What are the treatment options for gingivitis

Inflammation of the gums (gingivitis): Dental treatment

What is gingivitis?

In dentistry, gingivitis is an inflammation of the gums. One distinguishes between non-plaque-related and plaque-related Gingivitis, the former occurring much less frequently. Mostly are bacterial deposits, the so-called. Plaque the trigger for gingivitis. Under ideal conditions, germs multiply in the oral cavity and attack the gums. Untreated gingivitis can cause periodontitis, a severe inflammation of the periodontium. The course of the disease can be very rapid or extend over years.


Gingivitis: Inflammation of the gums in the upper jaw, but pink, healthy gums in the lower jaw.
Image source: © GZFA

 

What are the signs of gingivitis?

Healthy gums are usually light pink. It surrounds the teeth firmly and dynamically with a harmonious wave profile and lies close to the tooth without the formation of gaps or deep gum pockets. Deposits can be easily removed.

Alarming signs of gingivitis are one dark to bluish red discoloration and swelling of the gums. When brushing your teeth or eating bleeds it fast. Sensitivity to pressure can also occur, sometimes there is an unpleasant smell or a strong bad breath (halitosis) occurs. The slightly inflamed gum line becomes detached from the tooth and gum pockets form. There are three stages in plaque-related gingivitis: the initial, the established and the advanced lesion.


Gingivitis: Treating gingivitis in the dental office.
Image source: © MunichDent

 

When should you go to the dentist?

Since gingivitis is usually painless or almost painless, changes are initially unnoticed or viewed as harmless. However, the earlier an inflammation is identified and treated, the better the chances of a complete cure. Thorough oral and tongue hygiene play a key role in preventing or improving gingivitis. If the symptoms do not go away completely within about a week, a visit to the dentist is highly advisable.
 

What types of gingivitis are there?

Acute inflammatory gingivitis

Bacterial deposits (Plaque or biofilm called) are the trigger for gum inflammation. The bacteria secrete poisonous endotoxins that penetrate the mucous membrane. The body or the immune system defends itself with inflammation. The gums are slightly red or swollen. Very Thorough and consistent oral and tongue hygiene can helpbecause the cause will be eliminated. Acute inflammation can also be caused by mechanical or thermal stimuli, e.g. B. Brushing your teeth too hard with toothbrushes that are too hard or if you burn yourself on hot food.


Gingivitis: Bacterial deposits in the upper jaw are the trigger for gingivitis and tooth loosening.
Image source: © GZFA

 

Chronic gingivitis

Acute gingivitis usually precedes the chronic form, which is severe inflammation. The gums tend to bleed even if they are touched lightly. Most of them are bigger Tartar deposits present. These calcified and hardened deposits lead to constant mechanical irritation of the gums.
 

Hormonal gingivitis

In phases of life like Puberty and pregnancy Hormonal fluctuations can promote gingivitis, and birth control pills can also play their part. However, direct triggers are the same factors as in acute or chronic inflammation.
 

Acute Necrotizing Ulcerative Gingivitis (ANUG)

Today this special form is relative Rare and mainly affects adolescents or people with weakened immune systems. It is an acute inflammation of the gums that is mainly caused by pathogens and is not contagious. The disease usually starts suddenly with pain, high fever and bad breath and can be accompanied by tiredness and fatigue. Professional teeth cleaning can help, and antibiotics are sometimes required.