Text Size

Regenerating Gums

teeth-closeupReceding gums that expose the root surfaces of teeth is a common condition in adults over the age of 40 but may also start in teens. Currently most people focus on preventing periodontitis which is the main cause.

Treatments for already receded gums remain tricky however there is drug called Periostat that inhibits gum disease while allowing the gums to reattach to teeth. Guided tissue gum regeneration and gum grafts are both becoming more popular. Developing stem treatments for regenerating gums are well underway and have been successful in mice.

Herbal Treatments For Receding Gums

Some herbal and homeopathic treatments may be helpful, but do some research first. Since herbs and homeopathic remedies aren't regulated by the U.S. Food and Drug Administration (FDA), it's important to know the ingredients and side effects of anything you use. Some people give these a try before considering surgery.

Take plain baking soda, mix it with a little bit of water, and apply it with your fingers along the gum line in a small section of your mouth. Then brush. You'll clean, polish, neutralize acidic bacterial wastes, and deodorize, all in one go.

Brush their gums with aloe gel. It's a healing agent and it will reduce some of the plaque in your mouth.

Traditional Treatments

If your dentist determines that you have receding gums and some bone loss, the standard treatment is an intensive deep-cleaning, non-surgical method called scaling and root planing also known as SRP. Scaling scrapes the tartar and plaque from above and below the gum line. Root planing smoothes rough spots on the tooth root where germs collect and helps remove bacteria that can contribute to the disease. The idea is to clean and smoothen all surfaces to encourage the gums to reattach and grow.

A relatively new drug in the arsenal against serious gum disease is called Periostat (doxycycline hyclate). It was approved by the FDA in 1998 to be used in combination with SRP.While SRP primarily eliminates bacteria, Periostat, which is taken orally, suppresses the action of collagenase. Collagenasean is an enzyme that causes destruction of the teeth and gums.


Flap surgery

This surgery involves lifting back the gums to remove all tartar. The gums are then sewn back in place so the tissue fits snugly around the tooth. This also reduces the pockets and areas where bacteria can grow.

Guided Tissue Gum Regeneration

This technique stimulates bone and gum tissue growth. Its usually done in combination with flap surgery. A small piece of supporting mesh type fabric is inserted between the bone and gum tissue. This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow and better support the teeth.

Tissue Gum Graft

There are two types of gum tissues that surround a tooth. The part of the gum that is around the neck of the tooth called the "gingiva" and this is firmly attached to the tooth and underlying bone. This attached gingiva is immovable and resistant to normal trauma from eating and tooth brushing. Everyone is born with different widths and thicknesses of attached gingiva. Some people naturally have thin or insufficient attached gingiva. Even though the person may be very dedicated to oral health the gum can slowly continues to recede over time. So eventually everyone may need a gum graft procedure done.

During a gum graft procedure, a small strip of gum tissue is taken from your palate or another donor source to cover the exposed tooth root. This can be done for one tooth or several teeth which will even your gum line and reduce sensitivity.Gum grafts help reduce further recession and bone loss as covering the exposed roots protect them from decay. This all works to reduce tooth sensitivity, improve your smile and overall confidence.

Bone grafts

Bone grafts are used to replace bone destroyed by periodontitis. Tiny fragments of your own bone, synthetic bone, or donated bone are placed where bone was lost. These grafts serve as a platform for the regrowth of bone, which restores stability to teeth.

Laser Gum Treatment or LASER ANAP

In 2005 Millennium Dental Technologies, Inc. announced it had received FDA clearance for its laser-based periodontal disease treatment protocol while using the first ever digital dental laser, the PerioLase MVP-7

LASER ANAP (Assisted New Attachment Procedure) is a new innovative procedure for the treatment of periodontal (gum) disease. After verifying that you are a candidate, the experience is generally quite comfortable.

The area of the mouth is anesthetized with a local anesthetic and a Periodontal probe indicates excessive pocket depth. A small fiber optic cable housing the laser is directed to your gum tissues. Laser radiation removes sulcular debris and diseased tissue and pathologic proteins. Tactile feedback from the fiber alerts the practitioner to the presence of root roughness. Next a combination of ultrasonic scalers with irrigants and hand instruments are used to cleanse the root surface of accretions. Once clean, the laser is used again to finish debriding, sterilize the pocket and cause a coagulum to form. It is this coagulum that heals and becomes a new attachment from the bone to the tooth. Then the gum tissues are compressed with finger pressure, against the tooth and a stable fibrin clot forms at the gingival crest. And lastly, occlusal trauma is adjusted to redirect untoward forces along the long axis of the tooth with a highspeed handpiece and diamond bur.


