WHAT ARE THE CAUSES?
Gum recession doesn’t happen for just one reason. Thin gums are less resistant to trauma and more prone to recession, and this is commonly seen in patients with thin gums.
This can be compounded by other factors that aggravate the problem:
Incorrect brushing technique
Smoking
Periodontal disease
An early evaluation can prevent gum recession from progressing.
If you notice that your gumline is higher than usual — it’s time to get it checked!
TYPES OF GUM RECESSION:
1. FULL-ARCH RECESSION:
In both the maxilla and mandible, generalised gum recession or recession can occur. These cases are treated in a single session, with predictable results and a relatively short postoperative period.
3.MULTIPLE RECESSIONS:
Recessions in several adjacent teeth, usually occurring in patients with very good hygiene, causing these recessions by traumatizing the gum with brushing. A change of habits will be essential in these cases.
2. UNITARY RETRACTIONS:
Gum recedes exposing the root of the tooth, most commonly occurs in mandibular incisors. It causes sensitivity, inflammation or tooth loss if it progresses. As it is an area with very thin gums, our objective is also to gain gum thickness.
1.FULL-ARCH RECESSIONS
In these cases, access to the affected area is achieved through a small incision in the gum. Through this opening, the graft is placed and the tissue is repositioned, then secured with sutures attached to the teeth to ensure stability during the healing process.
Arch with Generalized Recessions
A minimally invasive tunneling approach is used to reposition the gums to their natural position and to insert a gum graft.
A vertical incision of a few millimeters is made. This technique allows us to work without raising flaps.
Suspensory sutures are then applied to stabilize both the graft and the gum tissue.
Casos tratados por el Dr. Ramón Ceballos de retracciones de arcada completa
2.SINGLE-TOOTH RECESSIONS
Single-tooth recessions often appear in areas with thin gum tissue, such as the lower incisors or canines.
Surgical treatment is simple and delivers good results, allowing the gum to heal in just a few weeks and once again protect the tooth root with firm, healthy tissue.
Example of a Single-Tooth Recession. It is important to study the anatomy of the recession in order to predict the outcome.
Using this technique, a space is created beneath the gum tissue, allowing us to reposition it and add a tissue graft, simulating its original natural position.
A small incision, just a few millimeters long, is made on the inner side of the gum (vestibular area), allowing for precise work without damaging the visible tissue.
Once the graft is placed, it is stabilized with sutures attached directly to the tooth. This method ensures predictable healing with minimal visible signs of intervention.
Casos tratados por el Dr. Ramón Ceballos de retracciones unitarias
3.MULTIPLE RETRACTIONS
Multiple gum recessions often appear in areas with thin gum tissue and repetitive or aggressive brushing.
The surgical approach is both predictable and effective, allowing the gum to regain volume and strength after the healing period, and to once again cover the exposed roots with a natural appearance.
We visualised a case with multiple receding gums in the posterior region of the mouth. These situations require careful planning to treat multiple exposed roots in a coordinated manner.
Through the created access, a subgingival tunnel is formed through which the gum is repositioned and the graft is inserted, allowing multiple roots to be covered with a single surgical entry point.
A small vertical incision is made, designed to create the necessary surgical space without affecting the visible gingival tissue. This results in a more aesthetic and less invasive recovery.
The tissue and graft are stabilized using sutures attached directly to the teeth, ensuring they remain in the ideal position throughout the healing process.
Casos tratados por el Dr. Ramón Ceballos de retracciones múltiples
