the tooth position. It was treated with a combination of gum graft and regenerative protein Emdogain.
Thin gums combined with high bridle adhesion caused severe recession in the lower front teeth.
The lower front teeth are the most frequent and most challenging area to treat recession defects due to, usually, very thin tissues
The thin sutures are usually removed after 2 weeks. It is important to follow the instructions that will be given to you during the healing time to protect the area. Healing is usually completed in a few weeks.
Dr. Georgios Papanikolaou
Specialist Periodontist
Gothenburg University, Sweden
See related articles:
• Plastic / Aesthetic periodontal surgery – Cases
• Gingival Enlargement Removal – Clinical Cases
• Crown lengthening
• Gummy smile or uneven gum line