Discuss this article

Posted: 1 year, 8 months ago by James #343
Apparently they've made it into a usable treatment, although this still is just a study. This actually sets a precedent - this is evidence of the effectiveness of such a treatment (in humans). It also is a landmark for further research concerning tooth rebuilding and growing from scratch, using stem cells.

So, the scientific community has figured out how to regenerate both bone and gums, logically, next on ''the list'' would be human teeth. I'm currently searching for more information on this research team's success. Hopefully, somewhere out there is an in-depth look at this, ideally a published study, describing exactly what they did in detail.
Posted: 1 year, 9 months ago by Josh #341
James - I think that the Japanese trial you posted the link to seems to be the most advanced I've seen. And they're actually doing it on humans.

HIROSHIMA -- A team of researchers here has regenerated periodontitis-ravaged gums using a type of stem cell drawn from patients' own bone marrow.

Periodontitis is the recession and destruction of the gums, especially the fibrous tissue that holds the teeth in the jaw bone, caused by bacterial infection.

The researchers, led by Hiroshima University professor Hidemi Kurihara, extracted stem cells called mesemchyme -- which can develop into bone, muscle and connective tissues -- from periodontitis sufferers' liquid bone marrow. The cells were cultivated, mixed with collagen, and injected into the affected areas of the gums.

Gum regeneration of four to eight millimeters was observed among six out of the eight patients that completed the treatment, as the stem cells transformed into periodontal tissue and also produced a substance that encouraged pre-existing gum cells to multiply.
Posted: 1 year, 9 months ago by Josh #340
I hadn't heard of this one. I notice it says they have done preclinical animal trials as of last year. Sounds like Odontis all over again.
Posted: 1 year, 9 months ago by James #337
I wonder what it would take to get a periodontist to try stem cells to treat gum disease... I mean, the doctors I've encountered for basically all my life always seem to think they've got all the answers and are too up-tight, for lack of a better expression, and they wouldn't really want to be inovators. You can ''juice'' them up all you want with research data, published studies and successes, but until something becomes main-stream, they're usually not willing to go through with it...
Josh, I notice you're from Australia. I know it's a bit like asking any english person if the ''knows'' the Queen (), but maybe you've heard about this research's progress and could provide any additional information:
www.cellmedicine.com/australian-gum-disease.asp
Posted: 1 year, 9 months ago by Josh #332
I just got back from a holiday to Asia and I noticed ads on the Western channels (like CNN, BBC etc..) for medical/cosmetic procedures to be done there. Its becoming big business for them. And I guess they do it much cheaper which is why medical tourism is taking off.
Posted: 1 year, 9 months ago by James #331
I presume these countries are capable of being pioneers of new treatments because the so-called safety regulations are not as strict there. From what I've read, deregulation is one of the main things that folks (scientist associations, research groups and so on) in Washington have been pushing for - such strict regulations, though ''kinda'' intended for our own safety, impede the pace of the transition from research to actual treatments.
Either way, this still is just the tip of the iceberg, so to speak. I'm more than confident that more similar amazing news is to come in the near future.
Posted: 1 year, 9 months ago by Josh #330
Exciting times isn't it. RNL in Korea seem to be one of the leaders. They have also just licensed their tech to RegenoBody, to treat anyone within the Caribbean, Central and/or South America.

It seems countries you would never thought of powering ahead.

www.rnl.co.kr/eng/main.asp
Posted: 1 year, 9 months ago by James #329
This article might be of interest to someone reading this article:

www.ascrnetwork.com/what-are-adult-stem-...e-diseased-gums.html

Another problem solved by the wonder cells we call stem cells! Even Cuba is doing this stuff, man! CUBA!
The sooner a lot of people and government burocrats open their eyes to this, the sooner we'll have some unbelievable therapies available to treat the majority of ilnesses and diseases. Too bad people like Christopher Reeve, who was a strong advocate for use of stem cells in research and treatments, will never see this come into being...

Follow UpgradeYourBody

FacebookTwitterDiggStumbleuponFeed

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.