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Receding gum tissue can be an issue especially as we get older. Normal healthy gum tissue will follow snugly against the conforms of our teeth. Gum recession occurs when the gum tissue recedes or pulls away from teeth exposing the root below. This creates an esthetic issue as well as a functional one. The roots of our teeth do not have a protective layer of enamel. This can make your teeth sensitive to hot and cold as well as increase your risk of tooth decay. Once recession occurs, this tissue cannot grow back to its original state. There are treatments to restore lost gum tissue and bring your smile back to its original healthy state.

What Causes Gum Tissue To Recede?

Several factors can cause our gum tissue to recede including:

-Periodontal Disease (ranges from ginigivitis to advanced periodontitis) - Periodontal disease (also called gum disease), refers infections of the structures around the teeth, which include the gums, periodontal ligament and alveolar bone. In the earliest stage of periodontal disease — gingivitis — the infection affects the gums. In more severe forms of the disease, all of the tissues are involved. This inflammation occurs due to an accumulation of bacterial deposits called plaque.

Contributing factors of periodontal disease include:

-poor oral hygiene maintenance

-misaligned or crooked teeth

-damaged or faulty fillings

-bridges or partial dentures that no longer fit

-genetics

-hormonal changes due to pregnancy or oral contraceptives

-medications that cause dry mouth (xerostomia)

-certain immune disorders

-stress

-tobacco use

Periodontal Disease Stages

-Gingivitis causes gum redness, swelling, and sometimes bleeding. If left untreated, gingivitis can progress to periodontitis.

Periodontitis is the advanced stage of periodontal disease and can cause the gums to recede. As the gum and connective tissues pull away from the tooth, a pocket forms between the tooth and gum, which begins to accumulate bacteria. Over time, the bacteria cause further damage and inflammation. If the gums recede too much, it may lead to bone loss, which can cause teeth to loosen or fall out over time.

Is Incorrect Brushing The Cause?

Maintaining a regular brushing and flossing regimen is essential for maintaining good oral hygiene. However, using an incorrect brushing technique could actually contribute to receding gums. The part of the gum that comes into contact with the crown of the tooth is called the gingival margin. Brushing incorrectly or too hard can damage the gingival margin, possibly triggering gum inflammation and recession.

Incorrect brushing techniques can include:

-brushing too forcefully

-using a hard or medium bristled toothbrush

-brushing the teeth in a broad, horizontal motion

Teeth grinding and clenching

Some people grind their teeth together while sleeping. This motion of teeth grinding puts intense pressure on the gums, which can cause them to react by receding over time. Teeth grinding can also cause teeth to become loose in their sockets. Grinding creates deep pockets between the tooth and the gum, where bacteria can collect. These bacteria trigger gum inflammation, which can then worsen gum recession.

Injury

Sustaining direct trauma to the gum tissue may cause the gums to recede in that area. These injuries could include:

-during a fall or other accident

-during dental procedures

-while wearing ill fitting partial dentures

-trauma while playing contact sports

Treatments For Receding Gums

Scaling and root planing

Scaling and root planing is one of the first treatments for receding gums that a dentist will recommend. This procedure will remove plaque and tartar from below the gumline, where routine brushing cannot reach. Root planing removes plaque and tartar specifically from the roots of teeth. Following removal of plaque and tartar your dentist or hygienist will use special instruments to smooth the roots, which helps the gums re-attach to the tooth.

Gum Tissue Grafting

Your dentist may recommend gum graft surgery if your gums have severely receded to the point where surgical intervention is needed. During gum grafting, a surgeon will take a small piece of gum tissue from a different area in the mouth and transplant it to cover the exposed tooth roots. This gum tissue grafting helps prevent bone loss and the gums from receding farther. It can also protect the previously exposed tooth roots from decay and tooth sensitivity

Pinhole Surgical Technique

Pinhole surgical technique is a fairly new treatment for mild to moderate receding gums. Pinhole Surgical Technique is a minimally invasive procedure that requires no incisions and no suturing. It is a quick and effective treatment for gum recession that is virtually pain-free and requires only a very short recovery time. Patients can resume normal activities the same day as their procedure.

