Gum Recession Causes & Treatment (The Pinhole Technique!)

Hi, I’m Dr. Joe Nemeth. I’m a periodontist
in Southfield, Michigan and I want to talk today about gum recession, the
causes of gum recession, treatment for gum recession, specifically the pinhole
technique for gum recession. So what is gum recession?
Well gum the recession is when the gum moves away from the tooth so more and
more of the tooth starts to show. The root of the tooth starts to show and
this can lead to increased sensitivity a unacceptable or a smile that’s not very
attractive and as the gum continues to recede the tooth may be more subject to
decay. As the gum recedes the bone recedes and you know if you continue to
lose gum and you continue to lose bone the tooth really becomes at risk and
you actually risk losing the tooth. So there’s lots of consequences to
untreated gum recession. So let’s talk about the causes of gum recession. Well
one of the primary causes is genetics. If you inherit, genetically, if you inherit
thin gum tissue, that thin gum tissue is much more likely to be subject to
recession than someone who has thicker gum tissue. Another cause that I
frequently see I would say probably 70 to 80% of the patients that I see for
recession have had orthodontic treatment and sometimes that recession doesn’t
occur till a month a year, two, five, ten twenty years after the orthodontics, but
very frequently the orthodontics has an effect on the bone and the gum, that sets
the stage for recession in the future. Another major cause is vigorous tooth
brushing. Most of the patients that I see are very
very conscious of how clean their mouth should be and they’re super duper
cleaners. They may brush their teeth three, four times a day, really scrub them.
Well, the more you scrub if you over scrub and if you
over-clean you’re actually traumatizing that tissue and causing it to be more
likely to recede in the future. Also, if you clench you grind your teeth that can
be a factor. If you have fillings that can irritate the tissue and sometimes
cause recession. I had a patient the other day who had recession after she had
used a whitening strip to whiten her teeth. So sometimes the chemicals from
whitening materials, strong chemicals can actually cause gum recession. So, those
are some of the frequent causes that we see when we see gum recession.
Traditionally, in repairing areas of gum recession periodontists take tissue from
the palate. Now, that can be pretty uncomfortable, it can be pretty painful actually. Cutting gum tissue out of the roof of the mouth is really what it is.
Plus, you can only do a limited number of teeth because you can only really take
out a certain amount of gum tissue from the palate at one time actually,
of course it’s limited. So, I use the pinhole technique exclusively, virtually
exclusively. I never never take tissue from the palate if I can possibly avoid
it, which is almost all the time. So here’s an example of a situation where a
young man came in, he had had recession on the back of one of his lower front
teeth. Now a periodontist twice in the past he had been to periodontists who
tried to repair this with what’s called the gold standard which is taking tissue
from the roof of the mouth and trying to cover the recession with that. Both of
those attempts failed. He came to our office and it was an interesting
challenge and we did it with a modification of the pinhole technique
and we got a very gratifying result, much much better and the patient of course
was much happier than what had happened in the past. Now we also had another
patient who flew in from South Korea. She wanted to have her recession treated. She was an American citizen but lived in Korea. She flew in to see me. We did her
whole mouth, and once. Again, we didn’t take tissue from the palate. You really
couldn’t treat the whole mouth by taking tissue from the palate
anyway, because you couldn’t get enough tissue. So we did the pinhole technique
which is minimally invasive, usually little or no pain or discomfort. It’s
really really great it’s worked so well for me and my patients. We did her whole mouth. This is what it looked like before, after the result is great. She was
extremely happy. We were extremely happy and it’s very gratifying to be able to
help patients like this who’ve got gum recession. Some of whom have been through
previous treatment that hasn’t worked that it maybe has failed, and then we
can very often help them and treat those areas effectively with minimal
discomfort and maximum effectiveness. It’s a great technique, great procedure.
So if you have gum recession, don’t hesitate to give us a call we’ll take a
look and see if we can help you. We probably can, and if you have any
comments make sure and let us know. We want to keep you informed. Keep you happy,
keep you healthy because if you have a healthy mouth, you’re going to have a
healthier body. Take care, have a great day! Restore you smile and your health, with the help of dr. Nemeth and his
associates. Visit to schedule your appointment today!

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