What are non-surgical treatment options for gingival recession defects?
Non-surgical treatment options for gingival recession defects. include establishment of optimal plaque control, removal of overhanging subgingival restorations, behaviour change. interventions, and use of desensitising agents. In cases where a surgical approach is indicated, coronally advanced flap.
What is the treatment for gingivitis?
Gingival recession involves apical displacement of the soft-tissue margin and root exposure that can negatively affect smile esthetics, increase susceptibility to root caries, and lead to dentin hypersensitivity. Regardless of the predisposing conditions leading …
When do you need gingival augmentation?
Cryosurgery is an easy procedure, with lack of bleeding and scar formation. The esthetic outcome may be maintained for 30 months as shown in the present case. Cryosurgery can be considered a desirable treatment option for gingival depigmentation. Cryosurgical Treatment of Gingival Melanin Pigmentation - A 30-Month Follow-Up Case Report
What happens if there is a lack of attached gingiva?
Apr 07, 2022 · If the gingivitis hasn’t gotten worse, no further treatment is necessary. If periodontitis has formed, your dentist will recommend more invasive treatment. Common treatment options for periodontal disease include scaling and root planing, gum flap surgery, bone grafts, or gum grafts. Gingivitis: Common Questions and Answers
How do you treat gum disease with no teeth?
Tooth loss that has occurred due to periodontal disease should ideally only be replaced once the gum disease treatment is complete. There are a number of options available to patients for replacing missing teeth like dentures, bridges and dental implants.Oct 29, 2019
What happens when you have no gums?
When gum recession occurs, "pockets," or gaps, form between the teeth and gum line, making it easy for disease-causing bacteria to build up. If left untreated, the supporting tissue and bone structures of the teeth can be severely damaged, and may ultimately result in tooth loss.Oct 31, 2021
What are treatment options for patients with periodontitis?
The goal of periodontitis treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding bone....Surgical treatmentsFlap surgery (pocket reduction surgery). ... Soft tissue grafts. ... Bone grafting. ... Guided tissue regeneration. ... Tissue-stimulating proteins.Feb 14, 2020
What are 3 nonsurgical periodontal treatments?
Non-Surgical Periodontal TherapyScaling and Root Planing. ... Localized placement of medications under the gum line to combat “gum” disease. ... Systemic Antimicrobials. ... Laser Therapy.
What is the surgery for receding gums?
A gum graft, also known as a gingival graft, can correct receding gums. Your dentist may refer you to a periodontist, a gum specialist, for this simple surgical procedure. In a gum graft, your periodontist first removes a piece of tissue from the roof of your mouth or from nearby healthy gum tissue.
How do you fix receding gums without surgery?
Brush and floss twice a day to keep gum recession and other dental health problems away.Oil Pulling. Oil pulling is a great way to naturally reduce plaque and prevent gingivitis. ... Eucalyptus Oil. ... Saltwater Rinse. ... Aloe Vera. ... Peppermint Essential Oil. ... Septilin. ... Turmeric Gel. ... Hydrogen Peroxide.More items...•Jul 27, 2021
What antibiotics are used for periodontal disease?
Metronidazole (Flagyl): This antibiotic may be prescribed to those patients suffering from severe periodontitis. Metronidazole works best when used in a combination with amoxicillin or tetracycline. Ciprofloxacin: This antibiotic is used to specifically target A.Jul 15, 2020
Is advanced periodontitis treatable?
Left untreated, however, it can rapidly progress to advanced periodontal disease, which causes receding gums, bad breath, and even tooth loss. While it's a highly treatable condition, the type of periodontitis treatment you receive depends on the severity of your gum disease.Jul 1, 2019
What procedures does a periodontist perform?
Common Periodontic Procedures and TreatmentsNon-surgical Periodontal Treatment. Not all periodontal treatment involves a surgery of some sort. ... Scaling and Root Planing. ... Periodontics' Tray Delivery Systems. ... Dental Implants. ... Regeneration. ... Soft Tissue Grafting. ... Gingivectomy.
Is non-surgical periodontal treatment painful?
For more advanced cases of gum disease, you may need two sessions to complete the procedure. Afterward, you may experience some slight discomfort and bleeding from your gums which will resolve soon afterward. We can recommend an over-the-counter pain reliever to help relieve any discomfort.Jan 15, 2020
What is supportive periodontal therapy?
