How to treat gingivitis and periodontitis?

Written by Li Cui
Dentistry
Updated on January 19, 2025
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Gingivitis and periodontitis are both phenomena of periodontal diseases. Gingivitis is the initial stage of periodontitis, with the earliest phase typically being common gingivitis. If gingivitis is not well controlled, it can further develop into periodontitis.

However, once periodontitis occurs, there is definitely inflammation of the gums. In the development of both gingivitis and periodontitis, dental plaque and tartar generally play a major role. When gingivitis occurs, the lesions are generally limited to the gum tissue, and at this time, the course of the disease is relatively milder.

If gingivitis is not cured and develops into periodontitis, it will not only damage the gums but also the alveolar bone, and other periodontal tissues will also be destroyed. Therefore, it is advised that patients with gingivitis should take timely treatment measures.

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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 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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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.

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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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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.