Should I wear my aligners with gum recession?

Question

I started Invisalign but I have receding gums on one tooth. I had a deep cleaning done and no more gum bleeding or swelling, but the gum won’t reattach to teeth. I Have very little bone loss from the X-ray taken but I want to know should I continue with the aligners or get gum grafting first. And what can I do to prevent further bone lose. The tooth seem weak but not loose

Ramon Bana, DDS · Answer

Was there recession before you started Invisalign? Sometimes, when your teeth are very misaligned, you may not have noticed. 
Invisalign should not cause recession - they are designed to be slow-moving. Depending on how much recession you have, I believe you need to know what it causing recession. For instance, clenching or grinding teeth can cause abfractions, which can cause recession, and, yes, aligners function like an occlusal guard, but an occlusal guard won't stop a person from continuing to destructively grind and clench. I routinely evaluate and use Botox therapeutically to help control excess muscle activity. 
I don't believe that you should have a gum graft until movement with Invisalign is completed and stabilized. If you wish to stop Invisalign treatment and graft first, you may see recession occur again when treatment starts again.

Should I wear my aligners with gum recession?

Answers (1)

WE SEND PRETTY
EMAILS

Answers (1)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS