Hi, I'm Dr. Joe Nemeth. I'm a periodontist in Southfield, Michigan and I want to
talk today about gum recession, the causes of gum recession, treatment for
gum recession, specifically the pinhole technique for gum recession. So what is
gum recession? Well gum the recession is when the gum
moves away from the tooth so more and more of the tooth starts to show. The
root of the tooth starts to show and this can lead to increased sensitivity a
unacceptable or a smile that's not very attractive and as the gum continues to
recede the tooth may be more subject to decay. As the gum recedes the bone
recedes and you know if you continue to lose gum and you continue to lose bone
the tooth really becomes at risk and you actually risk losing the tooth. So
there's lots of consequences to untreated gum recession. So let's talk
about the causes of gum recession. Well one of the primary causes is genetics. If
you inherit, genetically, if you inherit thin gum tissue, that thin gum tissue is
much more likely to be subject to recession than someone who has thicker
gum tissue. Another cause that I frequently see I would say probably 70
to 80% of the patients that I see for recession have had orthodontic treatment
and sometimes that recession doesn't occur till a month a year, two, five, ten
twenty years after the orthodontics, but very frequently the orthodontics has an
effect on the bone and the gum, that sets the stage for recession in the future.
Another major cause is vigorous tooth brushing.
Most of the patients that I see are very very conscious of how clean their mouth
should be and they're super duper cleaners. They may brush their teeth
three, four times a day, really scrub them. Well, the more you scrub if you over
scrub and if you over-clean you're actually traumatizing
that tissue and causing it to be more likely to recede in the future. Also, if
you clench you grind your teeth that can be a factor. If you have fillings that
can irritate the tissue and sometimes cause recession. I had a patient the other
day who had recession after she had used a whitening strip to whiten her
teeth. So sometimes the chemicals from whitening materials, strong chemicals can
actually cause gum recession. So, those are some of the frequent causes that we
see when we see gum recession. Traditionally, in repairing areas of gum
recession periodontists take tissue from the palate. Now, that can be pretty
uncomfortable, it can be pretty painful actually. Cutting gum tissue out of the
roof of the mouth is really what it is. Plus, you can only do a limited number of
teeth because you can only really take out a certain amount of gum tissue from
the palate at one time actually, of course it's limited. So, I use the
pinhole technique exclusively, virtually exclusively. I never never take tissue
from the palate if I can possibly avoid it, which is almost all the time. So
here's an example of a situation where a young man came in, he had had recession
on the back of one of his lower front teeth. Now a periodontist twice in the
past he had been to periodontists who tried to repair this with what's called
the gold standard which is taking tissue from the roof of the mouth and trying to
cover the recession with that. Both of those attempts failed. He came to our
office and it was an interesting challenge and we did it with a
modification of the pinhole technique and we got a very gratifying result, much
much better and the patient of course was much happier than what had happened
in the past. Now we also had another patient who flew in from South Korea. She
wanted to have her recession treated. She was an American citizen but lived in
Korea. She flew in to see me. We did her whole mouth, and once. Again, we didn't take
tissue from the palate. You really couldn't treat the whole
mouth by taking tissue from the palate anyway, because you couldn't get enough
tissue. So we did the pinhole technique which is minimally invasive, usually
little or no pain or discomfort. It's really really great it's worked so well
for me and my patients. We did her whole mouth. This is what it looked like before,
after the result is great. She was extremely happy. We were extremely happy
and it's very gratifying to be able to help patients like this who've got gum
recession. Some of whom have been through previous treatment that hasn't worked
that it maybe has failed, and then we can very often help them and treat those
areas effectively with minimal discomfort and maximum effectiveness.
It's a great technique, great procedure. So if you have gum recession, don't
hesitate to give us a call we'll take a look and see if we can help you. We
probably can, and if you have any comments make sure and let us know. We
want to keep you informed. Keep you happy, keep you healthy because if you have a
healthy mouth, you're going to have a healthier body. Take care, have a great day!
Restore you smile and your health, with
the help of dr. Nemeth and his associates. Visit drnemeth.com to
schedule your appointment today!
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