CRB CLINIC DIGITAL DENTISTRY
Gingivitis
Diagnosis and treatment
License of the Ministry of Health of Ukraine AD No. 063321 dated 06.09.12.
CRB CLINIC
DIGITAL DENTISTRY
DIGITAL DENTISTRY
Gingivitis is an inflammatory disease of the gums.
It is easily treated, but in advanced stages it develops into periodontitis, a more serious disease with severe symptoms.
Symptoms we can help you with:
Depending on the stage of the disease, symptoms may vary, usually 2 or more symptoms occur simultaneously:
-
Bleeding gums - Bad breath
- Swelling, redness, change in gum contour
- Pain when brushing teeth
- Whitish coating on gums
- Loose gums, separation from teeth
Consultations by phone:
044 580 40 04
044 580 40 04
CRB CLINIC
DIGITAL DENTISTRY
DIGITAL DENTISTRY
The main cause of gingivitis
The main cause of gingivitis:
Bacterial infection
Most often, gingivitis occurs due to poor oral hygiene. Bacteria developing on the teeth and gums are not completely cleaned out, forming plaque. This is an infectious environment that leads to inflammation of the gum tissue. If the problem occurs in one tooth, it gradually spreads to the entire oral cavity.
The inflammatory process leads to swelling and redness of the tissue. The vessels become more fragile, the gums bleed easily when brushing teeth.
The accumulation of bacterial plaque leads to the appearance of an unpleasant odor from the mouth.
You can suspect gingivitis if bleeding and an unpleasant odor do not disappear for several days.
The inflammatory process leads to swelling and redness of the tissue. The vessels become more fragile, the gums bleed easily when brushing teeth.
The accumulation of bacterial plaque leads to the appearance of an unpleasant odor from the mouth.
You can suspect gingivitis if bleeding and an unpleasant odor do not disappear for several days.
If left untreated, gingivitis develops into periodontitis.
Over time, plaque becomes denser and it becomes impossible to remove it with a toothbrush. In advanced stages, plaque turns into tartar, which gradually settles not only on the teeth, but also under the gums. This leads to the development of periodontitis - a disease with irreversible consequences for the teeth and gums.
Plaque accumulation can increase due to crowded teeth, smoking, and weakened immunity.
Plaque accumulation can increase due to crowded teeth, smoking, and weakened immunity.
Please note! The connection between gingivitis and hormonal changes has been proven. The disease occurs in 80% of teenagers, as well as pregnant women. However, without treatment, the disease does not go away even when the hormonal background is restored.
Additional factors
for the occurrence of gingivitis
Smoking worsens the local immunity of the oral cavity. The body fights bacteria worse, as a result they accumulate faster.
Diabetes is characterized by increased sugar levels in saliva, as well as a general weakening of the immune system. In combination, these factors provide a good breeding ground for bacteria.
Increased hormones such as progesterone and estrogen can make gums more sensitive to bacteria and toxins in plaque.
Everyone has heard of tooth loss due to pregnancy and breastfeeding. This happens not only due to a lack of calcium, but also due to the development of gingivitis and then periodontitis.
Everyone has heard of tooth loss due to pregnancy and breastfeeding. This happens not only due to a lack of calcium, but also due to the development of gingivitis and then periodontitis.
In case of serious illnesses or after an illness, the immune system may be weakened and not effective enough in fighting bacteria. This can also happen due to poor nutrition, insufficient sleep, fatigue, and lack of vitamins.
Crowding of teeth makes some areas difficult to reach with a toothbrush. Plaque and tartar accumulate there faster, infecting the entire oral cavity.
Stages of gum disease development
-
Healthy gums
Normally, the bone peaks come close to the crown of the tooth. The gums fit tightly to the tooth, without deep periodontal pockets, protecting the root from the penetration of bacteria and mechanical damage. -
Gingivitis
Initial stage of gum inflammation, occurs due to accumulation of plaque/tartar in the cervical area. There is no pathological deepening of pockets yet.
Symptoms: bleeding gums when brushing, swelling, redness, sometimes an unpleasant odor. -
Periodontitis, stage 1
Inflammation from the cervical area spreads deeper and begins to destroy the tissues that hold the tooth (periodontal tissues - gums, ligaments, bone). The gingival margin separates from the tooth, periodontal pockets appear more than 3 mm deep. The bone level begins to decrease.
Symptoms: bleeding gums, unpleasant odor, slight tooth mobility (can only be detected by a doctor), discomfort and slight pain when chewing are possible. - Periodontitis, stage 2A more severe form of periodontal disease, in which inflammation and tissue destruction have progressed further than in stage 1. Periodontal pockets are deeper, approximately 4-5 mm. Bone loss can be about 30%. Periodontal fibers are significantly damaged.
