Do Aligners Cause Gum Recession? 

Do Aligners Cause Gum Recession
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The increased use of aligners for straightening teeth has led to various questions about their impact on oral health. Among these concerns is the potential for aligners to cause gum recession. With multiple factors leading to gum recession, from genetics to inadequate oral hygiene, understanding any association between this condition and aligners becomes very important. 

This article explains whether aligners can contribute to gum recession and offers guidance on causes, prevention, and treatments to keep oral health unaffected during orthodontic treatments.

What is the Gum Recession?

Gum recession refers to the process where the margin of the gum tissue surrounding the teeth wears away or pulls back, exposing more of the tooth or its root. This condition can lead to gaps or “pockets” forming between the teeth and gum line, making it easy for disease-causing bacteria to build up. 

Gum recession is a common dental problem, often unnoticed in its early stages because it’s a gradual process. If left untreated, the supporting tissue and bone structures of the teeth can be severely damaged, potentially resulting in tooth loss. Therefore it is very important to address gum recession early, as once the gum tissue is lost, it doesn’t grow back. 

Causes of Gum Recession

Gum recession can be attributed to various factors, each contributing to the gradual pulling back of the gum tissue from the teeth. Understanding the causes of this condition is essential for both prevention and treatment. Let’s explore the primary factors that contribute to gum recession.

  • Periodontal Diseases: Bacterial infections that damage the gum tissue and the supporting bone, leading to the pulling back of the gums.
  • Aggressive Tooth Brushing: Using a hard-bristled toothbrush or brushing with excessive force can wear down the gums.
  • Inadequate Oral Care: Not maintaining proper oral hygiene can lead to tartar buildup, which can in turn cause gum recession.
  • Genetic Factors: Some individuals are predisposed to gum recession due to inherited traits.
  • Hormonal Fluctuations: Especially prevalent in women, changes in hormone levels can make gums more vulnerable to recession.
  • Smoking and Tobacco Use: Regular use can lead to several oral health issues, including gum recession.
  • Teeth Grinding or Clenching: Excessive force on the teeth can cause the gums to recede.
  • Misaligned Teeth: Crooked or misaligned teeth can put pressure on the gums, leading to recession.
  • Oral Piercings: Piercings in the lip or tongue can irritate the gum tissue, potentially leading to recession.

Do Aligners Cause Gum Recession?

Aligners, such as Byte or Invisalign, have become a popular choice for orthodontic treatment due to their clear, discreet appearance. However, like any dental appliance, there’s always a concern about potential side effects.

Regarding gum recession, there isn’t strong evidence to suggest that aligners directly cause gum recession in most cases. However, there are scenarios where they could contribute:

Improper Fit: If the aligners don’t fit properly, they might exert uneven pressure on the teeth and gums, which could contribute to gum problems.

Poor Oral Hygiene: Aligners need to be worn for most of the day and night. If not cleaned properly, or if the teeth aren’t cleaned before putting aligners back in, bacteria can be trapped against the teeth and gums. This environment can increase the risk of gum disease, which can lead to gum recession.

Pre-existing Conditions: For patients with pre-existing gum issues or a history of gum disease, any orthodontic treatment, including aligners, could exacerbate the condition.

Physical Trauma: Rarely, the edges of an aligner might irritate the gum tissue if not trimmed and adjusted properly.

See also: Long-Term Side Effects of Invisalign

Worth Knowing

About 3.5 billion people worldwide were affected by oral diseases in 2019, making them the most widespread conditions among the more than 300 diseases and conditions that affect humanity.

Can Aligners Worsen Gum Recession?

While aligners are designed to safely reposition teeth, there are circumstances where they could potentially worsen gum recession. Improperly fitting aligners might exert uneven pressure on the gums, leading to irritation and exacerbating any existing recession. Additionally, if teeth aren’t cleaned properly before re-inserting the aligners, or if the aligners themselves aren’t kept clean, bacteria can become trapped against the gums. This environment can accelerate gum disease, a primary cause of gum recession. 

Individuals with pre-existing gum conditions or a history of gum disease are particularly vulnerable. The pressure and movement from aligners might stress an already weakened gum tissue, hastening the recession. In situations where teeth are moved too aggressively or without adequate foresight, the supporting structures, including the gums, can be strained, potentially exacerbating recession. Lastly, the edges of an aligner, if not adjusted correctly, might cause physical trauma to the gum tissue, leading to further recession. Therefore it is very important for those with a history of gum issues to regularly consult with both an orthodontist and a periodontist during their aligner treatment.

