A Great Solution
Some cases of gum recession are self limiting, but most are not. For example, recession that results from overzealous brushing can be stopped with a change in cleaning habits such as the use of a soft bristle brush and toothpaste without aggressive abrasive material (such as toothpastes designed to whiten teeth). Some areas may continue to recede, which is where therapy to increase the quantity of strong gum comes in. This usually involves the grafting of gum tissue, or in some cases donor tissue,from one part of the mouth to a site in which gum recession has occurred. In some cases other materials can be used to strengthen gums.
Advances in tissue engineering have increased the probability of generating new bone and speeding healing at the same time soft tissue grafts are placed. One such approach involves the use of the enamel matrix proteins (e.g. Emdogain). Additionally, there are now donor tissues available (e.g. AlloDerm) that allows us to graft and repair recession defects without the necessity of harvesting gum tissue from a separate donor site.
When should I check into repairing areas of gum recession?
- If the recession continues.
- If the area is of esthetic concern (appearance).
- If the root of the tooth is sensitive to hot or cold.
- If orthodontic therapy (braces) will move the affected teeth into prominence.
- If restorations (fillings, caps, etc.) touch or go below the gum in an area of recession or thin tissue.