This article was co-authored by Tu Anh Vu, DMD. Dr. Tu Anh Vu is a board certified dentist who runs her private practice, Tu's Dental, in Brooklyn, New York. Dr. Vu helps adults and kids of all ages get over their anxiety with dental phobia. Dr. Vu has conducted research related to finding the cure for Kaposi Sarcoma cancer and has presented her research at the Hinman Meeting in Memphis. She received her undergraduate degree from Bryn Mawr College and a DMD from the University of Pennsylvania School of Dental Medicine.
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If you have gum loss, it is likely due to periodontal disease. This is a dental disease that is caused by a buildup of plaque and tartar on your teeth. If this disease becomes advanced, it can cause your gums to recede and the roots of your teeth to become exposed. In order to reverse this gum loss, you will need to get dental care, improve your gum health, and make lifestyle choices that can improve the health of your gums.[1]
Steps
Getting Dental Treatment
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1Look for signs that your gums are unhealthy. Caring for your gums includes being on the lookout for signs that there is a problem developing. Signs that you may have a problem developing include:[2]
- Uncontrollable bad breath
- Red gums
- Swollen gums
- Tender gums
- Bleeding gums
- Painful chewing
- Loose teeth
- Sensitive teeth
- Receding gums
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2Get regular dental cleanings.[3] Regular cleaning can greatly reduce your chance of gum loss. It cleans away the plaque and tartar that can cause periodontal disease.
- If you get regular cleanings, you dentist will probably spot the signs of gum loss even before you do.
- Most insurance plans cover a cleaning every 6 months.[4] If you don't have insurance you will have to pay for the appointment out of pocket. However, this type of preventative care can save you a lot of money in the long run.
- If you think that your gums are receding, you should make an appointment to be seen by your dentist as soon as possible. Your dentist can assess the state of your gums, clean your teeth, and make recommendations about the treatment that you need.[5]
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3Have specialized cleaning done if your gums are receding. This process, also called tooth scaling and root planing, removes plaque and tartar from under the gums. Making a smooth surface under the gums will allow them to return to their proper place.[6]
- By smoothing out the surface area of the tooth, bacteria will have a hard time attaching to the surface in the future.
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4Take antibiotics for gum infection. If you have an infection below the gum line, and this is causing them to recede, your dentist may prescribe antibiotics in combination with other types of treatment. Antibiotics should knock out the infection and allow your gums to begin healing.[7]
- You may be prescribed either an oral antibiotic or a topical antibiotic that you apply directly to the infected area.
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5Schedule gum tissue surgery. If your gums have receded so much that there is bone loss and deep pockets next to the teeth, then you will need surgery to repair the gums. The dentist will take skin grafts from inside your mouth and then use them to repair the areas of gum loss.[8]
- Gum tissue surgery can be done by a dentist or periodontist. However, you may want to be referred to a periodontist for this procedure. This is a specialized dentist who is an expert in treating gum disease.
- After the surgery you will be given care directions from your dentist. Typically these include not brushing or flossing the area until it is healed and rinsing your mouth with a special mouthwash several times a day.[9]
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6Discuss the option of bone regeneration surgery. If your gums have receded so much that the bone is exposed, this can lead to a loss of bone. In a case like this, you will need to have a regenerative operation done. During bone regeneration surgery, your dentist will place regenerative materials in the area where you have suffered bone loss. This material will work to restore the area.[10]
- In order to regenerate the bone, your dentist may place a protective mesh in the area of bone loss to allow the bone to regrow. They may also insert synthetic or donated bone pieces to help the bone to regrow.[11]
- Your dentist will take X-rays of your teeth to assess whether you have bone loss due to the loss of gum tissue.
- You will receive detailed instructions for aftercare from your dentist. This will include a schedule for taking pain killers and antibiotics, information about a eating a soft diet until the area is healed, and keeping the area clean and undisturbed.[12]
Improving Your Gum Health
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1Brush your teeth more gently. If you brush your teeth too roughly, over time it can cause your gums to recede. Brushing gently with a soft bristled brush can allow your gums the ability to recover.[13]
- There are some electric toothbrushes that will give you a warning when you are pushing too hard. If you have a history of brushing too hard, this might be a good product to invest in.
