Ask the Dentist with Dr. Mark Burhenne Preventing and Treating Gingival Recession
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Feb 8, 2024 A deep dive into gum recession causes and why exposed roots matter. Covers mechanical triggers like orthodontics, piercings, frenal pulls, and traumatic foods. Discusses plaque, inflammation, genetics, and tissue thickness. Reviews prevention tactics, brushing choices, and when surgical repair may be needed.
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Inflammation Is The Main Driver
- Bacterial plaque and gum inflammation are the primary causes of pathological gum recession.
- Chronic inflammation damages tiny peripheral blood vessels, causing tissue necrosis and the gingival margin to recede.
Orthodontics Can Create Bone Windows
- Moving teeth beyond the jaw's arch form (orthodontic widening without bone) can create fenestrations in alveolar bone.
- Those bone 'windows' let attached gingiva fail and lead to aggressive recession after orthodontic expansion.
Frenum Pulls Can Mechanically Cause Recession
- High frenum attachments or persistent tethering (lip/tongue ties) mechanically pull on gingiva and contribute to recession.
- Repetitive muscular movement tugs the tissue, so releasing ties can prevent future recession.