Can gum recession be corrected by straightening teeth?

Oct 15, 2025 Source: Cainiu Health

Dr. Liu Chao

Introduction

In general, whether orthodontic treatment is possible with gingival recession depends on the severity and control of the condition. Orthodontic treatment may proceed if the gum recession is mild and inflammation is under control. However, if the recession is severe or the inflammation remains unstable, orthodontics should be postponed until the gum problems are properly treated. Daily oral hygiene practices, including brushing teeth morning and evening, using dental floss to clean between teeth, and regular periodontal checkups and maintenance, are essential.

In general, whether orthodontic treatment can be performed in the presence of gingival recession depends on the severity and control of the condition. Orthodontics may proceed if the gum recession is mild and inflammation has been controlled; however, if the recession is severe or the inflammation remains unstable, orthodontic treatment should be postponed until gum problems are properly treated. Detailed analysis is as follows:

If the gingival recession is mild, with only slight gum tissue loss, no significant alveolar bone resorption, and periodontal inflammation effectively controlled after treatment—meaning the gums are no longer progressively receding—orthodontic treatment may be considered following professional evaluation. During orthodontics, gentle forces should be used to avoid additional irritation to the gums.

When gingival recession is severe, accompanied by extensive alveolar bone loss, obvious tooth mobility, or active periodontal inflammation characterized by redness, swelling, and bleeding, orthodontic treatment is not advisable at this stage. Proceeding with orthodontics under these conditions may worsen gum recession and bone loss, increase tooth mobility, or even lead to tooth loss. It is essential first to undergo periodontal therapy to control inflammation and stabilize the condition of the gums and alveolar bone before reassessing suitability for orthodontic treatment.

Routinely, maintain good oral hygiene by brushing teeth twice daily, using dental floss to clean interdental spaces, and scheduling regular periodontal checkups and maintenance visits to prevent further progression of gum recession. Oral hygiene must be especially rigorous during orthodontic treatment, along with regular follow-up appointments.

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Can dental implants be placed with gum recession?

Whether gum recession is suitable for dental implantation depends on the severity of the gum recession. In cases of mild gum recession with no obvious symptoms, dental implants can be considered under a doctor's guidance. However, severe gum recession that affects the health of the alveolar bone is unsuitable for implantation, as it may compromise the implant's effectiveness and lead to instability of the implant. If normal chewing is affected, tooth extraction may be considered under a doctor's guidance.

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Are there any side effects of dental implants?

Dental implants involve surgically placing artificial teeth into the missing areas, with a cost of approximately 5,000 to 10,000 yuan per tooth. However, dental implants may cause side effects such as bleeding, infection, occlusion problems, gum recession, and nerve damage. The specific side effects vary from person to person. To reduce the risks, it is recommended to choose a reputable and professional hospital and to be guided by a qualified dentist.

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Can gaps between teeth be filled?

In general, whether a gap between teeth can be filled depends on the specific situation. Small physiological gaps without discomfort usually do not require repair. However, if the gap is too large, caused by tooth decay or gum recession, or affects eating and aesthetics, repair may be necessary. To maintain healthy spaces between teeth, it's important to brush teeth morning and night and use dental floss regularly.

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Can protruding teeth become longer?

Under normal circumstances, protruding teeth (buck teeth) do not noticeably increase in length as a person ages. However, changes in tooth position or surrounding tissues may create the visual or physical impression that the teeth have become longer; this change is not due to actual tooth growth. If significant changes in the appearance of protruding teeth are noticed, or if symptoms such as gum recession or tooth sensitivity occur, it is important to seek timely evaluation and treatment from a dental professional.