Receding Gums: Causes, Risks and Treatment in Gibraltar

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Receding Gums: Clinical Causes, Risks and Treatment

Gum recession occurs when the gingival margin migrates apically, exposing the root surface of the tooth. While it may initially appear cosmetic, gum recession can indicate underlying periodontal instability, tissue thinning, or mechanical trauma.

Root exposure increases the risk of sensitivity, root caries, plaque retention, and further periodontal breakdown if not properly assessed and stabilised.

Common Clinical Causes of Gum Recession

• Chronic periodontal inflammation (gingivitis / periodontitis)
• Thin periodontal biotype
• Traumatic brushing technique
• Occlusal overload or bruxism
• Orthodontic movement outside the bone envelope
• Smoking and systemic risk factors

In many cases, recession is multifactorial. A clinical evaluation determines whether inflammation, mechanical trauma, or structural factors are the primary driver.

Is Gum Recession Always a Sign of Gum Disease?

Not necessarily. Some patients present with recession without active periodontal pockets. However, when recession is accompanied by bleeding, swelling, or pocket formation, it may indicate progressive periodontal disease.

If inflammation is present, treatment begins with stabilising the gum condition: Gum Disease Treatment in Gibraltar .

How We Assess Receding Gums

• Periodontal probing depth measurement
• Bleeding index evaluation
• Assessment of attached gingiva width
• Radiographic bone level review (when required)
• Occlusal analysis

The objective is to determine whether the recession is stable or progressive.

Treatment Options for Receding Gums

1. Non-Surgical Stabilisation

• Modification of brushing technique
• Professional scaling where plaque retention exists
• Occlusal adjustment when indicated
• Night guard for bruxism

2. Surgical Management (Selected Cases)

When root exposure causes sensitivity, aesthetic concern, or progressive recession, periodontal plastic surgery such as connective tissue grafting may be indicated.

Read more: Gum Graft Treatment in Gibraltar .

When Recession Affects Long-Term Stability

Advanced recession combined with bone loss may compromise tooth prognosis. Early diagnosis allows conservative management and prevents future tooth loss.

If periodontal breakdown has already occurred, a structured treatment plan is required before considering any restorative options.

Frequently Asked Questions

Can receding gums grow back naturally?

Gum tissue does not regenerate spontaneously. However, progression can be stabilised, and in selected cases tissue grafting can restore coverage.

Is gum recession painful?

It may cause dentine hypersensitivity but is often painless unless inflammation is present.

Does gum recession always require surgery?

No. Many cases are stable and managed conservatively. Surgery is reserved for progressive or symptomatic cases.