Symptoms: inflammation and swelling of the gums, sore gums, bleeding even with slight pressure, increased bad breath, tooth mobility upon palpation, increased tooth sensitivity due to exposed necks. - Periodontitis, stages 3-4A severe advanced form of the disease, in which the main structures that hold the tooth are destroyed. Periodontal pockets are deep, more than 6 mm. Bone loss reaches 50% or more. Periodontal fibers are almost or completely destroyed. Gums are severely inflamed, there is recession (root exposure).
Symptoms: constant bleeding, strong unpleasant odor, pain when chewing, tooth mobility, sometimes a feeling of movement, gum abscesses are possible.
Stages of gum disease development
Scroll slides << right - left >>
-
Healthy gums
Normally, the bone peaks come close to the crown of the tooth. The gums fit tightly to the tooth, without deep periodontal pockets, protecting the root from the penetration of bacteria and mechanical damage. -
Gingivitis
Initial stage of gum inflammation, occurs due to accumulation of plaque/tartar in the cervical area. There is no pathological deepening of pockets yet.
Symptoms: bleeding gums when brushing, swelling, redness, sometimes an unpleasant odor. -
Periodontitis, stage 1
Inflammation from the cervical area spreads deeper and begins to destroy the tissues that hold the tooth (periodontal tissues - gums, ligaments, bone). The gingival margin separates from the tooth, periodontal pockets appear more than 3 mm deep. The bone level begins to decrease.
Symptoms: bleeding gums, unpleasant odor, slight tooth mobility (can only be detected by a doctor), discomfort and slight pain when chewing are possible. - Periodontitis, stage 2A more severe form of periodontal disease, in which inflammation and tissue destruction have progressed further than in stage 1. Periodontal pockets are deeper, approximately 4-5 mm. Bone loss can be about 30%. Periodontal fibers are significantly damaged.
Symptoms: inflammation and swelling of the gums, sore gums, bleeding even with slight pressure, increased bad breath, tooth mobility upon palpation, increased tooth sensitivity due to exposed necks. - Periodontitis, stages 3-4A severe advanced form of the disease, in which the main structures that hold the tooth are destroyed. Periodontal pockets are deep, more than 6 mm. Bone loss reaches 50% or more. Periodontal fibers are almost or completely destroyed. Gums are severely inflamed, there is recession (root exposure).
Symptoms: constant bleeding, strong unpleasant odor, pain when chewing, tooth mobility, sometimes a feeling of movement, gum abscesses are possible.
Consultations by phone:
044 580 40 04
044 580 40 04
Симптомы гингивита
- Redness, swelling
- Classic signs of an inflammatory process arise due to an infectious lesion.
- Bleeding gums
- Bacteria weaken the walls of blood vessels. Capillaries become more fragile and break under slight pressure.
- Bad breath
- It appears due to plaque or tartar and the bacteria that multiply there.
- Sore gums
- Toxins that accumulate as a result of bacterial activity cause tissue thinning and irritation.
How Gingivitis Turns into Periodontitis
It is known that without treatment, gingivitis eventually develops into a more severe disease - periodontitis. There is no clear time frame for this, for some it may take years, for others - a few months are enough. Everything depends on the state of the immune system and oral hygiene.
Gradually, the gums begin to peel off from the tooth due to inflammation and bacteria from the cervical area get under the gum. There they multiply, contributing to the increase in periodontal pockets (space under the gums). Tartar accumulates in these pockets, which is the main cause of periodontitis.
Gradually, the gums begin to peel off from the tooth due to inflammation and bacteria from the cervical area get under the gum. There they multiply, contributing to the increase in periodontal pockets (space under the gums). Tartar accumulates in these pockets, which is the main cause of periodontitis.
CRB clinic
Treatment of gingivitis
Treatment of gingivitis in the early stages is very effective. Therefore, it is recommended to consult a doctor at the first symptoms: bleeding gums and bad breath.
Diagnosis for gingivitis
The purpose of diagnosis is to identify the extent of damage, determine the foci of inflammation, and also find out the causes of the disease.
During diagnostics, we evaluate the condition of the periodontal tissues, gums and oral cavity as a whole. Analysis of CT images gives an idea of the condition of the bone, as well as the presence of hidden internal inflammatory processes.
Diagnostics consists of 7 stages
and takes 1 hour
Price – 1800 UAH
A treatment plan is developed based on the information received.
Attention! Diagnostics are carried out by a periodontist with specialized specialization
During diagnostics, we evaluate the condition of the periodontal tissues, gums and oral cavity as a whole. Analysis of CT images gives an idea of the condition of the bone, as well as the presence of hidden internal inflammatory processes.
Diagnostics consists of 7 stages
and takes 1 hour
Price – 1800 UAH
A treatment plan is developed based on the information received.
Attention! Diagnostics are carried out by a periodontist with specialized specialization
- Assessment of the oral cavity condition - the presence of inflammation, microtraumas, ulcers, plaque on the tongue. Also, attention is paid to visible foci of infection: affected teeth, fillings.
- Assessment of the gum condition - redness, inflammation, swelling, the presence of microtraumas are detected. The height of the gums is assessed (for signs of recession), the condition of the papillae. The degree of bleeding, the presence of pus are determined.
