Orthodontic treatment is often associated with straightening teeth and correcting bite issues, but if you have gum problems or gum recession, you may wonder whether it’s safe or effective for you. The good news is that orthodontic treatment can often be performed in these situations, but it requires careful planning and coordination between your orthodontist and periodontist.
In this post, we’ll explore the connection between gum health and orthodontics, discuss what to expect during treatment if you have gum issues, and highlight the factors that determine whether orthodontics is right for you.
Gum recession occurs when the gum tissue surrounding your teeth pulls back, exposing more of the tooth or its root. This can happen due to:
Receding gums can lead to sensitivity, an increased risk of tooth decay, and even tooth loss if untreated.
Gum disease is a bacterial infection of the gums caused by plaque buildup. It progresses in stages:
Both conditions need to be addressed before starting orthodontic treatment to prevent complications.
The answer depends on the severity of your gum condition and how well it is managed. Here’s how orthodontics can fit into the picture:
Orthodontic treatment is usually possible if gum recession is mild to moderate and your gums are otherwise healthy. Moving teeth into better positions can even help reduce strain on the gums and improve their health.
If gum recession is severe, orthodontic treatment may still be possible, but it requires extra precautions. A periodontist may need to perform a gum graft (a procedure to restore lost gum tissue) before or during orthodontic treatment.
Orthodontic treatment should not begin if gum disease is active. The pressure from braces or aligners can worsen the condition, leading to further bone and tissue loss. Once the gum disease is treated and stabilized, orthodontic treatment can be considered.
Orthodontic treatment can provide several advantages for patients with gum recession or a history of gum problems:
If you have gum problems or a history of gum disease, your orthodontist will take extra care to ensure a safe and successful treatment:
A comprehensive evaluation, including X-rays and a periodontal assessment, is essential. Your orthodontist and periodontist will assess:
While aligners are removable and may seem more hygienic, fixed braces are often the better choice for patients with gum disease or significant bone loss. Here’s why:
That said, aligners may still be suitable for certain cases, particularly when the gum issues are mild, and the patient is diligent with oral hygiene.
In cases of gum recession or reduced bone support, your orthodontist may opt for slower, more gradual tooth movement to minimize strain on the teeth and supporting structures.
Throughout treatment, you’ll need to maintain excellent oral hygiene and see your periodontist regularly. Professional cleanings and monitoring are essential to prevent complications.
If you have gum recession or gum problems, you can still pursue orthodontic treatment in most cases—but only with careful planning and professional guidance. Treating gum disease or stabilizing gum health is a crucial first step. Once your gums are healthy, orthodontic treatment can improve not just your smile but also your long-term oral health.
In my practice, I work closely with periodontists to create personalised treatment plans for patients with gum concerns. With my extensive experience in clear aligners, traditional braces, and lingual braces, I can recommend the best approach tailored to your needs.
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I recommend and prescribe orthodontic treatments to my patients as if they were my own family and I value meaningful relationships based on communication, confidence and trust.
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