Can hydrogen peroxide be used as a mouthwash for gingivitis?

Written by Li Cui
Dentistry
Updated on August 31, 2024
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Gingivitis can be treated with hydrogen peroxide mouthwash, as hydrogen peroxide is a colorless liquid with an irritating odor, and medically, it is commonly used for disinfecting wounds and otitis media. When the skin is infected or there are wounds and pus or contamination in the oral mucosa, 3% hydrogen peroxide can be used for disinfection, as it can destroy the bodies of bacteria and kill them. During oral treatment, such as some root canal treatments, hydrogen peroxide can be used for rinsing because most oral infections originate from anaerobic bacteria, and hydrogen peroxide has a strong bactericidal effect. However, as hydrogen peroxide is a topical medication, care should be taken not to swallow it while using it for mouthwash.

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Written by Li Cui
Dentistry
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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 Li Bao Hua
Dentistry
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The difference between periodontitis and gingivitis

Periodontitis and gingivitis have essential differences. Gingivitis is the early stage of periodontitis. Both gingivitis and periodontitis involve the formation of periodontal pockets, but the pockets in gingivitis are pseudo pockets, caused by inflammation of the gums which leads to the local proliferation or swelling of the gums, enveloping part of the tooth crown. In contrast, the periodontal pockets in periodontitis are true pockets, caused by the resorption of the alveolar bone, a condition that accompanies the loss of alveolar bone. Therefore, the difference between gingivitis and periodontitis lies in whether there is bone loss or not.

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Written by Fang Xiao
Dentistry
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How to treat severe gingivitis?

Gingivitis is relatively common in daily life, mainly due to poor oral hygiene, dental calculus, plaque, food residues, and soft tartar, which irritate the gums, causing redness, swelling, and bleeding of the gums. If severe, it can lead to gum recession, absorption of the alveolar bone, and loosening or loss of teeth. For severe gingivitis, initial treatment involves supragingival cleaning followed by subgingival scaling and root planing. If individual teeth continue to experience recurring swelling and pain after scaling, surgical treatment such as gingival flap surgery may be performed. This involves cutting open the gums to thoroughly remove calculus, plaque, food residues, and soft tartar, which can subsequently improve tooth mobility. In cases where teeth cannot be preserved and need to be extracted, severe gingivitis can also lead to the formation of gum abscesses. In such cases, oral cephalexin can be taken, and using a compound chlorhexidine mouthwash can help alleviate the condition and reduce pain.

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Written by Wang Ji Zhong
Internal Medicine
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The difference between pericoronitis and gingivitis.

Pericoronitis and gingivitis are common oral diseases. Pericoronitis refers to inflammation around the crown adjacent to a wisdom tooth, characterized by congestion, swelling, and pain in the periodontal tissues of the pericoronal flap, typically caused by food debris around the crown, leading to bacterial infection. This condition often occurs during the eruption of wisdom teeth, especially when the wisdom teeth are misaligned. Pericoronitis is also a manifestation of periodontitis, while gingivitis is caused by bacterial infection of the gingival tissues resulting in congestion and edema. If gingivitis progresses, it can also develop into periodontitis, leading to serious consequences such as loosening and loss of teeth.

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Written by Li Cui
Dentistry
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Why does gingivitis bleed at night?

Patients with gingivitis often experience gum bleeding. However, this bleeding mainly occurs during morning tooth brushing, but it can also occur at night, though the timing is unpredictable. Patients with gingivitis should be cautious about their diet and avoid hard or overly spicy foods. Since gingivitis is a chronic inflammation, it can cause trauma during tooth brushing or chewing, leading to bleeding of the gum tissues. Therefore, it is advised that patients brush gently if they have gingivitis, using a soft-bristled toothbrush and maintaining a mild diet. Additionally, patients should focus on oral hygiene and develop proper oral health habits, including brushing their teeth both morning and night.