Can Orthodontics Cause Gum Recession?

dental jaw model in hands of stomatologist in latex gloves

Many of us have heard of orthodontics and how it is known to help transform smiles and improve oral health for millions of people worldwide. The biggest advantages of orthodontic treatment are that it has been proven to straighten teeth and align the jaw to address problems like overcrowding, bite issues, and spacing concerns.. 

However, some patients also worry about whether orthodontic treatments, like braces or aligners, can lead to gum recession. Does it? 

Can orthodontics cause gum recession?  

Let’s find out more about it, and the other possible ways your gums recede. 

Understanding Gum Recession 

What is Gum Recession? 

Healthy gums usually hug your teeth snuggly. Receding gums or gum recession is when the gum tissue surrounding the teeth pulls back, which exposes more of the tooth or even its root. If this happens, it can lead to tooth sensitivity, a higher risk of decay, an uneven gumline and other complications that can affect the teeth and gums. 

In severe cases, gum recession may cause damage to the supporting bone and lead to tooth loss if left untreated. 

Causes of Gum Recession 

There are several reasons why gum recession happens, including: 

  1. Poor Oral Hygiene: Plaque and tartar buildup are two of the major causes of gum recession. Plaque does not only stay in between teeth. In fact, plaque loves to multiply on areas that are hard to reach with your toothbrush, just like below the gum lines. If it is untreated, it can lead to gum disease, which is another dental issue you would not want. 
  2. Aggressive Brushing: Brushing too hard or using a hard-bristled toothbrush can wear away gum tissue. Remember, healthy gums should be able to fit well around your teeth, so they can hold them in place.  
  3. Genetics: Some individuals are naturally predisposed to thinner gum tissue. 
  4. Tooth Misalignment: Crowded or misaligned teeth may create pressure points on the gums, which leads to gum recession. 
  5. Lifestyle Factors: Smoking and the use of tobacco products can weaken gum tissue and contribute to recession. 

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Gum recession occurs when the gum tissue pulls back and exposes more of the tooth or its root. This can lead to tooth sensitivity, an uneven gumline, and a higher risk of decay.  

Common causes of gum recession include poor oral hygiene, aggressive brushing, genetics, tooth misalignment, and lifestyle factors like smoking.  

The Role of Orthodontics in Gum Recession 

Can Orthodontics Cause Gum Recession? 

Braces and aligners do have the ability to shift your teeth’s position to make them straight and aligned. However, these orthodontic tools do not directly cause gum recession. The truth is there are certain situations related to orthodontic treatment that can contribute to your gums receding. Here’s how: 

  1. Tooth Movement: Orthodontic treatments like braces and aligners gradually move teeth into their proper position. If excessive force is used or the movement is too rapid, it can strain the gums and supporting bone, which can potentially cause recession. 
  2. Oral Hygiene Challenges: Braces, in particular, can make it harder to maintain proper oral hygiene because of the wires and brackets that are present. Plaque buildup around them can lead to inflamed gums (gingivitis) and, if untreated, gum recession. 
  3. Pre-existing Gum Issues: Patients who already have gum disease or weak gum tissue before starting orthodontics may be more susceptible to recession during treatment. 

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Orthodontic treatments like braces and aligners don’t directly cause gum recession but certain situations can contribute to it. 

This may include excessive force or rapid tooth movement that may strain the gums, lack of oral hygiene, and pre-existing gum disease before the orthodontic treatment are just a few of the causes of gum recession.  

Preventing Gum Recession During Orthodontic Treatment 

Your orthodontist and dentist play a vital role in protecting your gum health during orthodontic treatment. Not only will they look after your progress during the treatment, but they will also monitor your gums throughout the process. 

Here are some tips you should practice to prevent gum recession from happening during your orthodontic treatment: 

1. Maintain Excellent Oral Hygiene 

Clean your teeth thoroughly, especially around braces or aligners, as plaque will most likely build up around the wires and brackets attached to your teeth. Use a soft-bristled toothbrush, interdental brushes, and floss regularly to keep gums healthy. 

2. Visit Your Dentist Regularly 

Routine dental check-ups are essential during orthodontic treatment. Your dentist can monitor your gum health and catch early signs of gum recession or other issues. 

3. Ensure Proper Orthodontic Adjustments 

Choose a skilled orthodontist who applies gentle, controlled force during your treatment to minimise the risk of damage to your gums. If you’re in Bellevue Hill, NSW, you can book an appointment with our experienced orthodontist at Bellevue Hill Dental. 

4. Use a Mouthguard 

If you are aware that you grind your teeth, ask your dentist if you could have a custom mouthguard. Teeth grinding can put extra pressure on your gums and can increase recession during orthodontic treatment. 

5. Stay Hydrated 

A dry mouth can increase the risk of gum problems and plaque. Drink plenty of water and consider chewing sugar-free gum to stimulate saliva production. 

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Maintain proper oral hygiene, visit your dentist regularly, and choose an experienced orthodontist for controlled adjustments. Use a mouthguard if you grind your teeth and stay hydrated to protect your gums during treatment. 

What Can You Do to Manage Gum Recession in Orthodontics? 

Now, what would you do if you already have a gum recession? If you’re undergoing orthodontic treatment and you notice that your gums look like they are receding, it’s important to act fast and let your dentist and orthodontist know about it. 

How would you know if it’s gum recession? Here are some common signs you should not ignore: 

  • Tooth sensitivity to hot, cold, or sweet foods. 
  • Teeth that appear longer. 
  • Redness, swelling, or discomfort along the gumline. 

When you notice these signs, it’s better to speak to your dentist or orthodontist immediately. They are the ones who can best assess the extent of the recession and recommend a course of action. 

Gum Recession Treatment Options 

  1. Scaling and Root Planing: This deep-cleaning procedure removes plaque and tartar below the gumline to treat mild gum recession caused by gum disease. 
  2. Gum Grafting: For more advanced cases, gum grafting surgery may be necessary. This involves taking tissue from another part of your mouth (or using donor tissue) to restore the receded area. 
  3. Pinhole Surgical Technique This minimally invasive procedure repositions existing gum tissue to cover exposed roots without the need for grafts. 
  4. Orthodontic Adjustments: If orthodontic treatment is contributing to gum recession, your orthodontist may adjust the treatment plan to reduce pressure on the gums. 

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Tooth sensitivity, longer-looking teeth, or gum discomfort, are just some of the signs of gum recession, so make sure to inform your dentist or orthodontist promptly.  

Treatment options include scaling and root planing for mild cases, gum grafting or pinhole surgical techniques for advanced recession, and orthodontic adjustments to reduce gum strain. 

A Balanced Approach to Gum and Orthodontic Health 

Orthodontics has made impactful changes in many people’s smiles by improving their alignment and oral health. However, it’s also important to be mindful of your gum health too while you’re currently in the treatment process. By making sure you have good oral hygiene, attending regular dental check-ups, and ensuring careful adjustments, you can reduce the risk of gum recession and enjoy the full benefits of your orthodontic care. 

If you’re looking to get an orthodontic treatment for your teeth, like braces or aligners, you can always consult our orthodontist at Bellevue Hill Dental! With our compassionate dentists and orthodontists, we may be able to help you position your teeth well and keep your gum health in good condition. 

Protect your smile at every step. Book your appointment with our dentists now! 

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