Question

I, f, 72, still have all my teeth. But recently I have noticed a massive loss of my gums. I brush my teeth carefully several times a day with a soft brush. I have the tartar removed every six months. The canines in the lower jaw are particularly affected. What else can I do? Is gum recession a symptom of old age that you can't do anything about? C. B. in L. 

Short answer

A continuous slight shrinkage of the gums is normal and usually not dangerous for the teeth. However, if the recession is severe, this may indicate an inflammation. Incorrect brushing can also lead to more severe gum recession, which must be treated, especially if it is associated with inflammation.

Continuous slight gum recession is a normal process and takes place throughout life. It is a normal "ageing process" in which the teeth are not at risk and no inflammation is involved. To a greater extent, however, receding gums can be a sign of gum inflammation (gingivitis) or even inflammation of the underlying bone (periodontitis). Another reason for receding gums is incorrect brushing with too much pressure, a hard toothbrush and scrubbing movements. 

Possible treatments 

Before any treatment is carried out, the cause of the receding gums must be identified. If gum inflammation or even periodontitis is to blame, this disease must be treated. Without treatment, it is highly likely that the gum recession will progress and the teeth could eventually be lost. The next time you visit your dental hygienist after six months, your dentist will be able to tell you the reason for your receding gums. Incidentally, it has been scientifically proven that dental hygiene is very beneficial for maintaining healthy teeth. If an unsuitable tooth brushing technique is the cause, this should be corrected. A correct cleaning method (e.g. Stillmann technique) with a soft toothbrush and a gentle fluoride toothpaste protects against further gum recession. Professional advice is also advisable. New, electric, hydrodynamic toothbrushes can also provide valuable services here (see guide "Does an electric toothbrush help with gum problems?"). 

Move gums 

Another option is to restore the gums to their original position with a minor surgical procedure, i.e. to cover the root in a natural way. This method is only possible in cases of gum recession without inflammation and even then not in all cases. However, if it can be performed, the effect is very successful and often lifelong.  

Author: Dr. med. dent. Jürg Eppenberger
Published in: Neue Luzerner Zeitung on October 25, 2010