What should I do about recurrent gingivitis?

Written by Li Bao Hua

Dentistry

Updated on September 03, 2024

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Gingivitis is caused by not cleaning the mouth promptly after eating, with the presence of irritating factors around the teeth causing repeated outbreaks. For example, bleeding during brushing or eating. This situation requires teeth cleaning, which includes ultrasonic scaling to remove dental calculus and other basic causative factors. Only by removing the irritating factors and treating the cause, applying medicine around the gums and improving the bleeding condition, can the symptoms of gingivitis improve. If oral hygiene is not maintained after removal, over time, dental calculus or dental plaque can reattach around the teeth, leading to a recurrence of gingivitis.

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Written by Li Cui

Dentistry

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What will happen if gingivitis is not treated?

When a patient has gingivitis, if they cannot receive timely treatment, they may experience long-term inflammation that irritates the gum tissue, leading to nutrient loss in the gums and eventual gum recession. Further progression can lead to loose teeth, and ultimately, tooth loss. Therefore, it is crucial for patients with gingivitis to seek prompt treatment. Additionally, patients must pay attention to oral hygiene, as long-term poor oral hygiene is a major cause of gingivitis. It is important to promptly remove food residues after meals to prevent bacterial infections. Furthermore, developing correct brushing habits in the morning and evening is recommended, and patients should consider regular dental cleanings, which can effectively remove tartar and plaque, reducing irritation to the gums.

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Written by Wang Ji Zhong

Internal Medicine

48sec

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Is amoxicillin effective for gingivitis?

Gingivitis is primarily caused by the presence of dental plaque on the gums, which is erosive due to the large amount of bacteria. Taking oral amoxicillin, an antimicrobial drug, does not show a very obvious effect. One reason is that the gum tissue is relatively tough, and the concentration of the drug in the gum tissue when administered systemically is not sufficient to provide the expected therapeutic effect. Another reason is that oral bacteria, mostly anaerobic bacteria, cause this condition, and general anti-inflammatory drugs do not work well. The best method to treat gingivitis is still dental cleaning, which can directly remove the bacteria on the gums, clearly affecting the treatment. Subgingival scaling is also effective, which can lead to better outcomes.

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Written by Li Bao Hua

Dentistry

1min 6sec

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The difference between periodontitis and gingivitis.

Gingivitis and periodontitis are distinct conditions, with gingivitis being an early stage of periodontitis. If gingivitis is not treated in time, it can progress into periodontitis. The difference between gingivitis and periodontitis lies in the formation of periodontal pockets. During the stages of gingivitis and periodontitis, periodontal pockets are categorized into true and false pockets. During an outbreak of periodontitis, true periodontal pockets form due to the loss of alveolar bone, whereas the pockets during the gingivitis stage are false pockets, formed by the overgrowth of gum tissue. Once true periodontal pockets are formed, there is either loss or destructive resorption of the alveolar bone. Therefore, the crucial difference between gingivitis and periodontitis lies in whether there is destructive resorption of the alveolar bone, which fundamentally distinguishes the two conditions.

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Written by Li Cui

Dentistry

52sec

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Can gingivitis be transmitted through kissing?

The patient presents with gingivitis, generally due to intrinsic causes. It could be caused by the patient's internal heat leading to inflamed gums, resulting in gingivitis and periodontitis. Typically, kissing does not lead to transmission because it is not a contagious disease. It is advised that the patient pays attention to their oral hygiene, regularly undergoes dental cleaning, and avoids causing other dental diseases. Gingivitis and oral ulcers do not spread through kissing. However, it is recommended that the patient seeks timely treatment and avoids kissing during this time. While it does not cause contagion, it can lead to the spread of some bacteria in the mouth, which may exacerbate the condition. Therefore, early treatment is advised, but there is no need for excessive worry.

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Written by Fang Xiao

Dentistry

1min 24sec

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What is the difference between periodontitis and gingivitis?

Gingivitis is a condition that is limited to the gum tissues, whereas periodontitis not only affects the gum tissues but also damages the periodontal ligament and alveolar bone. Gingivitis merely involves inflammation of the gum tissues, displaying redness and swelling, as well as changes in the shape, color, and texture of the gums, including bleeding, hypertrophy, and a soft texture. Periodontitis involves not only inflammation of the gums but also leads to attachment loss, formation of periodontal pockets, resorption of the alveolar bone, and loosening or loss of teeth. Gingivitis does not involve bone resorption. In periodontitis, X-rays can show a reduced height of the alveolar ridge, presenting as either horizontal or vertical resorption. For the treatment of gingivitis, supragingival cleaning can completely cure it, allowing gum tissues to return to normal. The treatment of periodontitis, in addition to supragingival cleaning, requires subgingival scaling, root planing, and, when necessary, periodontal surgery to control inflammation, as the resorption of alveolar bone is irreversible.