The tooth basically consists of two parts: Crown and root. The part of the tooth that is visible in the mouth is called the crown. The tooth root is under the gum under normal conditions and is surrounded by alveolar bone. However, in some cases, the root of the tooth becomes visible in the mouth, and one of the reasons for this situation is gingival recession.
Gingival recession is the displacement of the gingival edge towards the root end of the tooth. Sometimes the tooth also tends to extend into the mouth. This condition can be confused with gum recession. Gingival recession is considered as a change in the position of the gum and a decrease in the amount of gum.
There are multiple reasons for gingival recession:
Improper tooth brushing: Too hard a brush. using or brushing teeth with excessive pressure.
Incorrect tooth positions: As a result of the teeth being positioned in a different place than where they should be anatomically.
Habits: Habits and situations that will cause trauma to the gums, such as picking the teeth with a toothpick, tampering with the edges of the gums with a fingernail, piercing.
Mucogingival stress: The lip and cheek connections are closer to the gum than they should be. As a result of being close.
Periodontal disease: Gingival recession may occur in periodontitis.
After periodontal treatment: While the edema in periodontitis patients is healing. Since the gum will shrink, healing may occur with recession.
Developmental anatomical disorders: Conditions that occur during growth and development.
Orthodontic forces. : Gum recession may occur in some teeth during braces treatment. Materials such as wires, brackets and tapes used during the treatment may also cause recession.
Removable prosthesis: Popularly known as "removable teeth", it is attached to the teeth in cases of partial edentulism. These connection parts of prostheses connected with metal parts may cause pulling.
Aging
Smoking
Teeth clenching-grinding
As a result of gingival recession, an unaesthetic situation will occur, especially if this occurs in the front teeth. root of tooth Since it is exposed, sensitivity may occur in the teeth. In this case, the person is consuming hot and cold foods, brushing his teeth, performing ablution, etc. You may feel tingling in your teeth, which affects your quality of life. Additionally, loosening of the teeth may occur as some of the support tissue around the tooth is lost. In this case, the person may experience anxiety about losing his or her tooth.
When treating gingival recession, it is necessary to first determine what the cause is and, if possible, eliminate it. For this purpose, treatment is carried out according to the factor such as changing the person's faulty habits, surgically removing them from the gums if the cause is the cheek-lip connections, and cleaning them in the presence of tartar and plaque. Then, by considering the final position of the gingiva, if all conditions are suitable, surgical treatment of gingival recession can be performed.
In the surgical treatment of gingival recession, the patient's health condition, the medications he/she uses, the ability to provide adequate oral hygiene, the physical and physical aspects of the surgical procedure, and Criteria such as being mentally fit are taken into consideration. Complete treatment of gingival recession may not be possible in every patient who meets these conditions. In this case, the amount and width of the recession becomes important.
If all conditions are suitable, gingival recession can be treated by simply taking a piece of the palate (free gingival graft or connective tissue graft) and sewing it to the area of recession. Additionally, if there is enough tissue around the area where there is recession, treatment is possible by shifting this tissue to cover the recession. All of these procedures are surgical procedures that can be easily performed under local anesthesia, and there will be stitches in your mouth afterwards. In accordance with your doctor's recommendations, the stitches will be removed within 7-10 days
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