In cases of gingival recession, the affected area of the gums recedes from the teeth. It can be a cause of aesthetic issues. Gingival recession treatment options may include supportive therapy or gingival tissue graft. Surgical treatment may sometimes be necessary to restore the affected areas. There are various risks involved with gingival recession treatment. Before determining any of these options, it is important to know the causes and symptoms of this condition.

Gingival recession treatment options

While there are several treatment options for gingival recession, the best one for you depends on your specific needs. One option for gingival recession is periodontal surgery, which can repair the diseased tissue by reattaching it to the tooth. A traditional gum graft procedure can be invasive and involve a second surgical site. 

However, if you need a more minimally invasive treatment, you might want to consider the Pinhole Surgical Technique. This treatment has a relatively short recovery time, fewer risks and can give instant results.

Another popular option for gingival recession treatment is a subepithelial connective tissue graft or SECTG. However, this procedure may be ineffective for certain patients. It may depend on the recession’s severity and the number of teeth affected. However, the graft is generally an option for patients with severe gingival recession.

If left untreated, the gingival recession may progress. As the patient ages, the likelihood of progression of the condition increases. The youngest age cohort experienced a recession of 8.6% teeth. By the time the eldest patients reached the age of 90, the prevalence was 56.3%. It is a major concern for patients and dentists alike.

A soft-bristled toothbrush and proper brushing technique can prevent gingival recession and reverse it. In addition, a professional cleaning every three months is important for oral health. A dentist can also check for clenching and occlusal trauma during the cleaning. A dentist can also perform root planing and gum grafts to correct gingival recession and restore the teeth.

Gingival recession supportive therapy

Gingival recession supportive therapy involves using grafts or implanted tissue to help prevent further gum recession. In cases where a graft is not possible, a surgeon may choose to use autogenous tissue from the roof of the mouth. You can use this connective tissue to thicken the gum tissue surrounding a tooth. The grafts can help improve the esthetic and functional appearance of the tooth and the mouth.

Free gingival grafts are another treatment option. The technique is used for mild recession and is sometimes performed in conjunction with a CTG. The grafts are harvested from the palate and sutured into the recipient site. This site must be at least three millimetres long and wide to accommodate the recession defect. During the initial healing phase, the graft will supply the soft tissue and provide sufficient keratinized tissue to support coronal advancement.

Gingival Recession Treatment

Gingival recession supportive therapy must be personalised according to the type of recession and its depth. There are three types of gingival recession: thick, thin, and slender. The depth of recession determines the chances of root coverage. Thin phenotypes have less risk of root coverage.

Several studies have emphasised that gingival recession can be caused by plaque accumulation on the teeth. Poor brushing and bad oral hygiene habits can contribute to the condition. Smoking is also a risk factor for recession.

Gingival tissue graft

In gingival recession treatment, a gingival tissue graft is a surgical procedure that replaces a part of the gingival tissue. Several factors may influence the success of this procedure. For example, gingival tissue thickness may affect the outcome. Ideally, the thickness of gingival tissue should be at least 1.0 mm.

Gingival tissue grafting consists of carefully cleaning the tooth and preparing soft tissue for the procedure. The surgeon then takes a piece of the gingiva from a distant part of the body and attaches it to the recession site with stitches. Patients can anticipate a recovery period of between one and two weeks.

The patient should eat soft foods during the first few weeks after the procedure and avoid hard or crunchy foods. After the procedure, the body’s recovery process occurs, and new blood vessels will grow into the graft, allowing the new tissue to integrate with the surrounding tissue. Successful grafts can reduce tooth sensitivity, prevent further gum recession, and improve the appearance of a smile.

This gum grafting procedure is typically done under local anaesthetic and depends on the source of the tissue, which can be taken from the patient’s palate or a tissue bank. The graft tissue is carefully inserted through small incisions at the recipient site. The graft is generally larger than the recession area, so some excess tissue is visible.

Gingival Recession Treatment

Gingival recession surgical treatment

Several surgical procedures can address the gingival recession. The most reliable method involves a coronally advanced flap procedure. It is particularly useful for multiple adjacent recession defects, but it can also be used in single recession cases. Occasionally, the flap procedure may be combined with other procedures, such as connective tissue grafts or acellular dermal matrices.

Gingival recession is a common, aesthetic and functional problem caused by the migration of the gingival margin beyond the junction of the cementum and the tooth’s enamel. It affects people who practice good oral hygiene and those who have poor oral hygiene. It is especially common in older patients.

Gingival recession can be measured by measuring the distance between the cementoenamel junction and the free gingival margin, which reflects the exposure of the root cementum. This method is semi-quantitative, with a precision of 0.5 to 1 millimetre. The measurement is not accurate, however, because it does not account for apical migration of the gingival margin.

Gingival recession is a common problem caused by several factors, such as poor oral hygiene and smoking. It often results in tooth sensitivity and an unattractive smile. Several surgical procedures can address gingival recession, but the most reliable method involves a coronally advanced flap procedure.

To learn about gingival recession after orthodontic treatment, click here.

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