Table of contents:
- The gums are swollen and bleeding: features of a recession
- Why the gum has moved away from the tooth: reasons
- Recession treatment
- Operative treatment of recession
- Temporary help with folk remedies
- Recession prevention
2023 Author: Alfred Shackley | [email protected]. Last modified: 2023-05-21 13:14
Gum discharge in medicine is called a recession. This process is characterized by flaking or abrasion of the edge of the soft tissue and exposure of the lower part of the tooth or even its root.
This condition is dangerous because periodontal pockets are formed (periodontitis) or the gums are strongly lowered (periodontal disease). As a result, the enamel becomes defenseless against pathogenic bacteria. If untreated, soft and hard tissues are severely damaged, due to which a tooth, and even more than one, can fall out.
The gums are swollen and bleeding: features of a recession
This pathology is widespread in the dental field. Many patients simply do not notice it due to its slow development (recession occurs gradually). The first alarming sign is an increase in the sensitivity of the enamel. This is one of the reasons why the tooth looks longer than before. And sometimes a notch can be felt near the gum line.
Recession is a very dangerous condition. It cannot be eliminated by simply replacing the paste or brush. If there is a suspicion of a disease, it is imperative to consult a dentist. Doctors can now suggest many methods to prevent the problem from getting worse.
Why the gum has moved away from the tooth: reasons
There are both external and internal provoking factors. The main ones are the following:
- The most common cause is periodontal disease (bacterial infections of the periodontal tissues);
- Hereditary predisposition. Some people suffer from periodontal disease more often than others, which in a third of cases is associated with a genetic predisposition;
- Improper cleaning. A hard brush and excessive force during cleaning lead to abrasion of the enamel, and later to the discharge of soft tissues. Regular damage leads to a worsening of the recession. Improper cleaning is evidenced by blood and scratches. And when the enamel becomes thinner, the sensitivity increases;
- Insufficient care. Lack of brushing or improper use of a brush / floss leads to the formation of calculus, a hard plaque that is localized on the walls and between teeth. This is what often leads to a recession. The stone can only be removed by professional cleaning at the dentist;
- In women, the gums become more vulnerable during the period of hormonal changes - during puberty, pregnancy, menopause;
- Smoking. This process is accompanied by the formation of a yellowish sticky coating on the tongue. It is difficult to remove, can provoke a recession, and then clog into periodontal pockets;
- Gritting and grinding of teeth. These habits are bad: strong pressure is regularly put on the tooth, which ultimately leads to problems;
- Uneven teeth and / or malocclusion. Some places have more pressure on the bones and gums than others;
- Lip or tongue piercing. Piercing earrings can be irritating and may damage tissues;
- Incorrect growth of wisdom teeth. Sometimes they grow, putting pressure on adjacent teeth and even on their entire row. In this case, in addition to the recession, there is pain in the jaw.
If the gum has moved away only a little, the doctor will deeply clean the problem area. During the cleansing process, it removes plaque and calculus from periodontal pockets. This event is called curettage. The doctor may also use antibiotics to kill bacteria, if any. You may need to use antibacterial agents at home for a while.
Anti-inflammatory treatments can include:
- rinsing with antiseptic solutions (Chlorhexidine, Stomatidin, Maraslavin, Stomatofit);
- washing pockets with antiseptic solutions from a syringe;
- dressings with glucocorticoids, antibiotics.
If the degree of recession is more advanced (severe bone loss, very deep pockets), and it cannot be cured by conventional closed curettage, they resort to surgical intervention.
Operative treatment of recession
The surgical procedure is selected depending on the severity of the problem.
- Open curettage. To make cleaning more effective, the doctor dissects the gums;
- Flap surgery. This procedure is similar to open curettage. It differs in that the doctor makes two incisions, forming a flap, which then leans back. In the resulting pocket, deposits and pathogenic bacteria are removed. Most often, flap surgery is performed in advanced cases, when the bone supporting the tooth has suffered. In this regard, in addition to cleansing, the damaged bone is restored - it is transplanted from the patient or from a donor. Now in many clinics the procedure of directed tissue regeneration is practiced. It consists in laying a regenerative material that helps to build up "synthetic" bone tissue. The latter is formed in the required quantity and direction by means of a membrane. The formed flap is firmly attached back;
- Soft tissue transplantation is performed using several methods. Most often, the "donor" is a flap with connective tissue taken from the palate. It is attached to the problematic area of the gums, and then the connective tissue is removed. Sometimes they take a flap from the palate without connective tissue or use gum tissue that is near the problem area. Thanks to transplantation, it is possible to reduce the periodontal pocket, prevent its further deepening and bone destruction.
Temporary help with folk remedies
If it is temporarily impossible to visit a dentist, you can use folk remedies at home - strengthening and disinfecting rinses. These will help if the gums are swollen and sore. They can be based on the following formulations:
- propolis tincture;
- hydrogen peroxide;
- decoction of oak bark, comfrey root, chamomile flowers, sage, strawberry / lingonberry leaves or St. John's wort;
- vegetable, peach, fir or sea buckthorn oil for dressings;
- saline solution;
- tincture of horsetail, alder cones or calendula;
- plantain juice.
Of course, it is easier to prevent any ailment than to treat it later. The best option is taking care of the health and cleanliness of the oral cavity. It should just become a habit:
- brush your teeth daily in the morning and evening;
- visit the dentist at least every six months;
- an appeal to a doctor at the slightest suspicion of a disease;
- in case of recession and similar problems, use a brush with soft bristles;
- if the reason for the discharge is hidden in the wrong bite or grinding, you need to consult with your doctor about solving these problems;
- quit smoking;
- introduce more solid foods into the diet to stimulate blood circulation in the gums;
- clean the interdental spaces with floss;
- rinse your mouth after each meal.
A recession requires more frequent visits to the dentist.
The separation of the gums from the tooth entails many problems, up to and including the loss of the latter. In advanced cases, even a few teeth can be lost.
If you turn to a specialist on time, you can get by with conservative treatment. Otherwise, surgical procedures are required.