Preventing and Treating Gum Recession to Maintain a Youthful Appearance

Why Does Gum Recession Make the Face Look Older?

Subtle changes along the gum line can significantly affect facial aesthetics. When gums recede, the gum tissue shrinks and exposes the tooth roots, which are naturally more yellow in color.

As a result:

• The smile may appear sharper or less soft

• The face may look older

• Teeth may appear asymmetrical

• Sensitivity to hot, cold, or sweet foods may develop

Gum recession is not merely an aesthetic concern. It is closely related to the health of the supporting structures of the teeth. If left untreated, it can increase the risk of tooth sensitivity, root caries, and even compromise tooth stability, potentially leading to mobility over time.

Main Causes of Gum Recession

Several common factors contribute to receding gums:

1. Aggressive Brushing Technique

   Brushing with excessive pressure or using a hard-bristled toothbrush can gradually wear away gum tissue. Horizontal scrubbing motions are a classic cause of gum shrinkage.

2. Bruxism (Teeth Grinding)

   Repeated pressure from grinding or clenching can accelerate gum tissue displacement and worsen root exposure.

3. Gum Disease (Periodontitis)

   Chronic infection of the gums can damage the supporting tissues and lead to bone loss and progressive gum recession.

4. Anatomical and Genetic Factors

   Some individuals naturally have thinner gum tissue (thin biotype), making them more susceptible to gum recession.

Non-Surgical Solutions for Managing Gum Recession

In its early stages, mild gum recession can often be managed conservatively.

1. Proper Brushing Education

   Using a soft-bristled toothbrush and correct brushing technique helps prevent excessive pressure on the gums and reduces the risk of further recession.

2. Desensitizing Toothpaste

   If exposed roots cause sensitivity, your dentist may recommend specialized toothpaste that helps seal dentinal tubules and reduce discomfort.

3. Scaling and Periodontal Therapy

   If inflammation is the cause, professional cleaning (scaling) and periodontal treatment can halt disease progression and protect remaining gum tissue.

It is important to understand that non-surgical approaches cannot always restore lost gum tissue. However, they are effective in preventing further progression and protecting long-term tooth health.

Aesthetic and Corrective Solutions for Receding Gums

When teeth appear noticeably longer and root exposure is significant, aesthetic and corrective procedures may be considered.

1. Gum Grafting

   Gum grafting involves adding tissue to cover exposed roots. Benefits include:

• Improving the appearance of the gum line

• Reducing tooth sensitivity

• Protecting roots from abrasion and root caries

  This procedure is typically recommended for moderate to severe gum recession, especially when there is an increased risk of root infection.

2. Cervical Filling (Root Surface Restoration)

   If exposed roots show abrasion or discoloration, tooth-colored restorations can:

• Mask color differences between the crown and root

• Reduce sensitivity

• Help preserve function and aesthetics

3. Additional Treatment Options (When Needed)

   In certain cases, a combination approach may be required, such as:

• Periodontal treatment combined with veneers for optimal aesthetic results

• Advanced periodontal therapy before aesthetic procedures if inflammation or bone loss is present

What Should Be Considered Before Treatment?

The choice of procedure depends on:

• The severity of gum recession

• The condition of the supporting bone

• Long-term aesthetic goals

A comprehensive diagnosis by an experienced dentist is essential to determine the most appropriate and personalized approach.

Conclusion

Receding gums are more than a minor cosmetic change along the smile line. When gums shrink, teeth appear longer, proportions shift, and sensitivity increases.

The good news is that gum recession can be prevented and managed. Improving brushing technique, addressing bruxism, and receiving proper periodontal care can help stop progression. In selected cases, procedures such as gum grafting or cervical fillings can restore both aesthetics and comfort.

Maintaining healthy gums means preserving the foundation of a youthful smile. Because a harmonious smile is not only about tooth color, but also about the balance of the surrounding tissues.

References

• Göler, B., Duman, I., & Agrali, Ö. B. (2024). Treatment of localized gingival recession: One year follow-up. International Dental Journal, 74(Suppl. 1), S277. https://doi.org/10.1016/j.identj.2024.07.220

• Imber, J. C., & Kasaj, A. (2021). Treatment of gingival recession: When and how? International Dental Journal, 71(3), 178–187. https://doi.org/10.1111/idj.12617

• Shkreta, M., Atanasovska-Stojanovska, A., Dollaku, B., & Belazelkoska, Z. (2018). Exploring the gingival recession surgical treatment modalities: A literature review. Open Access Macedonian Journal of Medical Sciences, 6(4), 698–708.https://doi.org/10.3889/oamjms.2018.185