Causes and treatment of gingivitis

Gingivitis is a non-destructive type of periodontal disease, but untreated gingivitis can progress to periodontitis. Signs of gingivitis include red and puffy gums, that bleed easily when the person brushes their teeth.

Gingivitis often resolves with good oral hygiene, such as longer and more frequent brushing, and flossing. In addition, an antiseptic mouthwash may help.

In mild cases of gingivitis, patients may not even know they have it, because symptoms are mild. However, the condition should be taken seriously and addressed immediately.

Types

There are two main categories of gingival diseases:

Dental plaque-induced gingival disease: This can be caused by plaque, systemic factors, medications, or malnutrition.

Non-plaque induced gingival lesions: This can be caused by a specific bacterium, virus, or fungus. It might also be caused by genetic factors, systemic conditions (including allergic reactions and certain illnesses), wounds, or reactions to foreign bodies, such as dentures. Sometimes, there is no specific cause.

Causes

The most common cause of gingivitis is the accumulation of bacterial plaque between and around the teeth. The plaque triggers an immune response, which, in turn, can eventually lead to the destruction of gingival, or gum, tissue. It may also, eventually, lead to further complications, including the loss of teeth.

Dental plaque is a biofilm that accumulates naturally on the teeth. It is usually formed by colonizing bacteria that are trying to stick to the smooth surface of a tooth.

These bacteria might help protect the mouth from the colonization of harmful microorganisms, but dental plaque can also cause tooth decay, and periodontal problems such as gingivitis and chronic periodontitis, a gum infection.

When plaque is not removed adequately, it can harden into calculus, or tartar, at the base of the teeth, near the gums. This has a yellow color. Calculus can only be removed professionally.

Plaque and tartar eventually irritate the gums, causing gum inflammation around the base of the teeth. This means that the gums might easily bleed.

Other causes and risk factors

Changes in hormones: This may occur during puberty, menopause, the menstrual cycle, and pregnancy. The gingiva might become more sensitive, raising the risk of inflammation.

Some diseases: Cancer, diabetes, and HIV are linked to a higher risk of gingivitis.

Drugs: Oral health may be affected by some medications, especially if saliva flow is reduced. Dilantin, an anticonvulsant, and some anti-angina medications can cause abnormal growth of gum tissue.

Smoking: Regular smokers more commonly develop gingivitis, compared with non-smokers.

Age: The risk of gingivitis increases with age.

Poor diet: A vitamin-C deficiency, for example, is linked to gum disease.

Family history: Those whose parent or parents have had gingivitis have a higher risk of developing it too. This is thought to be due to the type of bacteria we acquire during our early life.

Written by:
Christine Frank
Year:
2018
Category:
Health, Prevention

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Absolutely amazing! Very highly recommend! Everyone made me feel welcome and always made me feel at ease as I was very anxious and embarrassed. I required Dentures the whole experience was awesome from start to finish. Very highly skilled! I drove one hour to and from each appointment and it was worth it!
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The service is excellent by all the staff and Dr Cohen is by far the best dentist that I have ever been to. He is knowledgeable and experienced and ensures that you are comfortable while he is working on your teeth. Many people are concerned with the freezing process when having work done, but Dr. Cohen is so good that you will literally not feel anything. I would highly recommend Dr. Cohen.
David GagnerDavid Gagner
18:50 15 Jun 22
There is no joy living with bad teeth. Less joy understanding how expensive help can be. Most centres are more concerned with money, rather than the patient. Lakeside, Dr. Cohen and the team, are amazing. Why? Because they put me first. Are honest with options and realistic treatment. They want the same thing that I have wanted for years, to see me smile again. I believe in their team, their approach and their desire to make a difference for every patient. They have my trust.
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20:10 11 May 22
Dr Michael did a great job on my first implant. I was so impressed with the high level of personal service that I transferred my account from a dentist where I had a 20+ year relationship. I feel Lakeshore Dental can serve me better as I need more crowns and implants. The office is clean, spacious and as safe as any business can be. I recommend Dr Michael and his excellent and very friendly support team
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I was recommended this dental office by a coworker, I've had many dentists before that didn't understand how sensitive my teeth actually are and since my very first appointment here I knew I finally found the one. They are extremely friendly, very knowledgeable and will answer any questions you might have. Very professional and clean environment. They bill your insurance directly which is a huge relief, I'm so happy to have a dentist I can trust. They are so gentle, you also don't feel the needles going in! This is the first dental office where I didn't feel ANY pain whatsoever. I cannot say enough good things about them.
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