ABSTRACT
Gum recession is one of the most common esthetic concerns associated with periodontal tissues. In this disease, the roots are exposed due to the apical migration of the gum tissue margin to the cementoenamel junction. Although it can lead to tooth loss, increased sensitivity, esthetic complaints, and a high tendency towards tooth caries. Irregular tooth position leads to gum recession as it is the direct cause. Orthodontic treatment may lead to this condition. Sometimes the buccal bone is very thin or presents with dehiscence. Atrophic periodontal changes represent it. It is generally limited to the single root surface, most of the time a buccal one.
INTRODUCTION
Gum recession is the process in which the margin of the gum surrounding the teeth wears away. A gap between the teeth forms a pocket for bacteria by which they can easily attack the gums and cause infections. In untreated cases, it may cause severe damage to teeth. Then it ultimately leads to the extraction of that tooth. It is one of the most common dental disorders. This disease occurs gradually. The first thing that the patient notices is that there is a presence of sensitivity in the gums. It is also noticeable that a tooth looks longer than normal. Sometimes there is a notch felt at the gum of the tooth. Conservative management can repair the gum and protect it from further damage.
SYMPTOMS
There are many symptoms of Gum Recession are
- Teeth become easily movable.
- There is overall sensitivity of teeth, especially with hot and cold food intake.
- There might be Halitosis.
- Inflamed gums
- Teeth start to appear to be longer than normal since the gums start receding.
- The root of the tooth is exposed.
- Spaces between teeth become larger than usual.
- There will be a change in the colour of the teeth which is actually caused by different colours of tooth enamel and cementum.
- Presence of cavities in the gum line.
- Bleeding from gums while brushing teeth.
- Pain in the gum line.
- It also affects psychologically, as there always be the fear of loss of teeth.
CAUSES
Gums may recede for a number of reasons.
It includes
- The habit of chewing tobacco leads to gum recession.
- Brushing teeth too aggressively and too hard will have a direct impact on gums.
- Tartar buildup and Plaques.
- Periodontal disease
- Trauma or injury to gum tissues.
- Abnormal tooth positioning ( disturbed alignment ).
- Smoking
- Lip and tongue piercing.
- Poor oral hygiene.
- Genetic predisposition to thin gum tissues.
- Diabetes
- HIV
DIAGNOSIS
Gum recession is diagnosed during a routine examination. With the use of a periodontal probe, the amount of gum recession on each tooth is measured. Periodontal pockets are also measured to see the extent of gum recession. With gingivitis pockets measured around 4mm. In the case of periodontal disease, it will be higher than 5mm.
TREATMENT
Non-Surgical Treatment
In non-surgical management, it includes:-
- Topical Antibiotics:- If the gum recession originates from periodontal disease then there is much need to work on the hygiene of teeth. So it is recommended to insert antibiotics directly under the gums. Scaling can also be done under local anaesthesia to get rid of harmful bacteria that cause gum recession.
- Dental bonding:- It is colored composite resin. This covers the exposed tooth root and makes it less noticeable and more comfortable.
- Orthodontics:- A tipped or rotated tooth can cause gum recession. In these cases, braces can be an option. Once the alignment is corrected the gums heal themselves.
Surgical Treatment
Gum graft surgery is the most long-lasting treatment for gum recession. A gum graft is used to replace the missing gum tissue. Usually, the graft is taken from the roof of the mouth. When the gum graft is placed in a proper position the surgeon stitches it.
AYURVEDIC OVERVIEW OF GUM RECESSION
In Ayurveda, oral and dental diseases are described under the Mukhagat vayadhis. There are very few diseases mentioned about Dantmulgata rog. The gum recession is one of them. It is Kapha Rakta vyadhi and there is the involvement of pitta dosha. This could be a major cause of gum bleeding. Due to the vitiation of rakta and Kapha dosh, they get accumulated in the soft part like gums where they reduce the firmness of tissue and further it starts bleeding that condition known as sheetad.
