What should I do if I have gingivitis?

Written by Li Bao Hua
Dentistry
Updated on September 12, 2024
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Gingivitis is characterized by symptoms such as bleeding while eating or brushing teeth. Sometimes, bloodstains may be found on the pillow upon waking up, which are also signs of gingivitis. Gingivitis can sometimes cause pain while eating, necessitating timely and thorough treatment, which includes both initial and maintenance phases. The initial treatment involves removing irritants around the teeth, including tartar, dental plaque, or soft deposits around the gums, followed by medicated rinsing. After controlling gingivitis, it is necessary to enter a regular maintenance phase with check-ups every six months, and any existing tartar should be promptly removed.

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Can gingivitis and bad breath be completely cured?

Halitosis, or bad breath, refers to odors emitted from the mouth or other air-filled cavities such as the nasal cavities, sinuses, and throat, which can significantly impact social interactions. It is advised that patients experiencing gum bleeding or bad breath visit a hospital for dental cleaning, which may include polishing and scaling to effectively remove dental plaque, tartar, and debris, thus eliminating most bacteria. For severe cases of bad breath, it is recommended to seek medical treatment at a hospital under the guidance of a doctor, as it is generally treatable. Patients are advised not to be overly anxious, feel inferior, or be stressed psychologically. Additionally, maintaining daily oral hygiene is crucial; it is reasonable to brush teeth at least twice a day, in the morning and evening, and to rinse the mouth after each meal. Using dental floss to clean between the teeth can help eliminate oral odors.

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Written by Li Cui
Dentistry
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Can gingivitis be treated by rinsing with salt water?

When suffering from gingivitis, it is appropriate to use some light saltwater for rinsing, but it is recommended that patients purchase more professional mouthwash for rinsing. This is because some specialized mouthwashes contain medicinal ingredients that can effectively control the bacteria in the mouth and have anti-inflammatory and antibacterial effects. They can remove some oral bacteria and food residues, so it is advised that patients use mouthwash. Additionally, when patients experience gingivitis, while mouthwash is one aspect, the main focus should still be on anti-inflammatory treatment. Appropriate oral intake of anti-inflammatory drugs can have an effective treatment impact, such as commonly used drugs against anaerobic bacteria combined with some antibiotics, which can provide effective treatment.

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Written by Fang Xiao
Dentistry
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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.

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Written by Li Bao Hua
Dentistry
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Can gingivitis heal itself?

Gingivitis is difficult to heal on its own and requires corresponding treatment. Gingivitis is inflammation of the gum tissue, characterized by redness of the gums, swelling, pus leakage, or bleeding during brushing and eating, with bleeding during brushing being a common symptom that often prompts timely medical attention. Examination of the teeth can reveal a large amount of dental plaque, tartar, or biofilm around the gum area. In such cases, timely dental cleaning is necessary to remove these deposits. During the removal process, bleeding from the gums may worsen, and it may be necessary to apply medication around the gums, using anti-inflammatory drugs to help alleviate the inflammation. If the inflammation is controlled, gingivitis may be managed, but without treatment, gingivitis cannot heal by itself.

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Why Gingivitis Always Persists

The treatment of gingivitis first requires patients to pay attention to adjusting their diet and lifestyle, as gingivitis is greatly related to the dietary habits of the patient. Patients who do not pay attention to oral hygiene over a long period and indulge excessively in eating and drinking, often consuming barbecued or fried foods, are likely to experience issues such as increased heat in the body or a reduction in immune resistance, depleting some of the body’s energy. Therefore, it is recommended that patients maintain a light diet, eat more fresh vegetables and fruits, drink more water appropriately, and ensure adequate rest, avoiding staying up late. Additionally, patients should initially undertake treatment with anti-inflammatory medications, often involving anti-anaerobic or antibiotic drugs, which can effectively treat gingivitis. Additionally, patients can also routinely get their teeth cleaned in daily life, which can effectively relieve the symptoms of gingivitis.