Periodontal maintenance procedures (also known as supportive periodontal therapy) are designed to minimize the recurrence and progression of periodontal disease in patients that have been previously treated for periodontal problems. This is an ongoing prevention program of periodontal cleanings and evaluations.
What is non-surgical periodontal treatment NHS?
Non-surgical periodontal treatments include scaling and root planing (a careful cleaning of the root surfaces to remove plaque and calculus [tartar] from deep gum pockets and to smooth the tooth root to remove bacterial toxins), followed by oral therapy, as needed on a case-by-case basis.
How does gingivitis clear up?
Gingivitis usually clears up after a thorough professional cleaning — as long as you continue good oral hygiene at home. Your dentist will help you plan an effective at-home program and a schedule of regular professional checkups and cleaning.
How to diagnose gingivitis?
Dentists usually diagnose gingivitis based on: Review of your dental and medical history and conditions that may contribute to your symptoms. Examination of your teeth, gums, mouth and tongue for signs of plaque and inflammation. Measuring the pocket depth of the groove between your gums and your teeth by inserting a dental probe beside your tooth ...
How to get rid of plaque between teeth?
Consider using an electric toothbrush, which may be more effective at removing plaque and tartar. Floss daily. Use a mouth rinse to help reduce plaque between your teeth.
What does it mean when your gums are deeper than 4mm?
Pockets deeper than 4 mm may indicate gum disease . Dental X-rays to check for bone loss in areas where your dentist sees deeper pockets. Other tests as needed. If it's not clear what has caused your gingivitis, your dentist may recommend that you get a medical evaluation to check for underlying health conditions.
How to describe gingival recession?
After reading this course, the participant should be able to: 1 Discuss the percentage of patients presenting with gingival recession, and explain the importance of determining etiology. 2 Describe systems for categorizing various factors associated with gingival recession. 3 Explain why patients seek treatment for gingival recession, management strategies and possible interventions.
Does overzealous oral hygiene cause gingival recession?
PRECIPITATING FACTORS. Although lack of oral hygiene and subsequent inflammation are precipitating factors in gingival recession, overzealous oral hygiene can also have negative effects on gingiva. The results of traumatic toothbrushing most commonly present as recession on the facial of teeth prominent in the arch.4 Figure 3 illustrates gingival ...
How to prevent gingivitis?
The best way to prevent gingivitis and more severe gum diseases is by brushing and flossing regularly, using mouthwash, and visiting the dentist for professional teeth cleanings. Since gingivitis is reversible, good oral hygiene is the best way to prevent the disease.
What is gingivitis reversible?
Gingivitis, also referred to as mild gum disease, is characterized by the inflammation of the gum tissue. In gingivitis, the damage is reversible and the supporting structures of the teeth, such as your bones, are not permanently lost. Gingivitis is the earliest stage of periodontal disease ...
What is the earliest stage of periodontal disease?
Gingivitis is the earliest stage of periodontal disease (PD), which is a severe form of gum disease that develops from untreated gingivitis due to long-term plaque buildup. Periodontal disease permanently damages the gums and bones, and surgery is the only treatment option for this form of gum disease.
How does gingivitis reversal work?
The reversal of early gingivitis is relatively simple and focuses on the removal of plaque during professional teeth cleanings. During treatment, a dentist or dental hygienist examines the patient’s teeth and cleans them with small instruments. These instruments remove plaque and tartar that a normal toothbrush cannot reach.
How many people in the US have gingivitis?
More than half of American adults are affected by gingivitis and the prevalence is even higher as people age. Children and teens are also at risk of developing gingivitis, especially during puberty. Many people do not find out they had gingivitis until periodontal disease forms.
Why do I have gingivitis?
Gingivitis forms due to the long-term buildup of plaque, which is a sticky film that coats teeth and contains decay-causing bacteria. When plaque is not completely removed, the gums become inflamed and irritated over time.
Why do pregnant women have gum disease?
Hormonal Changes. Hormonal changes are linked to gum disease. Pregnant women are most at risk because extreme hormonal changes occur during pregnancy. Puberty, menopause, and menstruation also cause gum sensitivity and inflammation. Roughly 60 to 75 percent of pregnant women develop gingivitis.
How does oral bacteria cause gingival enlargement?