Prevention Of Gum Tissue Recession

-Practice good oral hygiene

The following oral hygiene tips can help avoid receding gum tissue:

-flossing between the teeth at least once per day preferably after each meal

-fluoride toothpaste

-brushing your teeth 2x/day using a soft bristled toothbrush

-using an antiseptic mouthwash to reduce bacteria and flush out debris

-choosing a size and shape of toothbrush that allows access to all parts of the mouth

-replacing toothbrushes at least every 2–4 months or as recommended by your dentist

-maintaining a regular schedule of dental appointments

-Wear A Mouthguard

Wearing a mouthguard at night can help prevent gum recession due to teeth grinding. Mouthguards create an even pressure across the jaw and act as a physical barrier to separate the top and bottom teeth. Mouthguards can be bought at your local pharmacy. A dentist can also make a customized mouthguard, which will provide a better fit and be much more comfortable and long lasting

-Replace Dentures That Do Not Fit

Partial dentures that once fit well can become incompatible with the mouth over time. This can happen for several reasons, including:

-the bone and gum ridges shrinking over time

-differences or changes in jaw alignment

-overall wear and tear of the partial dentures over time

Ill fitting partial dentures can rub and irritate the gums, causing the gums to recede around healthy teeth. People can prevent this by replacing partial dentures as needed. If you are concerned have your dentist evaluate your partial dentures at your next visit.

-Maintain Regular Dental Visits

Attending regular dental checkups is vital for detecting the early stages of gum recession. Routine examinations also allow your dentist to identify and replace any failing restorations or ill fitting partial dentures, which can contribute to receding gums.

Gum Recession Conclusion

Unfortunately once the gum tissues have receded, they cannot grow back on their own. With Advancements on treatment your dentist can reattach and restore gum tissue around the teeth. Remember to maintain a good oral hygiene program at home and seeing your dentist regularly can help prevent, slow, or stop gum recession. If you notice changes in your smile speak to your dentist to see what options are right for you.


Orthodontics have become a new tool to recreate our smiles. For the longest time, orthodontic braces was a treatment only for children. Advances in orthodontic materials have led to changes in the appearance of orthodontic appliances, and increased speed of movement of our teeth. Orthodontics have become a treatment of choice for many teens and adults. There are multiple options for orthodontic treatment today to make them as aesthetic as possible with shorter treatment lengths along with more cosmetic appearance. While teeth are being moved, changes occur to the mouth, lips, chin, and cheeks. The million dollar question is…..Can Orthodontic treatment change a person’s facial appearance?

Once orthodontic treatment is completed, many patients will look in the mirror and notice changes in their facial appearance. The bigger change happen when exhibiting a full smile, as this will show off the new found symmetry of your smile. The change will be even more noticeable if there are major corrections during your orthodontic treatment.

 Orthodontic Corrections = Changing Facial Appearance

-Correction Of Overbite.  An overbite can cause the upper lip to protrude otward. In very extreme cases the upper lip is so far advanced that the lips are not able to completely cover and close the mouth at rest. In side profile the upper lip flares and the convexity of the mid face is pronounced. After completion of orthodontic movement, the facial area from nose down to chin flattens and the appearance can soften.

-Correction Of Underbite. An underbite causes the chin to protrude and lower lip to retrude, giving you a “Moon Shape” profile. After orthodontic movement, the face loses much of this concavity. This again helps to flatten and soften the features, bringing the lips together in a more natural look. Underbite correction may in some cases require surgery.

-Open Bite Correction. Prior to correction, the mouth and lips may seem a bit overstretched. In more severe cases the lips do not touch at rest. After movement, The mid face appears more relaxed and the lips come together at rest. Severe open bite may require surgery to be fully corrected.

-Upper Or Lower Jaw Expansion. There are times when a patient has too little space in one or both of their arches.  The middle of the face may be narrow, and cheeks a bit hollow. If space needs to be opened, a device is custom fabricated called an orthodontic expander. If it is used on top jaw it is referred to as a palatal expander and if used on lower jaw it is called a mandibular expander. Expanders are used more often on children but they can also be used on adults in coordination with surgery. The expansion is usually done in very small increments and usually will go unnoticed by many. A more symmetrical smile and wider mid face will be the end result.

Conclusion

Orthodontic treatment can change a person in multiple ways. These changes can include a bigger smile, straighter teeth, and balancing of one’s facial appearance. The changes to a person’s face are usually more pronounced when surgery is involved.  A person’s side profile is what changes most dramatically. When teeth are in proper alignment, the profile of a person will be more in line with the rest of their facial features creating a more symmetrical balanced appearance.

The facial changes can usually be predicted prior to treatment. Ask your dentist what changes you can expect based on your individual smile


Dental implants are routinely used throughout dentistry and have become mainstream for many patients. In the past, patients were presented other options…go without a tooth or teeth, wear a removable denture, or have a cementable bridge made.Dental implants have allowed for a great additional option which does not cut down existing teeth, and is strong and unmovable. Unfortunately, many of us forget that dental implants need to be cared for and maintained just like  natural teeth.

What Are Dental Implants?

Dental implants are an artificial tooth root (usually made of titanium) that a periodontist or oral surgeon places into your jaw to support restorations that resemble a tooth or group of teeth. Dental implants can replace a single tooth, support  a bridge, or support a denture (making it more comfortable and secure).

