If you’ve noticed some of your teeth seem to be “longer” than you remembered, it’s not because they’ve grown. Rather, your gums have shrunk back or receded to expose more of the underlying tooth.
It’s not just unattractive — gum recession could lead to severe consequences like bone or tooth loss. But before we begin treatment we need to find out why it happened. Knowing the true cause will help us put together the right treatment plan for your situation.
Here are 4 of the most common causes for gum recession and what we can do about them.
The kind of gum tissues you have. There are two kinds of risk factors: those you can control and those you can’t. Because you inherited the trait from your parents, your gum tissue thickness falls into the latter category. Although there are degrees within each, gum tissues are generally classified as either thick or thin. If you have thin tissues, you’re more susceptible to gum recession — which means we’ll need to be extra vigilant about caring for your gum health.
Tooth position. Normally a tooth erupts during childhood in the center of its bony housing. But it can erupt outside of it, often resulting in little to no gum tissue growth around it. The best solution is to move the tooth to a better position within the bony housing through orthodontics. This in turn could stimulate gum growth.
Over-aggressive brushing. Ironically, gum recession could be the result of brushing, one of the essential hygiene tasks for dental health. Consistently brushing too hard can inflame and tear the tissues to the point they begin to recede. Brushing doesn’t require a lot of force to remove plaque: use gentle, circular motions and let the detergents and mild abrasives in your toothpaste do the rest.
Periodontal (gum) disease. This, by far, is the greatest cause for gum recession: an infection caused by built-up bacterial plaque. The weakened tissues begin to detach from the teeth and recede. Gum disease can be treated with aggressive plaque removal and supporting techniques; but it’s also highly preventable. Practicing daily brushing and flossing and regularly visiting your dentist for thorough cleanings and checkups are the best practices for keeping your gums as healthy as possible.
If you would like more information on gum recession, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gum Recession.”
Your gums not only support and protect your teeth they also help present them in a visually attractive way. But some people’s gums seem to stand out too much — what’s commonly called a gummy smile — which diminishes their smile appeal. There’s no precise definition, but as a rule of thumb we consider a smile too gummy if four or more millimeters (about an eighth of an inch) of the gums show.
Fortunately, there are some techniques to improve a gummy smile. Which technique is best for you, though, will depend on why the gums are prominent — and causes vary. For example, you could have a gummy smile because your teeth appear too short compared to your gums.
Permanent teeth normally erupt to about 10 mm of visible length. But less than that, say 8 mm, could skew the visible proportion of gums to teeth too much toward the gums. Teeth can also appear shorter due to accelerated wear caused by grinding habits. Another cause could be the amount of upper lip rise when you smile. The lip may rise too high in a condition called hypermobility. This could reveal too much of the gums when you smile.
It’s important then to match the treatment to the cause. For example, we can enhance the appearance of shorter teeth through a surgical procedure known as crown lengthening.Â During this procedure a surgeon reshapes the gum tissues and underlying bone to expose more of the tooth’s length.
For upper lip hypermobility, we can restrict movement with Botox, a drug that paralyzes tiny parts of the involved muscles. This approach, though, will wear off in a few months — a more permanent solution is surgery to reposition the muscle attachments so as to prevent excessive movement.
If you’re concerned about a gummy smile, see us for a full examination and consultation. Once we know the reason why, we can offer a solution that will make your smile more attractive.
If you would like more information on enhancing the appearance of your gums, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gummy Smiles.”
Cavities can happen even before a baby has his first piece of candy. This was the difficult lesson actor David Ramsey of the TV shows Arrow and Dexter learned when his son DJ’s teeth were first emerging.
“His first teeth came in weak,” Ramsey recalled in a recent interview. “They had brown spots on them and they were brittle.” Those brown spots, he said, quickly turned into cavities. How did this happen?
Ramsey said DJ’s dentist suspected it had to do with the child’s feedings — not what he was being fed but how. DJ was often nursed to sleep, “so there were pools of breast milk that he could go to sleep with in his mouth,” Ramsey explained.
While breastfeeding offers an infant many health benefits, problems can occur when the natural sugars in breast milk are left in contact with teeth for long periods. Sugar feeds decay-causing oral bacteria, and these bacteria in turn release tooth-eroding acids. The softer teeth of a young child are particularly vulnerable to these acids; the end result can be tooth decay.
This condition, technically known as “early child caries,” is referred to in laymen’s terms as “baby bottle tooth decay.” However, it can result from nighttime feedings by bottle or breast. The best way to prevent this problem is to avoid nursing babies to sleep at night once they reach the teething stage; a bottle-fed baby should not be allowed to fall asleep with anything but water in their bottle or “sippy cup.”
