Gingivitis - inflammation of the gums.
Causes
- Infectious factor (dental plaque)
- mechanical trauma
- Chemical stimulation, and others.
types of gingivitis
The shape of the release catarrhal, hypertrophic and ulcerative gingivitis.
Catarrhal gingivitis develops as a reaction to a stimulus.
Hypertrophic gingivitis caused by hormonal disorders, usually develops in adolescence and during pregnancy.
Ulcerative gingivitis associated with a decrease in body resistance and malnutrition gingival tissues often associated with immunodeficiency. Matter deficiency of vitamin C, taking certain medications (phenytoin, cyclosporin, etc.).
Adrift distinguish between acute, chronic, aggravated gingivitis remission.
Severity of the process - mild, moderate, severe gingivitis.
manifestations
Chronic catarrhal gingivitis often proceeds without significant subjective sensations, but sometimes patients complained of bleeding gums during brushing or when taking solid food.
Gingivitis manifests hypertrophic increasing gingival papilla, which can reach the edges of the cutting teeth. Increased gums may be red, edematous, or bleed easily be dense, pale pink to form false periodontal pockets.
Ulcerative gingivitis: against reddened and edematous gingiva determine the foci of necrosis of gingival papillae or the entire gingival margin. Necrotic tissue - dirty gray color, is easily disintegrated, whereupon formed ulcerated surfaces coated dirty gray bloom. Characteristic halitosis, lymphadenopathy. Tracking violation general condition of the patient with fever sometimes up to 39 degrees.
gingivitis treatment
Local treatment (performed under anesthesia) includes eliminating the annoying and traumatic gum factors: removing dental plaque, selective proshlifovyvanie tooth surfaces, eliminating malocclusions et al.
With hypertrophic gingivitis carried sclerosing therapy or diathermocoagulation (moxibustion) gingival papilla; possible use of high-energy laser radiation. From physiotherapeutic the means used low-energy laser beam, irradiation of UV rays, electrophoresis and all kinds of massages gums (automassazh, massage, vibratory massage and vacuum massage). Often there is a need for a correction of hormonal background.
Common treatments include vitamin therapy (vitamins C, P, PP et al.). Topically applied antimicrobial agents and antiseptics (e.g., lubrication gel metrogil denta twice a day, frequent rinsing solution of 1.5% hydrogen peroxide).
Effectively combination of antimicrobial agents with immunostimulating drugs cause effects in the oral cavity. These drugs include, for example, imudon. Contraindications to the use imudon is hypersensitivity to the drug.
Forecast
Favorable prognosis of gingivitis, except hypertrophic gingivitis caused by reception anticonvulsants.