One reason people develop gummy smiles is inflammatory-induced gingival enlargement, typically caused by biofilm (bacteria) and the host response. Gum disease (gingivitis and periodontitis) can result in gum tissue swelling, redness, gum overgrowth, and bleeding (figure 1).
Medications that cause gingival enlargement
Medication-induced (drug-induced) gingival enlargement can be caused by certain classes of drugs people may be taking. 1 The following classes of drugs have been associated with gum overgrowth:
What are the systemic causes of gingival enlargement?
Systemic causes of gingival enlargement may result in localized gum tissue overgrowth or a generalized response in which all the teeth are affected. Consider these systemic causes:
Treatment of gingival enlargement
The first line of treatment is most often noninvasive and includes the discontinuation of any offending medication, controlling the systemic disease with medical care, institution of good home oral care, and nonsurgical mechanical debridement (dental cleaning).
Conclusion
Treatment of the gummy smile due to gingival enlargement is dependent on the etiologic agent and the category the disease falls under. If the enlargement is induced by medication, suspension of the drug and institution of proper home care will resolve the problem.
Diagnosis
- Dentists usually diagnose gingivitis based on: 1. Review of your dental and medical historyand conditions that may contribute to your symptoms. 2. Examination of your teeth, gums, mouth and tonguefor signs of plaque and inflammation. 3. Measuring the pocket depthof the groove between your gums and your teeth by inserting a dental probe beside your tooth beneath your gum line, u…
Treatment
- Prompt treatment usually reverses symptoms of gingivitis and prevents its progression to more serious gum disease and tooth loss. You have the best chance for successful treatment when you also adopt a daily routine of good oral care and stop tobacco use. Professional gingivitis care includes: 1. Professional dental cleaning.Your initial professional cleaning will include removing …
Lifestyle and Home Remedies
- Steps you can take at home to prevent and reverse gingivitis include: 1. Brush your teeth twice a day or, better yet, after every meal or snack. 2. Use a soft toothbrush and replace it at least every three to four months. 3. Consider using an electric toothbrush, which may be more effective at removing plaque and tartar. 4. Floss daily. 5. Use a mo...
Preparing For Your Appointment
- Follow your dentist's recommended schedule for regular checkups. If you notice any symptoms of gingivitis, make an appointment with your dentist. Here's some information to help you get ready for your appointment and know what to do to prepare.
Precipitating Factors
Indications For Treatment
- While there are several indications for treatment of gingival recession, esthetic concern is a primary indication, according to Cairo, et al.10 In a recent literature review, Chan et al4analyzed search results and identified factors that influence the decision to treat gingival recession. The following is a description of these factors, along with other considerations that affect treatment …
Dental Implants
- Expanding on early successes in osseointegration, the focus in implantology today is shifting to more esthetic outcomes.14Dental implants and implant restorations in the esthetic zone must mimic natural tooth characteristics and exhibit a soft-tissue profile that offers the appearance of a natural tooth exiting from the gingiva. Successful implants in the esthetic zone are made possi…
Therapeutic Goals
- According to the American Academy of Periodontology’s “Parameters on Mucogingival Conditions,”20therapeutic goals of mucogingival therapy are defined as nonsurgical and/or surgical correction of defects in morphology, position, and/or amount of soft tissue and underlying bone. This may be accomplished through a variety of procedures — including sof...
References
- American Academy of Periodontology. Glossary of Periodontal Terms. Available at: 184.106.75.105/sites/default/files/files/PDFs/Clinical%20Resources/GlossaryOfPeriodontalT…
- Albandar JM, Kingman A. Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988–1994. J Periodontol. 1999;70:30–43.
- Armitage GC. Development of a classification system for periodontal diseases and condition…
- American Academy of Periodontology. Glossary of Periodontal Terms. Available at: 184.106.75.105/sites/default/files/files/PDFs/Clinical%20Resources/GlossaryOfPeriodontalT…
- Albandar JM, Kingman A. Gingival recession, gingival bleeding, and dental calculus in adults 30 years of age and older in the United States, 1988–1994. J Periodontol. 1999;70:30–43.
- Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol.1999;4:1–6.
- Chan HL, Chun YH, MacEachern M, Oates TW. Does gingival recession require surgical treatment? Dent Clin North Am. 2015;59:981–996.
