Gingival recession is the situation where gingiva border falls below tooth enamel whereas root surfaces becomes apparent.
Gingiva recession can be seen in all individuals in the community including youngsters and adults.
Brushing the teeth with wrong brushing techniques, brushing the teeth for more than 3 times a day, brushing teeth harshly, demobilization in teeth, high and abnormal frenulums, gingiva disease, wrong filling and veneers that are realized before can cause gingiva recession.
Teeth should be brushed with medium hard brushes in circular movements and movements should never be too hard.
Gingiva diseases are inflammatory diseases that occur inside gingiva. Melting occurs on the bone tissue around the tooth due to the inflammation in gingiva and recession occurs in bones structure. Following the bone tissue, recession also takes place in gingiva tissue .
After gingiva treatment, all veneer and fillings in that area should be changed.
Due to gingival recession and wrong brushing,
problems arise such as aligner formation, teeth
Sensitivity and aesthetics.
In cases where gingiva border falls below a certain level and the hard tissue around teeth gets eliminated, our patients can experience teeth loss.
If gingival recession occurs, 3 treatment methods are applied as being treatment of damage incurred, treatment of dental sensitivity, and replacement of gingival tissue by surgical methods.
Damages occuring on gingiva can be treated by applying filling on the damaged area or by applying veneer to the whole tooth . In this way the sensitivity problem is also eliminated.
If occurrance takes place at the front areas creating an aesthetical problem for the patients, in cases where gingival disease has progressed, and in cases where veneer on the back teeth is not sufficient, gingival surgery is used.
Gingival surgery is applied in two ways. In the method named as grafting, the piece that is obtained from the palate of patient and which is called graft is applied to the area where there is gingival recession. In the second method named as shifting, if there is a healthy tissue next to the area of recession, tissue is shifted towards the healthy tissue and closed.
Gingiva surgery is performed under local anesthesia
And it is not different from other prosthesis operations and surgical operations. During the operation no pain is felt and afterwards a painkiller would be sufficient. In some patients, to whom grafting method is applied, sometimes open wounds remain inside palate. This situation can cause discomfort during the next 3-4 days when something touches that area. This feeling of discomfort is lost in 1 week time and the wounded area recovers without any traces.
The most important point to pay attention to after the operation is to keep the area protected from mechanical trauma. You should pay attention to what you eat and you should keep away from hard food. Keeping the operation area clean is one of the most important factors influencing the outcome of treatment.
Before the operation and during the recovery period of 1 week after the operation, the patients have to avoid smoking. As a new tissue forms in the region, providing nutrition for that tissue is very important and smoking cigarettes can have a negative impact on nutrition. It is not suitable to apply gingiva treatment to patients who smoke a lot of cigarettes.
After gingival operations, suturing is usually applied and the seams are taken one week after the operation.
In grafting operations, between the region from where graft is taken and the area where it is places, there will be a slight difference of color. In cases where artificial grafts are used and if shifting operations are made, no traces will be left.
In recent years many innovations took place in gingiva treatment. In grafting operations, in many
cases instead of the grafts taken from patients, artificial grafts are used and this avoids occurrence of discomfort after the treatment. Gels with enamel matrix protein basis enables the success rate of treatments to be higher and they reduce the discomforts occurring after the treatment.
Author of the Article: Dt. Koray Kendir