Gingivitis, periodontitis - behind these incomprehensible names there is a dangerous tooth disease associated with inflammation of the gums, which, if untreated, can lead to tooth loss.
What are the causes of this disease and how to deal with it correctly?
Today, more than half of humanity suffers from gum disease, and the reasons are very different - from the wrong way of life to bad heredity or disabilities due to hormonal changes.
In this case, inflammatory processes may differ in the nature of the course and methods of treatment. To properly determine the therapy and know what to do, you should familiarize yourself with all possible nuances.
Causes of development in the gingival inflammation can be both external and internal. In addition, they differ in the scale of the impact. It is the correctly diagnosed cause of inflammation that becomes the key to effective treatment.
Problems with gums may result from:
These factors often lead to the development in the gums of such dangerous inflammatory processes as gingivitis and periodontitis. In this case, there is a generalized nature of inflammation, implying damage to the entire oral cavity.
This form of inflammation is most common. Both general and local factors can provoke the disease.
For this type of inflammatory process, the following symptoms are typical:
The mild form of the disease( only the gingival papilla is affected) can be replaced by medium and severe forms with damage to the free portion of the gums and their entire space, respectively.
The photo shows a chronic process, for the cure of which requires a comprehensive approach.
In this case, inflammatory processes affect the mucous membranes of the gums, provoking the development of tissue necrosis near the gingival margin and inflammation of the regional lymph nodes.
The most likely cause of this process, along with hypothermia, infectious diseases and reduced immunity is poor oral hygiene.
Symptoms typical for catarrhal gingivitis are:
With the development of this form of the disease, it is extremely important to start treatment in time.
In the photo, a severe form of the disease with purulent inflammation, which requires antibacterial and surgical treatment.
A feature of this form is the reactive proliferation of connective fibrous tissue and epithelial basal cells, caused by chronic inflammation of the mucous membranes of the gums. Most often, these disorders are caused by changes in the endocrine system, a lack of vitamins and a metabolic disorder.
In this case, the following symptoms appear:
In addition to generalized inflammation of the entire gingival surface, local processes are possible in certain areas due to the development of periodontitis, gum injuries to the crown, eruption of wisdom teeth.
Also, inflammatory processes in the gums of pregnant women stand apart. We will talk about these situations.
A characteristic feature of periodontitis is the formation of a cyst in the top of the root of the affected tooth in the form of a pouch filled with pus, which is the cause of swelling, swelling and tenderness of the gum.
In this case, the swelling is unstable, then appearing, then disappearing.
The cause of the development of the disorder is caries started developing into pulpitis, or poor-quality root canal filling during pulpitis treatment or at the stage of preparation for prosthetics.
A change in the condition of the gums with the development of bleeding and swelling is very often observed during pregnancy.
A provoking factor, dentists call - a change in the hormonal background of a woman who, with impaired hygiene of the oral cavity, leads to the development of gum disease.
Especially attentive to the state of the oral cavity, one must be in the second and third trimesters( the hypertrophic process presented in the photo is typical for these terms).
In the absence of timely treatment, inflammation can quickly progress, not only aggravating the general condition of the future mother, but also provoking premature birth and the appearance of babies with a body weight deficit.
Wrong prosthesis with the installation of crowns or prostheses with overhanging edges, is the cause of permanent gum injuries, in which, as a result, a large-scale inflammatory process develops.
In such a situation, the periodontal pocket of a sufficiently large depth in which the inflammation develops can form in the interdental space.
Cutting eights is one of the possible causes of inflammation of the gums, which swell and become painful in the area of the tooth.
It is normal to have a small edema, but if the inflammation acquires a large scale, you should immediately call a doctor because of the risk of infection of the wound.
The most frequent variant of gum disease when cutting wisdom teeth is pericoronaritis, associated with the ingestion of food particles under the molar covering the gingival hood and the development of pathogenic microorganisms.
In this case, not only the gum around the tooth, but also adjacent tissues can be inflamed, which is fraught with a purulent abscess.
