Treatment of gingival recession

Treatment of gingival recession Wuppertal. Recession is a local or general reduction in gum volume due to various external and internal processes. If left untreated, it leads to increased tooth sensitivity and then to tooth loosening and even loss.

Also, even in the early stages, it makes the smile much less aesthetically pleasing. Therefore, gum recession should be treated as soon as possible after its detection.

Gingival recession: the causes

A distinction is made between physiological and traumatic types of recession. In the first case, it is associated with age-related changes in the body and, unfortunately, it is impossible to completely avoid it, although it is possible to delay its appearance. The second type includes problems that are developing:

  • from periodontitis (inflammation of the gums) caused by improper brushing with an overly stiff toothbrush combined with other internal organ problems;
  • orthodontic treatment errors – moving teeth too actively with braces;
  • low-quality prostheses (including extended prostheses) and implants made without taking into account the subtle anatomical features of the oral cavity;
  • chemical and thermal burns of the mucous membrane;
  • lip piercing, frenulum, other parts of the oral cavity;
  • of infections after mechanical injuries.

Gum recession can also be diagnosed in patients with an irregular or abnormal bite, a general lack of vitamins C and E, and smokers.

Types, stages and symptoms of recession disease

Depending on the extent of the spread, there are three types of recession:

  • localized – affecting one tooth;
  • generalized – concentrated in the area of several organs at once;
  • systemic – spreading to all teeth, including premolars and molars.

As a rule, the disease occurs in the area of canines and incisors, but in rare cases, it can initially affect premolars and even molars.

The disease is also classified by severity, primarily depending on how quickly it was discovered and treatment started. There are three main stages:

  • a mild form of recession – the gingiva is reduced by 3 mm or less;
  • medium – the decrease is 3-5 mm;
  • heavy – more than 5 mm.

In its early stages, gum recession is difficult to detect if it is not accompanied by bleeding, soreness and other complications. However, in the case of such symptoms, as well as a visible decrease in soft tissue volume or an increase in tooth sensitivity, it is advisable to make an urgent appointment with a dental surgeon. Gingival recession treatment Wuppertal.

How treatment of gingival recession

In the earlier stages, therapeutic methods and procedures are used to eliminate the cause of the disease and the functional and aesthetic defects caused by it, including:

  • removal of plaque and calculus (including subgingival);
  • oral hygiene;
  • taking a course of antibiotics and anti-inflammatory drugs;
  • taking multivitamin complexes.

When the disease is systemic in the moderate or severe stages, or when serious complications are detected, surgical treatments for gingival recession are used:

  • Tissue treatment is one of the simplest operations performed after mechanical injuries of the oral cavity;
  • flap operations – moving healthy tissues into the affected area. It is used in the intermediate stages, as it does not allow you to restore more than 3 mm of the gingiva;
  • installation of fibrin membranes – stimulators of tissue regeneration and growth. This procedure has many advantages, including zero chance of recurrence;
  • implantation of collagen membranes – due to the presence of connective tissue protein in their composition, they perfectly cope with diseases caused by almost any causes, including age-related changes.

If conservative treatment methods are ineffective, various types of plastic surgeries can be performed to close gingival recession – gingivoplasty and vestibuloplasty. The former allows you to deal with small defects or reduce the size of periodontal canals. Such surgery can be performed using a laser and often takes only 10-15 minutes. The second involves peeling off the mucosa, tendons, and muscles and positioning them as desired, which allows you to cope with the disease caused by any cause, even in the later stages of development. Recovery from these treatments takes up to two weeks. Gingival recession treatment Wuppertal.

Treatment of gingival recession: clinical guidelines

One of the first pieces of advice dentists give to people with gum recession and after treatment is to quit smoking. Tobacco smoke, in addition to nicotine, contains a large number of impurities in the form of salts of heavy metals and various carcinogens, extremely adverse effects on the body as a whole and the oral cavity in particular.

It is also desirable to give up piercings in the mouth – metal products often react chemically with saliva and just the air, releasing harmful substances.

It is highly recommended to avoid unnecessarily hard food – bones and nuts can provoke microtraumas, leading to more serious consequences. For the same reasons, you should also avoid eating very hot or cold food, especially alternating between the two.

Standard recommendations also include a careful selection of toothbrushes, daily oral hygiene in the morning and evening and after meals, including flossing, regular check-ups at least twice a year and immediate treatment at the slightest sign of disease. Treatment of gingival recession Wuppertal.


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