Q1. What is gingivitis?

Answer:

  •         Gingivitis is inflammation of gingival tissues.
  •         Gingivitis is restricted to the gingiva.
  •         Gingiva becomes red and swollen, and bleeds easily.
  •         It is rarely painful and with correct, treatment, is reversible.
  •         Gingivitis develops because of the presence of an undisturbed bacterial bio-film, known as plaque in the gingival crevices and adjacent to the gingival margins.
  •         The gingival inflammation caused by this bio-film is a nonspecific inflammatory response to the diffusion of bacterial antigenic product into the adjacent gingival tissues.
periodontitis
Papillary gingivitis: evident by swollen interdental papillae.

Q2. What is the management of gingivitis?

  •         Gingivitis should be managed by a dentist.
  •         The objective of the treatment is to remove the plaque by meticulous dental cleaning and smooth any roughness on the teeth that   allows plaque to accumulate; for example, removal of the calculus.
  •         This should be combined with patient education about oral hygiene.
  •         Calculus deposits are removed by dental scaling. Complete resolution of the inflammation can be expected within one week.

When inflammation restricts normal brushing, the short-term use of mouthwash to inhibit supra-gingival plaque formation may be used. The following medicines can be prescribed:

  •         Chlorhexidine 0.2 % mouthwash 10 ml rinsed in mouth for 1 minute 8 to 12 hourly for 5 to 10 days.

Or

  •         Chlorhexidine 0.12 % mouthwash 15 ml rinsed in mouth for 1 minute 8 to 12 hourly for 5 to 10 days.

 

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Article written by Dr. Ajai Singh

Ref: Therapeutic guidelines 2008

Published by Dr. Ajai Singh

Dr. Ajai M. Singh, a Prosthodontist from India, qualified Australian Dental Council licentiate examination in 2008. Since then, he is actively helping Dentists aspiring to pass ADC examination and willing to practice dentistry in Australia. Dr. Singh has helped hundreds of dentists who have successfully passed ADC examination and settled in Australia.

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