How to Avoid Gum Recession with Aligners

Using clear aligners to straighten teeth can be a great option for many people; however, it is critical to take the necessary precautions to avoid gum recession while undergoing orthodontic treatment. Here are a few essential tips for maintaining healthy gums with aligners.

Oral Hygiene

First and foremost, always maintain proper oral hygiene. Brush your teeth at least twice a day, floss daily, and use mouthwash to help remove plaque and bacteria that could harm your gums. Maintaining a consistent oral care routine is essential in preventing gum disease and protecting your gums during the aligner treatment.

Proper Aligner Usage

Another crucial aspect is to wear your aligners for the recommended duration per day and change them according to your orthodontist’s instructions. Proper usage of aligners can prevent unnecessary pressure on your gums and teeth, thus minimizing the risk of gum recession.

Proper Diet

Furthermore, avoid smoking and consuming excessive amounts of sugary or acidic beverages, as these habits can lead to gum inflammation and weaken your gum tissue. This makes it easier for gum recession to occur.

See also: Tooth Sensitivity – Why Do My Teeth Hurt After Eating Ice Cream?

Regular Dental Check-Ups

Lastly, ensure you have regular dental check-ups and cleanings to monitor your gum health and address any potential issues early on. Catching and addressing gum problems at an early stage is important in preventing more severe issues, including gum recession. 

How to Treat Gum Recession?

Gum recession is a condition that affects many people, especially as they age. Fortunately, there are various treatment options available that can help alleviate this issue. It is important to note that the best course of treatment mainly depends on the underlying cause of gum recession.

If the gum recession results from poor oral hygiene, one of the primary treatment methods is to improve dental care practices. Brushing teeth with a soft-bristle toothbrush, flossing regularly, and using antiseptic mouthwash can help combat plaque buildup and reduce inflammation, which may slow down the progression of gum recession. Lifestyle changes like quitting smoking can also contribute to better gum health and prevent further recession. 

In some cases, gum recession can be caused by misaligned teeth or grinding. In such instances, orthodontic treatments, like braces, can help align the teeth and potentially correct the gum margin, making it easier to maintain proper oral hygiene.

For more serious cases, dental interventions such as gum graft surgery may be recommended. This procedure involves transplanting gum tissue from one part of the mouth to the affected area, providing a more stable foundation for the teeth and improving the overall gumline.

How to Keep Gums in Good Condition

Maintaining proper oral hygiene is very important for keeping your gums healthy. A regular dental care routine, including brushing your teeth twice a day for two minutes, flossing daily, and using an antimicrobial mouthwash can help prevent gum recession and other oral health issues.

In addition to daily dental care, it’s crucial to visit your dentist at least twice a year for professional dental cleanings and check-ups. These visits allow your dentist to assess your gum health and recommend any necessary treatments or adjustments to your oral hygiene regimen.

Diet and lifestyle factors also play a role in gum health. Consuming a balanced diet rich in fruits, vegetables, lean proteins, and whole grains can provide your body with the nutrients necessary for maintaining gum tissue. Avoiding tobacco products and limiting alcohol consumption can also help prevent gum recession and other dental problems.

Lastly, being mindful of your oral health habits, such as not brushing too aggressively and ensuring your clear aligners are properly used, can mitigate the risk of gum recession. By following these tips and being proactive about your gum health, you’ll be well on your way to maintaining a healthy smile.

Do Aligners Cause Gum Recession – Conclusion

In the context of orthodontic treatments, aligners have become a popular choice for teeth straightening because they are convenient and discreet. However, it’s important to understand their potential effects on oral health, especially gum recession. While aligners aren’t typically the main cause of gum recession, certain conditions and factors can increase the risk during treatment. 

For optimal results and oral health, patients should prioritize good oral hygiene, ensure their aligners fit well, and seek regular consultations with dental professionals. Regular check-ups and being informed about the process can help patients make the most of their aligner treatments while safeguarding their oral health.

Frequently Asked Questions

Can retainers cause gum recession?

Retainers are orthodontic devices used primarily to maintain teeth alignment after braces or other orthodontic treatments. Generally, retainers themselves do not directly cause gum recession. However, if they are not well-fitted, they can exert undue pressure or cause irritation, potentially leading to gum issues. Poor oral hygiene while wearing retainers can also contribute to bacterial buildup, heightening the risk for gum disease, which can result in gum recession.

