What is the difference between gum swelling and pain due to "heatiness" and gingivitis?

Written by Li Cui
Dentistry
Updated on May 26, 2025
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Swollen and painful gums due to "heatiness" is also a type of gingivitis, which encompasses a range of conditions. It is essentially a general term for inflammation of the gums. Therefore, it is recommended that patients should distinguish the cause, as "heatiness" can lead to symptoms like swollen and painful gums. In such cases, patients can clear the "heat" by taking some herbal medicines or teas that reduce "heatiness," drinking more water, and adjusting their diet, which generally can provide quick relief.

If a patient has poor oral hygiene, such as a lot of dental plaque or tartar on their teeth, this can continuously irritate the gums and cause chronic gingivitis, leading to pain. The medications used in these cases are generally similar, thus patients do not need to be overly anxious. Appropriate use of drugs like periodontal health supplements or artificial bezoar metronidazole can effectively reduce inflammation and relieve pain.

(Medication should be taken under the guidance of a physician.)

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Written by Li Cui
Dentistry
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Is suppurative gingivitis serious?

Purulent gingivitis is a further development of common gingivitis. If common gingivitis only causes some congestion, swelling, sensitivity, or pain in the gums, it may lead to the formation of pus in the gum tissues if not treated timely. Patients are advised to seek treatment early in such cases. If the progression of gingivitis is not controlled in time, it may lead to periodontitis, damage to the tooth root tissues, and some alveolar bone. Therefore, it is advised that patients seek immediate medical attention when experiencing purulent gingivitis, as it is a severe condition. Treatment usually involves localized anti-inflammatory and purulent management at a standard dental hospital. Additionally, it is crucial to maintain a light diet, ensure oral hygiene, and develop proper brushing habits.

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Written by Li Cui
Dentistry
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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 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 Cui
Dentistry
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Can I eat grapes with gingivitis?

Patients with gingivitis can eat grapes, as grapes contain rich vitamins and nutrients, which can be very beneficial to the body. However, it is recommended that patients rinse their mouth and brush their teeth immediately after eating grapes to remove any residual grape juice. Since grapes are sweet, leaving residues in the mouth can lead to bacterial growth and worsen gingivitis. Therefore, patients can consume a moderate amount of grapes, and eating other fresh fruits can also be beneficial for inflammation recovery. In daily life, it is also recommended for patients to eat more fresh vegetables and fruits. For gingivitis, it is important to identify the causes, whether it is due to wisdom teeth, periodontitis, or apical periodontitis. In such cases, it is generally advised to seek medical advice and receive appropriate treatment under the guidance of a doctor.

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Written by Li Cui
Dentistry
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Where is it effective to massage for gingivitis treatment?

When the patient experiences gingivitis pain, if they want to treat and alleviate it through traditional Chinese medicine massage, the simplest method is to massage the Hegu acupoint on the hand. Additionally, massaging the Xiaguan acupoint can also play a role in alleviation. It is advised that if the patient experiences severe pain and acute inflammation of the gums, they should first maintain a light diet and drink more water for conditioning. If there is no improvement, oral anti-inflammatory drugs such as artificial bezoar metronidazole can be taken. This can be combined with some antibiotic anti-inflammatory drugs, such as amoxicillin, levofloxacin hydrochloride, or other drugs like roxithromycin, all of which can have anti-inflammatory effects and relieve pain. (Please use medication under the guidance of a doctor.)