Gum Recession (Receding Gums)

Gum changes, bleeding, swelling, tenderness, or changes in tooth appearance can bring someone to a visit. The examination is needed to assess the gums and supporting tissues.

Trauma and periodontal disease are named causes. Recession is common and becomes more extensive and prevalent with age.

The extent and severity are recorded and monitored rather than assigned a numbered stage. Assessment identifies causes and tracks whether recession is progressing.

Age, trauma, and periodontal disease all have a role in recession. Exposed dentine can bring pain, while exposed roots can develop caries.

Assessment identifies the causes, records the extent and severity, and monitors the affected area. This separates symptom control from preventing further progression.

Treatment aims to stop further progression and control symptoms and disease. Gum graft surgery can cover an exposed root and help prevent additional recession and bone loss.

Where root coverage is needed, a graft can use gum tissue from the palate or another donor source. It may cover one tooth or multiple teeth and can reduce sensitivity.

Recession can leave dentine exposed, causing pain and sensitivity, and may lead to root caries. Further recession and bone loss are concerns when roots remain exposed.

Management targets prevention of further progression and control of symptoms or disease. Monitoring the recorded extent helps show whether gum recession is stable.