Receding Gums Cases

Receding Gums

Gingival recession, also known as receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth..

Depending on the type and severity of the recession and the levels of bone around the teeth, gum recession can be regenerated with new gum tissue using a variety of gum grafting most of the times performed by a periodontist.

These procedures involve using  free gingival graft or connective tissue from the roof of the mouth. Alternatively, a material called Acellular dermal matrix or soft tissue allograft  (processed donated human skin allograft) may be used instead of tissue from the patient's own palate.

Connective tissue graft

This procedure is commonly used to cover exposed roots.  Tissue is removed fairly painlessly from the outer layer of the palate and relocated to the site of gum recession.

 

Case 1

Localized recession due to traumatic occlusion.

Patient with esthectic demands. The yellow root was exposed due to receding gums. Root coverage was achieved with gum grafting improving esthetics.

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After

Case 2

Gum grafting performed in one visit on three teeth. Partial root coverage was achieved.

Before
After

Case 3

Self-inflicted gingival recession.

Habits of placing an object on the gums such as the blunt end of a pen, pencil or fingernail, and rubbing the tooth can traumatize the gum and lead to receding gums. A free gingival graft was performed leaing to complete coverage of the recession.

Before
After

Case 4

Gum recession on a single tooth.

Trauma and thin gums can lead to single severe recession. A free gingival faft was performed on the lower incisors. Root coverage and thick gum tissue was achieved. The prognosis of the tooth improved drastically.

Before
After