Dr Rockson Samuel

Receding Gums with Braces

Conditions, Crowding, Alignment & Orthodontic Treatments
Posted 1 year ago

Contents

1 Receding gums with braces: Causes, prevention, and treatment

Receding gums with braces: Causes, prevention, and treatment

Understanding receding gums with braces

Receding gums, also known as gingival recession, occur when the gum tissue surrounding the teeth pulls back, exposing more of the tooth or even its root. This condition can lead to increased sensitivity, discomfort, and a higher risk of gum disease or tooth decay. When combined with orthodontic treatments like braces, the risk of gum recession can be a concern if not managed properly.

Braces are designed to straighten teeth and correct bite issues, but the pressure they exert on the teeth can sometimes contribute to gum recession, especially if oral hygiene isn’t properly maintained. Understanding why receding gums occur with braces and how to prevent and treat this condition is crucial for maintaining healthy gums and a beautiful smile during orthodontic treatment.

Causes of receding gums with braces

Increased pressure on teeth
Braces work by applying continuous pressure on the teeth to shift them into the desired position. This movement can sometimes cause the gum tissue to recede, especially if the pressure is too intense or if teeth are being moved too quickly.
Poor oral hygiene
Braces make it more challenging to clean teeth and gums effectively, leading to plaque and tartar buildup along the gumline. This buildup can cause inflammation (gingivitis), which, if left untreated, can progress to gum recession.
Overcrowded or misaligned teeth
Crowded or crooked teeth can be more prone to gum recession, especially when undergoing orthodontic treatment. As teeth are moved into their proper positions, gums may recede in response to the shifting teeth.
Genetics
Some individuals are genetically predisposed to gum recession, meaning they may be more likely to experience receding gums even with proper oral care during orthodontic treatment.
Aggressive brushing or flossing
Brushing or flossing too hard, especially when wearing braces, can irritate and damage the gum tissue, causing it to recede over time.
Gum disease
Gum disease is a leading cause of gum recession. The presence of braces can make it more difficult to maintain good oral hygiene, increasing the risk of developing gum disease, which in turn can cause receding gums.
Improper placement or adjustment of braces
If braces are not correctly placed or adjusted, they can exert excessive pressure on certain teeth, leading to gum irritation and recession.

Symptoms of receding gums with braces

Tooth sensitivity
Exposed tooth roots due to receding gums can cause increased sensitivity to hot, cold, or sweet foods and beverages.
Longer-looking teeth
As the gum tissue recedes, teeth may appear longer than usual, making the recession more noticeable.
Swollen or red gums
Inflamed gums are often a sign of gum disease, which can contribute to receding gums, especially when wearing braces.
Bleeding gums
Gums that bleed during brushing or flossing may indicate gum inflammation or early stages of gum disease, which can worsen with braces.
Loose teeth
In severe cases, gum recession can cause teeth to become loose due to the loss of supporting gum tissue and bone.

Preventing receding gums with braces

Maintain excellent oral hygiene

Brush your teeth thoroughly at least twice a day using a soft-bristled toothbrush. Make sure to brush around the brackets and wires carefully.
Use an interdental brush or a water flosser to clean hard-to-reach areas between braces and teeth.
Floss daily to remove plaque and food particles that can accumulate around braces.

Use orthodontic-friendly dental products

Opt for fluoride toothpaste to strengthen teeth and protect against cavities.
Consider using an antiseptic mouthwash to reduce bacteria and plaque buildup around braces.

Attend regular dental check-ups

Visit your orthodontist and dentist regularly for professional cleanings and check-ups to monitor the health of your gums and ensure that your braces are functioning correctly.
Professional cleanings help remove plaque and tartar that can contribute to gum recession.

Avoid aggressive brushing

Use gentle, circular motions when brushing around braces to avoid damaging your gums.
Consider using an electric toothbrush with a pressure sensor to prevent brushing too hard.

Monitor your diet

Limit sugary and acidic foods and drinks, as they can contribute to plaque buildup and gum disease.
Consume a balanced diet rich in vitamins and minerals, such as calcium and vitamin C, to support gum health.

Stop smoking or using tobacco products
Smoking or using tobacco products can exacerbate gum problems and increase the risk of gum recession. Quitting can help improve overall gum health.

Treatment options for receding gums with braces

Orthodontic adjustments
If braces are contributing to gum recession, your orthodontist may adjust the tension or placement to reduce pressure on the affected areas. Regular check-ups are essential to ensure the treatment is progressing correctly.
Scaling and root planing
This deep-cleaning procedure can help remove plaque and tartar buildup below the gumline, reducing gum inflammation and helping gums reattach to the teeth.
Gum grafting
For severe gum recession, a gum grafting procedure may be necessary. This surgical treatment involves taking tissue from another part of your mouth (or using donor tissue) and attaching it to the affected area to cover exposed roots and restore gum health.
Pinhole surgical technique (PST)
This minimally invasive procedure involves making small holes in the gum tissue and using special tools to reposition the gum over the exposed tooth roots. It’s an effective option for treating multiple areas of gum recession without stitches.
Laser gum therapy
Laser treatment can remove infected gum tissue, promote healing, and stimulate gum regeneration. It’s a less invasive option for addressing receding gums, especially when caused by gum disease.
Use of desensitizing toothpaste
Desensitizing toothpaste can help alleviate sensitivity caused by exposed tooth roots. This can provide relief while other treatments are being administered.

Managing receding gums after braces

Wear retainers as instructed
After braces are removed, wear your retainer as directed by your orthodontist to maintain your teeth’s new alignment. This helps prevent shifting that could contribute to further gum recession.
Continue practicing good oral hygiene
Maintaining proper oral care habits after braces are removed is crucial for preventing gum problems and ensuring long-term gum health.
Regular dental visits
Continue visiting your dentist for regular check-ups and cleanings to monitor gum health and address any early signs of gum issues.

Impact of untreated receding gums with braces

Ignoring gum recession while wearing braces can lead to serious oral health problems:

Increased risk of tooth decay and gum disease
Exposed tooth roots are more vulnerable to bacteria, leading to a higher risk of cavities and gum disease.
Tooth sensitivity and discomfort
As gum recession progresses, tooth sensitivity can worsen, making it painful to eat or drink certain foods.
Tooth mobility and loss
Severe gum recession can weaken the support structure around teeth, leading to looseness and even tooth loss.

The role of orthodontic treatment in preventing gum recession

Properly aligned teeth can reduce the risk of gum recession by making it easier to clean your teeth and gums effectively. While braces may initially contribute to gum recession in some cases, the long-term benefits of correcting alignment issues can help prevent gum problems in the future.

Useful resources

For more information about receding gums and orthodontic treatments, visit the American Association of Orthodontists or the American Dental Association.

Final thoughts

Receding gums with braces is a concern that requires attention and proactive care. By understanding the causes, maintaining good oral hygiene, and seeking professional guidance, you can minimize the risk of gum recession and enjoy a healthy, confident smile during and after orthodontic treatment.