Dental implants are an ideal option for people in generally good oral health who have lost a tooth or teeth due to periodontal disease, injury, fracture or decay. Dental implants are actually more tooth saving than traditional crowns and bridges, since dental implants do not cut down healthy teeth or rely on adjacent teeth for support.

Sufficient bone, and good overall health will give you the best prognosis for ideal oseointegration, (the way bone fills in around the implant for strength). Dental implants are intimately connected with the underlying bone and gum tissues in the mouth. So, proper fit, good occlusion, and excellent oral hygiene are necessary for long term success. With technique and material advances, dental bone grafts are now more successful than ever and can be used to augment your natural bone. Periodontal disease, diabetes, bleeding problems, etc. can cause difficulty in placement, healing and longevity of the dental implants. Be upfront with your dentist regarding health issues so that the proper steps can be taken to give you the highest chance of success. There is an increased risk of failure in patients who are smokers. For this reason, dental implants are frequently placed only after a patient has stopped smoking.

Top Tips For Caring For Your Dental Implants

-Toothbrushing. Usual toothbrushing applies. It is recommended that you brush twice a day but it is even more beneficial to brush after every meal if that is possible.

-Flossing. Yes, flossing is important even with dental implants. Flossing is able to clean around the dental implants along the gum line. Just because the dental implants cannot get tooth decay it does not mean you cannot lose them. Bone loss is still possible around the dental implants which can lead to their loss.

Dental Implants Marielaina Perrone DDS-Maintain Regular Dental Visits.  Dental implants should be cleaned with different types of dental instruments as not to scratch the surface. They should again not be cleaned with ultrasonic or vibrating dental instruments of any kind. It is important to examine the dental implants at least once per year along with your regular professional cleaning schedule. Your dentist will evaluate the bone levels along with the soft tissues and occlusion. The important takeaway here is to have frequent examinations to catch any issues that might arise early enough so proper corrections can take place.

-Use A WaterPik. A great way to clean around dental implants is to use WaterPik.  The WaterPik is a water spray that cleans in between and around the teeth. But keep in mind again too much pressure may cause damage to the pocket so keep it at the lowest level possible. Recent studies have shown the WaterPik to remove up to 145% more debris than regular dental floss alone. Periogen in the waterpik can help remove tartar buildup around implants making it easier to keep them clean.

-Do Not Smoke. Smoking has been known to decrease oxygen flow to the gum tissues. This results in delayed healing, deterioration of the oral tissues, and bone loss. Bone loss and inflammation will cause your implant to loosen and fall out. If you want to protect your investment, do not smoke.

-Avoid Extremely Hot Liquids. Dental implants are made of metal and metal has ability to retain heat more readily than our oral tissues. If you drink extremely hot liquids, the metal of the dental implant  may heat up from the liquid and stay hot. The heat may cause a burning of a thin layer of cells around the implant. With repeated small damages this may cause inflammation around the implant. This is not backed by research, but is worth mentioning.

Caring For Dental Implants Conclusion

Just like your natural teeth, dental implants should be maintained if you wish to keep them. With proper maintenance, both at home and at the dentist 89052, dental implants can last a lifetime. Dental implants can strengthen, and enhance your smile for years to come.

Any type of oral surgery can be an extremely nervous time for a patient. In the case of an impacted wisdom teeth it is very necessary. This is because impacted wisdom teeth left untreated can cause all sorts of issues affecting your dental health. Below you will find the top five (5) reasons to have your impacted wisdom teethremoved to avoid future dental issues.

Top 5 Reasons To Remove Impacted Wisdom Teeth

-Lack Of Space. One of the main reasons wisdom teeth can cause so many dental issues is because there simply is not enough room in most people’s mouths for them. Most people only have room for 28 teeth. With the wisdom teeth you would have 32 teeth.

-Crowding Leading To Crooked Teeth. The pressure of your wisdom teeth attempting to erupt can place forces on your other teeth pushing them forward. Causing crowding. This is especially concerning to those who have already had orthodontic treatment. If left untreated it can lead to further orthodontic treatment to recorrect the crwoding.

-Cyst/Tumor Development. A cyst can develop in the sac of the developing wisdom tooth. If a cyst develops it can lead to damage to surrounding teeth as well as to the bone of the jaws. Infection and tumor development is also a possibility.

-Nerve Damage. It is vital to remove your wisdom teeth when recommended. As they develop it is possible they develop in the area of the nerves of the jaws. Damage to these nerves can cause permanent damage.

-Infection. Developing of an oral infection is a definite possibility and should be addressed immediately. Infection will pose a risk for both your dental and general health. Dentally, infection can lead to tooth loss, bone loss, and periodontal disease.

Conclusion

An impacted wisdom tooth should be removed based on your dentist’s recommendations. The complications that could develop are not worth the risk of leaving them alone. Routine dental examinations and professional cleanings will allow your dentist the time to make the proper diagnosis as to when and if they need to be removed.