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Gingivitis Inflammation of gingival tissues commonly associated with dental plaque & calculus Acute gingivitis Causes: Local Poor dental hygiene

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Gingivitis Inflammation of gingival tissues commonly associated with dental plaque & calculus Acute gingivitis Causes: Local Poor dental hygiene Food stagnation (soft sticky) Badly restored filling Prosthesis - Orthodontic appliance Mouth breathers Trauma/ Traumatic bite Infection .

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Gingivitis

Inflammation of gingival tissues commonly associated with dental plaque & calculus

Acute gingivitis

Causes: Local

  • Poor dental hygiene
  • Food stagnation (soft sticky)
  • Badly restored filling
  • Prosthesis - Orthodontic appliance
  • Mouth breathers
  • Trauma/ Traumatic bite
  • Infection

Dr S Chakradhar

slide2

General causes

  • Vitamin deficiency: Vit C , Vit B2, Vit A
  • Hormonal effect
    • Pregnancy
    • Puberty
  • Systemic diseases: DM, TB, severe anemia and leukemia, HIV
  • Drugs: nifedipine, phenytoin, OCP

Dr S Chakradhar

slide3

Types

  • Acute necrotising ulcerative gingivitis
  • Herpetic gingivitis
  • Nonspecific gingivitis
  • Leukemic gingivitis

Dr S Chakradhar

slide4

ANUG

  • Etiology
    • Borellia vincenti
    • Fusiform bacilli
  • Predisposing factors
    • Smoking
    • Poor oral hygiene
    • Alcohol
    • Immunocompromised condition

Dr S Chakradhar

slide5

Clinical features

  • Pain
  • Ulcer
  • Bleeding
  • Salivation
  • Halitosis
  • Metallic taste
  • Fever, malaise and enlarge cervical LN

Dr S Chakradhar

slide6

Management

  • Maintaining oral hygiene
  • Prevention of plaque & Calculus
  • Wash the lesion with 3% Hydrogen peroxide
  • Paint with 10% chromic acid gel
  • Advice antiseptic mouthwash eg 0.2% chlorhexidine
  • Analgesics as needed
  • Metronidazole 400mg PO TDS for 7 days

Dr S Chakradhar

slide7

Acute herpetic gingivitis

  • Caused by Herpes simlex virus, Herpes labialis
  • Occurs usually in children of 3 to 6 yrs

Clinical features

  • Small painful vesicles
  • Ulcer
  • May involve the lip, cheeks, tongue and palate
  • Halitosis
  • Fever, enlarged LN

Dr S Chakradhar

slide8

Management

  • Maintaining oral hygiene
  • Prevention of plaque & Calculus
  • Self limiting disease (1 or 2 weeks)
  • Bed rest
  • Soft diet
  • Analgesics
  • Tetracycline mouth wash
    • 250mg in 30ml water 6hrly

Dr S Chakradhar

slide9

Acute non specific gingivitis

  • Probably due to overgrowth of normal bacteria
  • Cl/F similar with pain and swelling of gums
  • Bleeds on probing and pus may also be seen
  • Treat by H2O2 wash
  • Advise proper oral hygiene

Dr S Chakradhar

slide10

Chronic gingivitis

Causes

  • Plaque and calculus around gingival margin
  • Mouth breathers and incompetent lip seal
  • Traumatic bite
  • Inadequate treatment of acute gingivitis

Dr S Chakradhar

slide11

Clinical features

  • The classic triad of redness, swelling, and bleeding on gentle probing are diagnostic
  • Usually complain that \'gums bleed on brushing‘
  • Color change: from pink to beefy red/purple
  • Gingival pockets

Dr S Chakradhar

slide12

Treatment

  • Oral hygiene maintenance
    • Brushing
    • Mouthwash
  • Regular scaling
  • Gingivoplasty / Gingivectomy
  • Antibiotics: tetracycline

Dr S Chakradhar

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