How to treat severe gingivitis?

Written by Fang Xiao
Dentistry
Updated on October 23, 2024
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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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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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What should I do if I have gingivitis?

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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Written by Li Cui
Dentistry
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How to treat gingivitis and periodontitis?

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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Why does gingivitis cause the gaps between teeth to become bigger?

If the patient has gingivitis, prolonged gingivitis is subject to chronic inflammatory stimulation, which can lead to the atrophy of gum tissue and is harmful to the health of the gum tissue. When gum tissue begins to atrophy, gaps between teeth may become larger. Therefore, it is advised for patients to maintain good oral hygiene daily to prevent chronic gingivitis from adversely affecting oral health. Furthermore, if gaps between teeth enlarge, prolonged development may lead to tooth loosening or loss. Hence, patients must pay attention to oral hygiene, rinse their mouth promptly after meals to remove food debris, and regularly get their teeth cleaned to remove tartar and plaque, which is beneficial for oral health.

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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.