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2Brush your teeth twice a day. If you have receding gums, it may be caused by a lack of basic dental care.[14] If you haven't been brushing, start brushing twice a day. This will minimize the buildup of bacteria and food debris around your gum line, which will allow your gums to grow back.[15]
- Be sure to use a toothpaste that has fluoride in it.
- If you really want to keep your teeth clean, begin brushing your teeth after each meal.
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3
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4Wear a bite guard. If you are grinding or clenching your teeth, the force you are creating can make your gums recede. To soften this force and allow your gums to regenerate, start wearing a bite guard.[18]
- Signs that you are grinding your teeth include a sore jaw or face, chipped or flattened teeth, tooth pain, and an unexplained headache.[19]
- Many people choose to wear their bite guard at night, when teeth grinding can occur involuntarily.
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5Improve your saliva production. If you are suffering from dry mouth, it can also increase the likelihood that your gums will recede. To increase your saliva production, try chewing sugar-free gum regularly or talk to your doctor about medications that can help increase the amount of saliva you are producing.[20]
- Saliva protects the gums from bacteria and plaque build up, so having too little of it can impact your gum health.
Making Lifestyle Changes
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1Quit smoking. Smoking can cause a large amount of plaque to attach to your teeth.[21] This can, in turn, cause your gums to begin receding. To eliminate this problem, make a plan to quit smoking and put that plan into action.[22]
- There are a variety of routes you can take to stop smoking. When you are making your plan to quit, remember that most people have more success quitting smoking if they are engaged in a smoking cessation program and if they use aids to ease their withdrawal.
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2Take out piercings that are rubbing on your gums. If you have a lip or tongue piercing, it may rub on your gums. The rubbing, over time, can cause your gums to recede. To minimize this and allow your gums to recover, you should take out any piercings that are rubbing on the gums.[23]
- If you are unwilling to remove a piercing permanently, at least take it out when you can. Sleeping without it or taking it out for a few hours a day will reduce the wear and tear on your gums.
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3Get professional treatment for health problems. There are some medical problems that can cause the gums to recede. For example, untreated diabetes can cause an increase in the glucose in your saliva. This can then cause an increase in the risk of gingivitis and periodontitis.[24]
- There are also cases in which the treatment for certain diseases can impact your gum health. If you are receiving treatment for HIV, AIDS, or cancer, your gums could be impacted.
- Talk to your doctor about how best to control these diseases and the impact their treatment can have on your gums.
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4Be aware of other contributing factors. There are some things that can cause your gums to recede that you cannot prevent or eliminate. However, you can be aware of them and understand that you need to be especially vigilant about your personal dental care if you have them. Factors that should prompt you to give your gums extra care include:[25]
- A family history of gum problems
- Old age
- Pregnancy
- Puberty
- Menopause
Expert Q&A
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QuestionWhat should I do if my gums bleed when I floss?Tu Anh Vu, DMDDr. Tu Anh Vu is a board certified dentist who runs her private practice, Tu's Dental, in Brooklyn, New York. Dr. Vu helps adults and kids of all ages get over their anxiety with dental phobia. Dr. Vu has conducted research related to finding the cure for Kaposi Sarcoma cancer and has presented her research at the Hinman Meeting in Memphis. She received her undergraduate degree from Bryn Mawr College and a DMD from the University of Pennsylvania School of Dental Medicine.
Board Certified Dentist -
QuestionHow often should I go to the dentist if I smoke?Tu Anh Vu, DMDDr. Tu Anh Vu is a board certified dentist who runs her private practice, Tu's Dental, in Brooklyn, New York. Dr. Vu helps adults and kids of all ages get over their anxiety with dental phobia. Dr. Vu has conducted research related to finding the cure for Kaposi Sarcoma cancer and has presented her research at the Hinman Meeting in Memphis. She received her undergraduate degree from Bryn Mawr College and a DMD from the University of Pennsylvania School of Dental Medicine.