Can braces cause gum recession?

While braces themselves are not a direct cause of gum recession, improper care during orthodontic treatment can contribute to conditions that promote gum recession. Poor oral hygiene while wearing braces can lead to plaque buildup around brackets, heightening the risk of gum disease, which is a leading cause of gum recession. Overly aggressive tooth movement or ill-fitted braces can also exert excessive pressure on the gums and teeth, potentially causing recession. Therefore, it’s very important to maintain meticulous oral hygiene, attend regular dental and orthodontic check-ups, and promptly address any discomfort or fitting issues.

Does Invisalign cause gum recession?

Invisalign is generally not a direct cause of gum recession. However, just like traditional braces, certain factors can increase the risk of gum recession while using Invisalign. An improper fit of aligners can exert undue pressure on gums, potentially causing irritation or recession. Poor oral hygiene during Invisalign treatment can lead to plaque buildup and gum disease, both contributors to gum recession. If aligners aren’t cleaned regularly or if teeth aren’t properly cleaned before reattaching the aligners, bacteria can become trapped, increasing the risk of gum problems. As with any orthodontic treatment, proper care, regular dental check-ups, and open communication with an orthodontist are key to preventing complications.

How to avoid gum recession with Invisalign?

To avoid gum recession while using Invisalign, prioritize consistent oral hygiene. Brush and floss your teeth twice daily, ensuring teeth are clean before re-inserting the aligners. Rinse aligners regularly and keep them clean to prevent bacterial buildup. Ensure that the aligners fit correctly; improper fit can exert pressure on the gums, leading to irritation. Schedule regular dental check-ups to monitor gum health and ensure early detection of potential issues. If you notice any signs of gum irritation or recession, consult with your orthodontist immediately. Avoiding harmful habits like smoking and following your orthodontist’s instructions can help maintain gum health throughout Invisalign treatment.

Can Invisalign help gum recession?

Invisalign primarily aims to correct teeth alignment and bite issues, but it can indirectly benefit those with gum recession. Properly aligned teeth are easier to clean, reducing the chances of plaque buildup and gum disease, which are the primary causes of gum recession. By ensuring optimal teeth positioning, Invisalign can also enhance oral hygiene practices, potentially halting or slowing down the progression of gum recession. 

However, it’s crucial to understand that Invisalign itself doesn’t directly treat gum recession. If you’re experiencing gum recession, consult with a periodontist for specialized treatment options while considering Invisalign for orthodontic concerns. Combining both approaches can lead to improved overall oral health.

Can you get Invisalign with gum recession?

You can get Invisalign even if you have gum recession. However, it’s important to ensure that any active gum disease or significant recession is treated before starting Invisalign. The treatment involves moving teeth, and healthy gums are essential for its success. If the gums are already compromised, not maintaining good oral hygiene during the Invisalign process can increase risks. Working closely with both an orthodontist and a periodontist is important. They can evaluate if Invisalign is appropriate based on the gum recession’s extent and offer continuous advice during treatment.

Can gum disease be fatal?

Gum disease, or periodontal disease, itself isn’t directly fatal. However, severe and untreated gum disease can have systemic effects. Studies have shown connections between gum disease and heart disease, stroke, respiratory diseases, and complications in diabetes. Additionally, the bacteria from infected gums can enter the bloodstream, potentially leading to inflammatory reactions elsewhere in the body. While it’s an oversimplification to say gum disease can directly kill you, its association with these other serious health conditions highlights the importance of maintaining good oral health and addressing gum disease promptly to reduce overall health risks.


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Rodriguez, Y. C., Pomarino, S. G., Orthodontic dental movement and its association with the presence of gingival recession; Revista Odontológica Mexicana; Volume 21, Issue 1, January–March 2017, Pages e8-e11. DOI: 10.1016/j.rodmex.2017.02.005. Available online at:

Seong, J., Bartlett, D. , Newcombe, R.G. , Claydon, N.C.A., Hellin, N., West N.X. Prevalence of gingival recession and study of associated related factors in young UK adults; Journal of Dentistry Volume 76, September 2018, Pages 58-67. DOI: 10.1016/j.jdent.2018.06.005 Available online at:

Iza Wojnarowski

Content contributor

Iza is a dedicated content contributor for Toothific. Having worn braces twice and currently using Invisalign to correct a mild overbite, Iza brings a unique perspective to her writing. She spends her time staying updated on the latest dental trends and treatments, ensuring her readers have the most current information for their dental care needs.

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