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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 l

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


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

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


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

Types

  • Acute necrotising ulcerative gingivitis

  • Herpetic gingivitis

  • Nonspecific gingivitis

  • Leukemic gingivitis

Dr S Chakradhar


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

ANUG

  • Etiology

    • Borellia vincenti

    • Fusiform bacilli

  • Predisposing factors

    • Smoking

    • Poor oral hygiene

    • Alcohol

    • Immunocompromised condition

Dr S Chakradhar


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

Clinical features

  • Pain

  • Ulcer

  • Bleeding

  • Salivation

  • Halitosis

  • Metallic taste

  • Fever, malaise and enlarge cervical LN

Dr S Chakradhar


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

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


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

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


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

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


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

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


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

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


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

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


Gingivitis inflammation of gingival tissues commonly associated with dental plaque calculus acute gingivitis causes l

Treatment

  • Oral hygiene maintenance

    • Brushing

    • Mouthwash

  • Regular scaling

  • Gingivoplasty / Gingivectomy

  • Antibiotics: tetracycline

Dr S Chakradhar