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Diabetes, malnutrition, and certain medications used can cause your gums to become irritated faster and more often than usual

According to the results of the research, it has been reported that various factors have an effect on gum withdrawal.

These can be listed as mainly structural factors, irritant factors, and gingivitis and periodontal diseases.

Long attachments, the morphology of the tooth root and inappropriate external closures, the teeth to be placed on the back teeth, in addition to structural factors such as; trauma, improper brushing, brushing the frequency and duration of abnormal orthodontic forces, plaque and tartar, bad habits (often between the teeth toothpicks, the insertion of foreign objects such as pins, nail biting, pencil chewing, etc.), irritating factors such as incorrect filling and prosthetics also cause gum recession. People with gum recession may have various complaints depending on the withdrawal.

These complaints are as follows:

Root/tooth sensitivity

Root rot

Aesthetic problems

Fear of losing a tooth

Pulp diseases As a result of gum retractions, the clinical crown size of the teeth increases, so that patients feel that their teeth are elongated, especially in the anterior region, and aesthetic problems arise.

For most people, this condition is more important than hypersensitivity and root rot.


If it is necessary, the gum withdrawal can be closed by resorting to various surgical methods. For example, if the withdrawal develops due to improper and hard brushing or various habits, these factors should first be eliminated, or if the factor is periodontal disease, the disease should be controlled and prevented from progressing. In cases that are extremely problematic and cannot be treated surgically, the restorative procedures such as tooth composite fillings and crowns can be resorted to.

Although the main cause of periodontal disease is bacterial plaque, other factors such as smoking, systemic diseases, medications, stress, and nutrition can also affect gum health.

At the same time, in order for diseases or conditions affecting the general body system not to cause any complications during dental treatments, care should also be taken and the dentist should definitely be informed about this issue.

The following are the factors that cause gum disease to occur:


In addition to its known general harm, smoking also increases the risk of periodontal disease. Studies show that smoking can be a very important risk factor for the development and progression of periodontal disease. In this study, smokers more than nonsmokers, dental stone, and they have deeper pockets smokers are reported to have more losses in the tissues that support teeth and bones. In addition, due to the chemicals and heat effects contained in cigarettes, the symptoms of gingivitis are masked in many cases.

For this reason, because the gum that is actually inflamed does not bleed, the patient is often unaware of periodontal disease and other problems.


During these special periods, due to the changes in hormones, as in many tissues in the body, there are effects on the gum tissue, and in this case, the tissues’ response to microorganisms becomes greater. For this reason, it is very important to take extra care of daily brushing and flossing to keep bacterial plaque under control during these periods.


Diabetes is a disease caused by the absence, deficiency or ineffectiveness of the hormone insulin, which, together with hyperglycemia, also leads to special complications.

The most typical change observed in the mouth in diabetic patients is dry mouth, which occurs to such an extent that there is no significant difference in the speed or amount of saliva flow.

Uncontrolled diabetics may have dryness in their mouths, burning, loss of the sense organ of taste, the papillae of the tongue. In addition, when blood sugar rises in diabetics, the amount of glucose in the gum grooves also doubles. Thus, with an increase in glucose in the salivary glands and gums in the mouth, the bacterial flora that lives in the mouth is also adversely affected.

Patients with diabetes have a high risk of developing infections. For this reason, periodontal diseases in diabetics can develop more easily and lead to more severe destruction.

Especially in uncontrolled diabetes, the severity of periodontal disease and tissue destruction increase even more. In individuals with periodontal disease, diabetes has been shown to be a factor that accelerates and exacerbates alveolar

Bone destruction.

Although diabetes is a risk factor for periodontal disease, periodontal disease is considered a complication of diabetes. In other words, it is known that the risk of developing periodontal disease and the severity of the disease are higher in patients with diabetes. In addition, as with all other infections; the presence of periodontal infection also complicates the metabolic control of diabetes.

Diabetic patients should take care of their oral and dental care, as well as be under regular dental supervision.

If there is a problem in the mouth or a large number of carious teeth, this can cause a focus of infection and increase blood sugar levels.

There may be difficulties in controlling and regulating diabetes mellitus with severe and common oral-dental problems.


It has been revealed in studies that stress is also a risk factor for periodontal disease. These studies have shown that stress complicates the fight against infections and increases the predisposition to periodontal disease.


Inadequate and poor nutrition adversely affects the body’s immune system, making it difficult for it to fight infections.

Periodontal diseases are also serious infections, the severity of gingivitis may increase in case of malnutrition, in fact, the gums do not come back after experiencing gum withdrawal. Gum recession treatments are applied to prevent gum recession in a sense and prevent gum recession from progressing. Bacteria and gum stones that cause gum recession are cleaned by scraping from under the gums. By cleaning the root surfaces where exposed bacteria and dental stones stick, we actually ensure that the gum sticks to the root surface by getting a healthy state. This is the general purpose of all treatments.

Some medications cause the gums to deteriorate

Some medications have a negative effect on oral health by causing special changes in the gums and affecting other tissues inside the mouth. These are birth control pills, antidepressants, some blood pressure-heart medications, immune system suppressants, medications used to treat sara, certain medications in the form of sprays used to treat asthma and containing cortisone. In such a situation, the dentist and the medical doctor should conduct a consultation. When taking birth control medication, an exaggerated response to local irritants on the gums appears. Inflammation can consist of a slight swelling and redness, as well as a severe picture.

Systemic diseases

Some systemic diseases, such as diabetes, and diseases that affect the immune system also affect the severity of periodontitis and its response to treatment. Diseases that affect the body’s defense system, such as leukemia, AIDS, can make the condition of the gums worse. In cases where people are very susceptible to infection, gum disease is usually much more severe and more difficult to control.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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