Symptoms mentioned in Gum Recession are scattered along the below-mentioned diseases
- Dantaveshta
- Saushira
- Paridara
- Upakusha
- Dant vaidarbha
All these conditions are once present in one or the other stage of the disease.
1. Dantaveshta
Dantaveshta
2. Saushira
This occurs due to the vitiation of Kapha and Vata dosha. It causes Danta Mamsa Prasthan ( falling of gums ).
Paridara
This condition is caused by vitiated Pitta, blood, and Kapha dosha. In this, the gums starts to fall off and there will be inflammation.
4. Upakusha
This disease is caused by vitiated Pitta and Kapha dosha. There will be a burning sensation around the gums. There will be a foul smell present ( halitosis ).
5. Dant Vidarbha
The disease of gums which is caused by trauma. There will be redness and swelling due to injury.;
AYURVEDIC TREATMENT
1. Kshiri Vriksha Kshaya Gandush
It is a mouthwash decoction prepared from the bark of latex-yielding trees.
2. Shodhana
Purification of the body by emesis ( Vamana ) and mild purgation ( Virechana ) balances the doshas.
3. Rakta Saravana
Bloodletting should be done after scrapping the gums.
HERBAL REMEDIES FOR GUM RECESSION BY PLANET AYURVEDA
Planet Ayurveda is a GMP-certified company offering products worldwide. All herbal medicines are made under the guidance of MD Ayurveda experts. All the products are safe and devoid of any kind of ill effects. The formulations prepared are free from preservatives, dyes, and resins. These all are 100% pure vegetarian products. Here we will discuss the GUM CARE PACK along with IRIMEDADI OIL which is formulated by Planet Ayurveda.
GUM CARE PACK
- Gum Care Powder
- Coral Calcium Complex
- Arjun Saar
- Irimedadi oil
PRODUCT DESCRIPTION
1. GUM CARE POWDER
Planet Ayurveda’s Gum Care Powder is a mixture of various herbs. It contains herbs like Sonth (Zingiber officinale), Haritaki (Terminalia chebula), Poog (Areca catechu), Lawang (Syzygium aromaticum), etc. It helps in maintaining healthy gums and teeth. It is useful in Pyorrhea and Halitosis.
Dosage:- Massage your teeth and gums gently with 3-6 grams and rinse with lukewarm water after 2 minutes.
2. CORAL CALCIUM COMPLEX
Planet Ayurveda’s Coral Calcium Complex is a polyherbal formulation. It contains ingredients like Coral (Praval Pishti), Agate (Akik Pishti), Pearl (Mukta Pishti), etc. This product is enriched with calcium and supports teeth and gums. This also prevents gums from deteriorating.
Dosage:- 1 capsule twice daily with plain water.
3. ARJUN SAAR
Planet Ayurveda’s Arjun Saar is formulated in the form of juice. It contains ingredients like Arjun ( Terminalia arjuna ) and Amla ( Emblica Officinalis ). It balances all three doshas and has anti-inflammatory properties and also subsides the bacteria. Arjuna controls blood clotting.
Dosage:- 20 ml with an equal amount of water twice daily.
4. IRIMEDADI OIL
Irimedadi oil is an herbal oil formulation by Planet Ayurveda. It contains ingredients like Lohdra (Symplocos racemosa), Manjistha (Rubia cardifolia), Mulethi (Glycyrrhiza glabra), Agaru (Aquilaria agallocha), etc. This is much useful in tooth decay, abscess, and pericoronitis. It also removes stains on teeth.
Dosage:- 5-10 ml of oil in the mouth and gargle it for 5 to 10 minutes.
CONCLUSION
Gum Recession is one of the main esthetic complaints of patients. It starts with sensitivity and there is a high risk of dental caries. In this condition, gums are pulled back from the surface and exposed to the root surface. This is mainly due to poor hygiene. As per the Ayurveda point of view, it is due to an imbalance of rakta and Kapha dosha. This is directly responsible for bleeding and inflammation of the gums. Planet Ayurveda’s Gum Care Pack is very beneficial for patients with Gum Recession. Hence it can also prevent surgical interventions. Patients should start treatment as soon as possible to avoid tooth extraction.