It is possible to cope with the disease only with the assistance of a specialist who will prescribe appropriate therapy using antiseptic solutions for rinsing, rinsing, or, if necessary, dissecting the hood that creates trouble or completely removes the wisdom tooth.
The treatment of the inflammatory process should be initiated from the time the first symptoms are detected. The therapy directed on elimination of an inflammation is multifaceted enough thanks to what it is possible to stop on the most suitable way of treatment.
First of all, a dentist visually assesses the condition of the oral cavity and the degree of inflammation.
One of the first measures for such complaints is complete sanitation of the mouth, followed, as a rule, by the removal of deposits on the teeth with a special ultrasound unit.
Sanitation of the oral cavity through the treatment of caries-affected teeth can eliminate acute inflammatory process( in particular, alleviate the condition with ulcerative necrotic gingivitis).Also, this measure is necessary to reduce the risk of re-development of inflammation.
The removal of deposits from the teeth makes it possible to eliminate one of the main causes of inflammation - the effect of pathogenic microorganisms.
After ultrasonic cleaning, the teeth are polished, forming a smooth surface on which dental plaque will not be collected. If the gingiva is highly inflamed and bleeds, polish is performed when the process becomes less acute.
Anti-inflammatory treatment of gum disease is carried out using a variety of drugs: antiseptic solutions for lavage from a syringe, medical periodontal dressings and applications.
Depending on the cause of the inflammatory process, the following therapy methods are used:
If antibacterial therapy is required, the drugs are selected from the macrolide group( Sumamed, Azithromycin), cephalosporins( Efodox, Cefazolin) and penicilins( Augmentin, Amoxiclav).
With the development of hypertrophic gingivitis, surgical intervention at the discretion of the dentist may be required.
Antibiotics( in tablet form) are prescribed for all patients with ulcerative necrotic gingivitis and with persistent flow of acute gingivitis. The most commonly used drugs are: Clindamycin, Ofloxacin, Augmentin, Azithromycin, Lincomycin.
The course of antibiotic therapy is chosen by the doctor on an individual basis.
In addition to antibiotics, for the removal of inflammation, oral irrigation can be administered with Proposol spray, lubrication of affected areas with dental ointments, such as Metrogil or Solcoseryl. The use of drugs in the form of a gel is preferable, since its base facilitates the absorption of the active substance into the gum.
Vitamin - ascorbic acid or askorutin may be prescribed to improve immunity. If desired, they can be replaced with rose hips.
The tactics of action at home for inflammation and soreness of the gums are presented in the diagram.
If the cause of the inflammatory process is the injury of the gums with the overhanging edge of the seal, firstly, the cutting of the interfering site or complete replacement of the filling material is performed.
In case of unsuccessful prosthetics, drug therapy similar to gingivitis may be prescribed first, after which, depending on the result, the need to replace the crowns for complete cure is considered.
Inflammation of the gums requires an integrated approach to treatment, therefore, along with properly selected drug therapy, you must carefully consider the choice of toothbrush and toothpaste.
As part of the paste should be present:
The only option that is suitable for daily use and has not only a curative, but also a preventive effect, are toothpastes with such a natural component as tea tree oil.
A brush suitable for cleaning an inflamed oral cavity should be soft enough that the mucosa and gum do not experience excessive pressure. You can use the brush for no longer than one month.
To save gums and teeth healthy will help:
Inflammation of the gums, especially in the acute stage, requires long and complex treatment, so you should remember about preventive measures that will significantly reduce the risk of such an ailment and not postpone a visit to a doctor if anxiety symptoms appear.
One of the dental problems is the formation of stones and other deposits in the periodontal pockets, the removal of which must be carried out in...
The health of teeth and gums depends on a full and proper nutrition, thanks to which the body receives all the necessary substances and vitamins...
In dentistry, there are many different pathologies that discomfort to a person. One of the most common and common is the itching in the gums. ...