Board Certified Dentist -
QuestionWill flossing too hard damage my gums permanently?Tu Anh Vu, DMDDr. Tu Anh Vu is a board certified dentist who runs her private practice, Tu's Dental, in Brooklyn, New York. Dr. Vu helps adults and kids of all ages get over their anxiety with dental phobia. Dr. Vu has conducted research related to finding the cure for Kaposi Sarcoma cancer and has presented her research at the Hinman Meeting in Memphis. She received her undergraduate degree from Bryn Mawr College and a DMD from the University of Pennsylvania School of Dental Medicine.
Board Certified Dentist
References
- ↑ https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072777/?_ga=2.74664724.782561524.1510180152-1930514083.1509037838
- ↑ https://www.nidcr.nih.gov/health-info/gum-disease
- ↑ Tu Anh Vu, DMD. Board Certified Dentist. Expert Interview. 10 April 2020.
- ↑ Tu Anh Vu, DMD. Board Certified Dentist. Expert Interview. 10 April 2020.
- ↑ https://www.nidcr.nih.gov/health-info/gum-disease#periodontitis
- ↑ https://www.nidcr.nih.gov/OralHealth/Topics/GumDiseases/PeriodontalGumDisease.htm#periodontitis
- ↑ https://www.nhs.uk/conditions/gum-disease/
- ↑ https://my.clevelandclinic.org/health/diseases/22753-gum-recession
- ↑ http://www.uthscsa.edu/patient-care/dental/services/gum-grafting
- ↑ https://my.clevelandclinic.org/health/treatments/21727-dental-bone-graft
- ↑ https://www.mayoclinic.org/diseases-conditions/periodontitis/diagnosis-treatment/drc-20354479
- ↑ https://www.gumdoc.net/instructions-post-op-care/extraction-with-site-preservation/
- ↑ https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=1&ContentID=1409
- ↑ Tu Anh Vu, DMD. Board Certified Dentist. Expert Interview. 10 April 2020.
- ↑ https://www.nidcr.nih.gov/OralHealth/Topics/GumDiseases/PeriodontalGumDisease.htm#periodontitis
- ↑ Tu Anh Vu, DMD. Board Certified Dentist. Expert Interview. 10 April 2020.
- ↑ https://www.nidcr.nih.gov/OralHealth/Topics/GumDiseases/PeriodontalGumDisease.htm#periodontitis
- ↑ https://my.clevelandclinic.org/health/articles/10910-mouthguards
- ↑ https://my.clevelandclinic.org/health/diseases/10955-teeth-grinding-bruxism
- ↑ http://goaskalice.columbia.edu/answered-questions/receding-gums
- ↑ Tu Anh Vu, DMD. Board Certified Dentist. Expert Interview. 10 April 2020.
- ↑ https://www.nidcr.nih.gov/OralHealth/Topics/GumDiseases/PeriodontalGumDisease.htm#periodontitis
- ↑ https://my.clevelandclinic.org/health/diseases/22753-gum-recession
- ↑ https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/gum-disease-dental-problems
- ↑ https://my.clevelandclinic.org/health/diseases/22753-gum-recession
About This Article
Gum loss is usually a result of a dental disease from excess plaque and tartar. Although gums don't grow back like other tissue, you can stop them getting any worse by visiting your dentist regularly and taking good care of your teeth. Your dentist will advise you on the best course of action, which might include regular dental cleanings or tissue surgery if your gum loss is really bad. If you have a gum infection, they’ll probably prescribe antibiotics to treat it. Make sure you brush your teeth twice a day and floss once to get rid of bacteria. If you smoke, try to cut down and quit, since cigarette smoke can cause a lot of damage to your teeth and gums. Ask your dentist or search online for support quitting smoking. For more tips, including how to spot signs of unhealthy gums, read on.
Medical Disclaimer
The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment.
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