Oral conditions

Gingivitis

The term gingivitis refers to an inflammatory condition that can cause redness and bleeding of the gums.

In most cases, inflammation can be triggered by poor oral hygiene. can be triggered by poor oral hygiene, leading to the proliferation of dental biofilm in the gingival sulcus.which leads to the proliferation of dental biofilm in the gingival sulcus.

What is gingivitis?

Gum disease or gingivitis is an inflammation that affects the gums.It can evolve into periodontitis if it also affects the bone supporting the teeth. Gingivitis and periodontitis are caused by microorganisms contained in the gums. caused by microorganisms contained in dental biofilm.

When the gums are inflamed, they are red, swollen and have a soft consistency. soft in consistency, sometimes with pain. The most obvious and recognizable symptom is bleeding of the gums, which occurs spontaneously or during daily tooth brushing. The bad breath can also be a warning sign that should not be underestimated that should not be underestimated, and may be due to a continuous inflammation of the gums.

Gingivitis is treatable, so it is important to talk to your dentist and know the signs and symptoms before this condition develops into other problems.

Causes

Dental biofilm is a colorless film that constantly forms on the surface of the teeth. constantly forms on the surface of the teeth.. If it is not removed by daily brushing and flossing, it can build up and there is a risk that bacteria will not only infect the gums and teeth, but also the gums and teeth. not only infect the gums and teeth, but also the bone tissue that supports them. the bone tissue that supports themand the bone tissue that supports them, endangering endangering their permanence in the mouth.

Therefore, gum care preserves the overall health of the smile and should be considered a priority.

Among the causes that can favor the accumulation of dental biofilm are morphological or structural anomalies of the teeth, root fractures and incorrect dental restorations.

Scientific evidence shows that gingivitis can also be caused by hormonal factors - androgens, estrogens, progesterone - and therefore there is an increased risk of occurrence during puberty and pregnancy. pregnancy. Although less frequent, gingivitis can also appear in childhood.

Malnutrition and deficiency of vitamins A, B2 and B12 also favor its appearance. also favor its appearance.

Gingivitis is the first stage of periodontal disease. If dental biofilm is not removed, it produces toxins that can worsen the condition and further irritate the tissues, causing periodontitis.

Symptoms

The symptoms of gingivitis are:

  • Bleeding gums.
  • Swollen or reddened gums.
  • Persistent bad breath.

When dental biofilm is not removed daily by brushing, it calcifies and forms dental calculus. This adheres tenaciously to the surface of the tooth and can only be removed by a dentist or dental hygienist in the dental clinic.

At this early stage of the disease, it is only possible to reduce the damage and stop the development of the disease with gingivitis treatment.

Gingival disease can occur at any age, but it can also occur at any age.age, but is more common among adults.. If detected in its early stages, the dentist can treat gum disease successfully.

Although rare, gingivitis is also gingivitis can also can also cause feverespecially in its acute ulcerative-necrotic ulcerative-necrotic form, the rise in temperature is due to involvement of the submandibular lymph nodes involvement of the submandibular lymph nodes.. Intense pain, especially acute, is also associated with this rare form of gingivitis.

Treatment

Professional cleaning by a dentist is the only way to treat gingivitis. dentist is the only way to treat gingivitis. It removes dental biofilm that has hardened into tartar.


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This is done with a treatment consisting of sessions of smoothing and polishing of the surfaces of the teeth - crown and root surfaces of the teeth - crown and root - that have been affected by tartar.

The duration of the treatment varies depending on the severity of the condition and can range from one session up to 5 sessions to eliminate dental tartar in its entirety.

Prevention

Dentists and dental hygienists recommend, in order to prevent gum disease, proper oral hygiene through the use of toothbrush, toothpaste, dental floss and Mouthwash appropriate to each patient profile.

Good oral hygiene habits, applied 2 or 3 times a day, especially before going to bed, effectively prevent the accumulation of dental biofilm.

It is also essential to visit the dentist regularly for professional hygiene, at least twice a year. professional hygiene, at least twice a year, unless the dentistunless otherwise indicated by the dentist.

How many types of gingivitis are there?

Gingivitis can present itself in various forms, some of which are related to the presence of other diseases.Some of them are related to the presence of other diseases.

Hemorrhagic gingivitis

As its name suggests, hemorrhagic gingivitis is a gingivitis characterized by profuse bleeding. profuse bleeding. This type of manifestation is particularly related to vitamin C deficiency. vitamin C deficiency.

Catarrhal gingivitis

This form of gingivitis develops as a result of the action of pathogenic microorganisms and the inflammation is manifested by swelling and cyanotic coloration of the gums. swelling and cyanotic coloration of the gums.. Catarrhal gingivitis usually affects only the upper jaw, and gives symptoms such as a bloody taste in the mouth.

Expulsive gingivitis

We speak of expulsive gingivitis when the gingivitis itself has already developed into periodontitis, or pyorrhea, which causes the instability of the tooth involved. instability of the tooth involved..

Desquamative gingivitis

Also called erosive gingivitis, it does not identify a specific pathology, but a clinical picture in which erythema, erosion, desquamation and a clinical picture in which erythema, erosion, desquamation and blisters have developed in the adherent and marginal gingiva.. The manifestations of this condition are highly variable, ranging from mild changes to debilitating forms.

Not related to a specific bacterial action, desquamative gingivitis with a specific bacterial action, desquamative gingivitis appears in most cases associated with two diseases: Mucosal pemphigoid and lichen planus.. The absence of periodontal pockets helps in the diagnosis to note the different nature of the pathology compared to gingivitis compared to classical gingivitis and subsequent periodontitis.

Acute ulcerative-necrotic gingivitis

This type is by far the most severe form. It is a rather rare but very recognizable quite rare but very recognizable, which occurs mainly in very weakened very weakened people and with compromised immune systemand is more frequent among smokers than among non-smokers..

Specific symptoms are:

  • Fever.
  • Ulceration between the teeth.
  • Intense halitosis.
  • Acute pain.
  • In some cases, generalized malaise.

Ulcerative gingivitis facilitates the action of certain anaerobic microorganisms to affect the health of periodontal tissue. It is necessary to intervene in time before it can degenerate into chronic gingivitis and lead to further complications.

More information and references

Oral health guide
Help guide

Oral health guide

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Frequently Asked Questions

The main cause is poor oral hygiene, which is not performed daily by brushing and using toothpastes, rinses and dental floss. In addition to oral hygiene habits, there are other health and dietary habits that also influence gingivitis to a greater or lesser extent, such as smoking and alcohol.

The duration of gingivitis varies from one case to another, depending on its severity and the treatments administered, lasting from days to months in the most severe cases.

The diagnosis should be made by a dentist or dental hygienist after an examination. It is typical to be diagnosed with gingivitis when the gums have a red and swollen appearance around the tooth and there is bleeding during tooth brushing.



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