Gingivitis Treatment – Dental Treatment

Introduction –Gingivitis Treatment

Gingivitis is an inflammation of the mucosal epithelial tissue surrounding the base of teeth and the alveolar processes. Gingivitis can be classified by clinical appearance (e.g., ulcerative, hemorrhagic, necrotizing, purulent), etiology (e.g., drug-induced, hormonal, nutritional, infectious, plaque-induced), and duration (acute or chronic). The most common type of gingivitis is induced by plaque.

Acute necrotizing ulcerative gingivitis (ANUG, i.e., trench mouth) is a severebacterial infectious gingivitis.

Gingivitis is a type of periodontal disease. Periodontal disease is inflammation and infection of the tissues supporting the teeth, including the gums, the periodontal ligaments, and the tooth sockets of the jaw bone.

Oral hygiene maintenance by brushing and flossing is very important to prevent the recurrence of gingivitis.
Gingivitis is due to the long-term effects of plaques on the teeth. Plaque is a sticky material made from bacteria, mucus, and food debris that settles on the exposed parts of the teeth. If the plaque is not removed, it turns into a hard deposit called as tartar that becomes fixed on the base of the tooth. Plaque and tartar irritate the gums. Bacteria and the toxinsthus produced cause the gums to become infected, swollen, and painful.

The following raise your risk for gingivitis:

  1. Some systemic diseases
  2. Poor oral hygiene
  3. Pregnancy and puberty due to hormonal changes
  4. Uncontrolled diabetes
  5. Misaligned teeth
  6. Ill-fitting or unclean mouth appliances like braces, dentures, bridges, and crowns.
  7. Certain medications including phenytoin, bismuth, and some birth control pills.

Symptoms of Gingivitis:

The symptoms of gingivitis are:

  1. Swollen gums
  2. Bright red or purple gums
  3. Pain on touching the gums
  4. Easily bleeding gums
  5. Receding gum-line
  6. Sores in mouth

Prevention of Gingivitis:

Gingivitis may be prevented by maintenance of proper oral hygiene practices. This involves daily brushing with fluoride toothpaste and routine flossing with dental floss.

Diagnosis:

A dentist should be seen as soon as the signs of gingivitis appear. A dentist asks the symptoms to the patient and examinesthe plaque in the oral cavity. A dentist may order X-rays or gingival probing for testing of periodontitis.

Complications of gingivitis:

  1. Recurrence
  2. Periodontitis.
  3. Abscess of the gingiva or the jaw bones.
  4. Trench mouth: severe bacterial infection and ulceration of the gums.

Gingivitis Treatment:

A dentist first performs a thorough cleaning of the teeth and gums. After that, the plaque is removed and the inflammation of the gums reduces by one or two weeks. Oral hygiene maintenance by brushing and flossing is very important to prevent the recurrence of gingivitis.

  • Antibiotics

Antibiotics are used to eliminate the bacterial infection. The treatment of gingivitis is absolutely necessary if dental surgery is planned.

  1. Formulations of Penicillin: Penicillin is an antibiotic of choice for gingivitis.
  2. Erythromycin: Erythromycin is an alternative drug of choicewhen the patient is allergic to penicillin.
  3. Doxycycline: Doxycycline is from the tetracycline group and it inhibits protein synthesis by binding to 30S and possibly 50S ribosomal subunits of susceptible bacteria and arrests their growth.
  4. Minocycline microspheres:these are used as an adjunct to scaling and root planning procedures in patients with adult periodontitis. Minocycline microspheres treatment is used as part of a periodontal maintenance program including good oral hygiene,scaling and root planning.
  • Antiseptics

Antiseptics decrease thebacterial counts in oral flora and help in early resolution of gingivitis when combined with brushing and flossing.

  1. Chlorhexidine 0.12% (oral rinses)
  2. Saline (oral rinses)
  3. Hydrogen peroxide (oral rinses)
  • Analgesics

A strong analgesic along with topical anesthetics is used because pain control is very important for allowing the patient to eat and carry out brushing, flossing, and other oral hygiene practices which help in eradication of the disease. NSAIDs help to decrease the pain. Although effects of NSAIDs tend to be patient-specific, ibuprofen usually is the drug of choice for initial therapy.

  1. Acetaminophen with codeine (a Narcotic analgesic)is well tolerated by most patients. It can cause severe nausea and vomiting in some patients.
  2. Ibuprofen is used for pain relief and to decrease the gingival inflammation. It should be used cautiously in patients with a history of asthma or peptic ulcer disease.
  •  Topical anesthetics

Topical anesthetics assist the analgesic drugs in pain control.

  1. Lidocaine viscous 2% — It is an adjunctive therapy for pain control which decreases the permeability to sodium ions in nerve membranes. This results in inhibition of neuronal depolarization and blocks the transmission of nerve impulses.
  2. Topical Xylocaine

- Link of interest: Twitter Gingivitis Treatment – Dental Treatment.

 

This article is not medical advice nor a substitute to professional health advice. Always consult a doctor.

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