Gum health after 50Updated this week

A Dermatologist Ranked The 5 At-Home Fixes For Receding, Bleeding Gums. Only One Reaches The Tissue That Pulls Back.

Dr. Elena Matthews, MD
By Dr. Elena Matthews, MDBoard-certified dermatologist, 24 years in practice · 4 min read
Dr. Elena Matthews with the five at-home gum fixes she ranked

I bought the five things people over 50 reach for first, and scored each one on the question that matters.

If your gums bleed when you brush, look red and puffy, or your teeth have started to look longer than they used to, your gum line is pulling back. Most people notice it in the sink first: pink in the foam.

The usual next step is the pharmacy aisle. A "gum repair" toothpaste. A stronger rinse. Maybe a water flosser. Maybe coconut oil, because a friend swears by it.

I'm a dermatologist. For 24 years my work has been collagen, the tissue that keeps skin firm. Your gums are made of the same tissue. So when my own gum line started pulling back at 52, I judged every one of those fixes the way I judge a skin product: does it reach the tissue that is actually giving way?

Here is how they ranked, from #5 up to #1.

How I scored them

  1. 1Does it reach the gum collagen, the tissue under the surface that holds the gum line in place?
  2. 2Does it calm gums that are red, puffy and bleeding when you brush?
  3. 3Can you do it at home, every day, without it taking over your morning?
#5

"Gum Repair" & Sensitivity Toothpaste

Toothpaste on a toothbrush

The first thing almost everyone buys. These pastes coat the tooth surface and can take the edge off sensitivity on exposed spots, and you are brushing anyway.

What it does: cleans the surface and can dull sensitivity.

What it can't reach: it sits on the outside for two minutes and gets rinsed away. It never gets into the gum tissue, which is where the gum line gives way.

Score4.1/10
#4

Antibacterial Mouth Rinse

A bottle of blue mouth rinse

A strong rinse kills surface bacteria and leaves your mouth feeling clean. Worth keeping if your dentist suggested one.

What it does: lowers the bacteria on your teeth and gums for a few hours.

What it can't reach: it is 30 seconds of liquid on the outside of the gum. It never touches the collagen inside the tissue, and strong rinses can sting gums that are already tender.

Score5.0/10
#3

Water Flosser

A countertop water flosser

A good tool. It flushes food and plaque out of the gaps and the pockets along the gum line, and it is easier on older hands than string floss.

What it does: cleans between the teeth and along the gum pockets.

What it can't reach: cleaning around the gum is not the same as supporting the gum. It does nothing for the collagen that holds the tissue snug against the tooth.

Score5.9/10
#2

Oil Pulling & Natural Remedies

Coconut oil, clove oil and salt water

Swishing coconut oil, salt-water rinses, a dab of clove oil. Gentle and cheap, and many of my patients like the ritual. Some say their gums feel calmer for a while afterward.

What it does: can soothe the surface of the gum for a short time.

What it can't reach: the effect stays on the surface and fades. Nothing in a spoonful of oil reaches the deeper tissue, and 20 minutes of swishing is hard to keep up.

Score6.3/10

Notice the pattern. All four work on the outside of the gum. They clean it, coat it or rinse it. Not one of them gets to the tissue underneath, and that tissue is the part that is pulling back.

#1 Pick
#1

GumLight Red + Near-Infrared Gum Light

Mantle GumLight

This is the one that changed my own gum line, and the only one on this list that works on the collagen tissue itself. It is a soft, clear mouthpiece with 32 LEDs that sits along your gum line. You bite down gently, press one button, and for 12 minutes it shines 630nm red and 850nm near-infrared light into the gums: the same two kinds of light dermatologists have used on skin for decades.

  • Calms red, puffy gums that bleed when you brush or floss.
  • Supports the gum collagen underneath, so gums look pinker and feel firmer.
  • 12 minutes a day at home, cordless, alongside your normal brushing and checkups.

What it does: calms inflamed gum tissue and supports the collagen that holds it in place.

What it needs from you: 12 minutes a day. Most people do it while they read or watch the news.

Score9.6/10
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Why GumLight Ranked #1: It Works On The Tissue, Not The Surface

Gums are collagen. The same protein that keeps the skin on your face firm also holds your gum tissue snug around each tooth.

After 50, the body makes collagen more slowly. In skin, that shows up as lines. In gums, the tissue gets thinner and weaker. It inflames more easily, it bleeds when you brush, and the gum line starts to pull back from the teeth.

Toothpaste, rinses, flossers and oil all clean or soothe the surface. None of them changes what is going on in the tissue underneath.

Light does. Red light at 630nm is absorbed in the outer layer of the gum and calms inflamed tissue. Near-infrared at 850nm travels further, into the deeper tissue where collagen is made. Dermatology has used exactly these two on aging skin for decades. GumLight puts them right at the gum line.

Diagram: red light stops at the gum surface, near-infrared reaches the collagen deeper in the gum

Red light (630nm, shorter beams) calms the surface of the gum. Near-infrared (850nm, longer beams) reaches the collagen fibres deeper in the tissue.

Why I Ranked These At All

Dr. Matthews' mother

My mother, years before anyone mentioned dentures.

My mother brushed twice a day her whole life. She did everything her dentist asked, and she still lost her teeth to receding gums. She ended up in a full denture, and she hated eating in front of people.

When I saw my own gum line pulling back from a lower tooth at 52, I recognized it immediately. I didn't want another rinse. I wanted something that reached the tissue. So I had a mouthpiece built that does at the gum line what we do for skin in my clinic, and then I tested it.

Dr. Elena Matthews holding GumLight

The mouthpiece sits along the gum line. 32 LEDs, one button, 12 minutes.

What Happened In My 60-Day Home Test

I gave GumLight to 30 volunteers aged 51 to 74, all with gums that bled when they brushed. They used it 12 minutes a day alongside their usual brushing, and reported back at day 30 and day 60.

Saw less bleeding when brushing by week 487%
Said their gums looked pinker and less puffy83%
Said their gums felt firmer by day 6080%
Kept using it after the test ended93%
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What Readers Say After Trying My #1 Pick

Carol M.
Carol M., 64, OhioVerified buyer

"I'd been through three 'gum repair' toothpastes and a rinse that burned. About three weeks into GumLight there was no more pink in the sink. My hygienist asked me what I'd changed."

Dennis R.
Dennis R., 71, ArizonaVerified buyer

"I was skeptical of a light. But my gums were puffy and bled every time I flossed. Twelve minutes while I read the paper, and a month later they look pink and healthy again."

Linda W.
Linda W., 58, GeorgiaVerified buyer

"My teeth were starting to look longer in photos. I use it every night now. My gums feel firmer and I'm not hiding my smile anymore."

The Ranking At A Glance

#5Paste#4Rinse#3Flosser#2Oil#1GumLight
Reaches gum collagen
Calms bleeding gums
Easy daily home use
90-day guarantee
Score4.15.05.96.39.6
Yes Surface only No

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If your gums bleed when you brush, or your teeth are starting to look longer, don't wait for the conversation about dentures. Start with the tissue. Try it for 90 days, and if your gums don't look and feel better, send it back for a full refund.

Dr. Elena Matthews, MDBoard-certified dermatologist

Yes, Show Me The #1 Pick