Here are some other basics of infant dental care that every parent should know:
- Wipe your baby’s newly emerging teeth with a clean, moist washcloth after feedings.
- Brush teeth that have completely grown in with a soft-bristled, child-size toothbrush and a smear of fluoride toothpaste no bigger than a grain of rice.
- Start regular dental checkups by the first birthday.
Fortunately, Ramsey reports that his son is doing very well after an extended period of professional dental treatments and parental vigilance.
“It took a number of months, but his teeth are much, much better,” he said. “Right now we’re still helping him and we’re still really on top of the teeth situation.”
If you would like more information on dental care for babies and toddlers, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “The Age One Dental Visit” and “Dentistry & Oral Health for Children.”
Your smile may look healthy, but something quite unhealthy may be going on behind it. Unbeknownst to you, periodontal (gum) disease could even now be damaging tissues and bone that could lead to tooth loss. Caused by plaque, a thin film of food remnant and bacteria built up on the teeth due to poor oral hygiene, gum disease can aggressively spread deep into gum tissues without you even realizing it.
If you pay close attention to your gums, however, it’s still possible to pick up signs of the disease, even during its early “silent” stage. As the infection progresses, the signs will become more frequent — and consequential.
Here are 4 signs of gum disease you should definitely keep on your radar.
Bleeding. Unless you’re doing it too hard, healthy gums won’t normally bleed when you’re brushing or flossing. If they do bleed with just light to moderate pressure, it’s a sign the tissues have been inflamed and weakened by the infection.
Inflammation and redness. If you notice your gums seem swollen or reddened, it could mean they’re inflamed. Inflammation is the body’s response for fighting infection — however, if the inflammation becomes chronic it can actually damage the tissue it’s trying to protect.
Abscesses. These are localized areas in the gums where the infection has become isolated. They’ll typically be more swollen than surrounding gum tissues and are often filled with pus. They can also be sensitive to the touch and painful. Any sore spot like this that lasts for more than a few days should be examined.
Loose or moving teeth. Teeth that can move in the socket or appear to have shifted their position are signs of an advanced stage of gum disease. It’s an indication the gum and bone tissue that hold teeth in place have been weakened and are losing their attachment. Without immediate treatment, it’s just a matter of time before the teeth are lost altogether.
If you notice any of these signs, you should see us as soon as possible for a complete exam. The sooner we’re able to diagnose gum disease and begin treatment, the less likely it will permanently harm your teeth and gums.
If you would like more information on treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “When to See a Periodontist.”
You’ve been embarrassed for a while now by your yellowed, dull teeth. You’re ready for a change.
There’s a simple and cost-effective way to make that change: you can temporarily brighten your smile with teeth whitening, possibly at home. But before you try it, you should first have a dental examination to find out if whitening is the right choice for you.
First off, healthy teeth with outer enamel staining are the best candidates for whitening. Teeth and gums with tooth decay or periodontal (gum) disease should be treated first before undergoing whitening. A dental exam will uncover any health issues you may have with your mouth.
In the same vein, you’ll want to consider whitening carefully if you have dental work like veneers, crowns or implants. Unlike natural teeth, these non-biological materials won’t be affected by the bleaching agent. We can discuss any potential for color mismatch between your whitened natural teeth and your dental work during your examination.
A dental exam can also uncover one other crucial fact — what kind of tooth staining you have. There are two basic types: extrinsic, staining on the outside enamel as we’ve mentioned earlier; and intrinsic, staining that originates from inside a tooth. The whitening kits you purchase from a store and even some of the whitening techniques we use in the office only diminish extrinsic, not intrinsic staining. To address an intrinsically-stained tooth requires a much more involved, invasive clinical technique only performed by dental professionals.
Finally, a dental examination is a good discussion forum for helping you decide between a home kit and a clinical procedure. While DIY kits are effective for the most part, you won’t be able to precisely control the degree of brightness like we can. This could be important if you want a specific shade of whiteness, from a more subtle and natural shade to dazzling “Hollywood” bright. Shade control could also help minimize color mismatch with dental work.
In the end, we want to help you make the best choice for teeth whitening. Even if you decide to pursue whitening at home, we can offer you valuable advice on what to look for when you buy a kit and how to use it. That alone could help ensure you get the new, bright smile you desire!
If you would like more information on teeth whitening, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Important Teeth Whitening Questions…Answered!”
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