- Assessment of the presence of plaque - the presence of microbial plaque, its quantity, areas of accumulation are assessed.
- Photo protocol - the condition of the gums at the time of diagnosis is recorded. Photos are stored in the patient's card. After treatment, you can evaluate the "before and after" result.
- Assessment of tooth mobility - loose teeth and the degree of their mobility are determined.
- Periodontal screening - using a special probe (rounded, not sharp), the depth of the gingival pockets is measured. Along the perimeter of each tooth, the pockets are measured at 4 points: the front surface, the back, the sides.
- CT scan analysis - the quantity and quality of bone tissue is examined, areas of bone loss are determined. CT also reveals hidden inflammatory processes occurring deep in the tissues (CT scan is not included in the cost of diagnostics. The patient can bring their own scan or have the CT scan done at the clinic).
CRB clinic
Treatment of gingivitis
Treatment consists of eliminating the infectious environment and relieving the inflammatory process.
Treatment consists of the following stages:
Treatment consists of the following stages:
- Cleaning the surface of the teeth from plaque and tartar, removing bioblank;
- Cleaning the cervical area (connection of teeth and gums) from plaque and tartar;
- Manual cleaning of periodontal pockets with curettes;
- Medicinal treatment of gums and gingival pockets;
- Home hygiene training, selection of hygiene tools.
To maintain the long-term effect of treatment, there is an international protocol of maintenance therapy - SPT.
The protocol includes:
The protocol includes:
- selection of home hygiene products for the patient (toothbrush, toothpaste, mouthwash, etc.) and training in hygiene rules in his case;
- thorough home hygiene;
- periodic monitoring in the clinic. It is carried out to check the effectiveness of home hygiene, cleaning from plaque and tartar before inflammation develops and drug treatment. Monitoring is carried out once every 3-6 months.
Gingivitis is easily treated, as deep tissues, bone and periodontal ligament are not yet affected. Within 3 months after the first procedures, most symptoms disappear or are significantly reduced, the color, density and volume of the gums are restored. A follow-up visit is required after 3 months.
Consultations by phone:
044 580 40 04
044 580 40 04
Treatment results
The photo shows severe cases of the disease, already at stage 1-4 of periodontitis.
It is possible to assess the damage caused by the disease.
After treatment, the results are noticeable: removal of tartar, inflammation, improvement of the color and shape of the gums, increase in gum volume, closure of recession.
At the same time, patients are in the SPT stage - maintenance therapy, recovery continues.
It is possible to assess the damage caused by the disease.
After treatment, the results are noticeable: removal of tartar, inflammation, improvement of the color and shape of the gums, increase in gum volume, closure of recession.
At the same time, patients are in the SPT stage - maintenance therapy, recovery continues.
Doctor periodontist
Frequently asked questions about gingivitis and treatment
All patients ask similar questions. That's why I've collected the most frequently asked ones so that you can find the answer on our website.
Elena Koval, periodontist at CRB clinic
Elena Koval, periodontist at CRB clinic
Diagnostics is necessary first of all for the correct diagnosis, since the symptoms of gingivitis and periodontitis at the initial stage can be similar.
The doctor identifies the foci of inflammation, determines the stage of the disease and decides on the appropriate treatment methods.
Diagnostics also helps to determine the cause of the disease: only improper hygiene or the presence of hidden inflammation deep in the tissues?
Periodontal pockets are measured, this determines what type of therapy is suitable in a particular case.
The doctor identifies the foci of inflammation, determines the stage of the disease and decides on the appropriate treatment methods.
Diagnostics also helps to determine the cause of the disease: only improper hygiene or the presence of hidden inflammation deep in the tissues?
Periodontal pockets are measured, this determines what type of therapy is suitable in a particular case.
Gingivitis is an inflammatory disease of the gums, has unpleasant symptoms, but is not dangerous for teeth and periodontal tissues. But! Gingivitis easily turns into periodontitis, the symptoms of which include tooth mobility and loss, purulent fistulas, and gum recession. Therefore, gingivitis must be treated at the first symptoms. It is faster, cheaper, and more effective.
Regular professional cleaning at the dentist reduces the symptoms of the disease. But it is not a complete treatment. For example, if there are gum pockets, cleaning will not help, since it does not affect this area. Therefore, the ideal option is to undergo diagnostics and determine what procedures you need.
To a periodontist, since this specialist deals specifically with gum diseases and periodontal tissues. The periodontist is well versed in treatment protocols, has the right to diagnose gums and prescribe treatment.
This happens when the immune system fails, smoking or systemic diseases are present.
In some cases, even thorough cleaning does not help to clean hard-to-reach places and an infection develops. The task of the periodontist is not only to cure, but also to find the cause of the disease, teach proper hygiene and select suitable products.
In some cases, even thorough cleaning does not help to clean hard-to-reach places and an infection develops. The task of the periodontist is not only to cure, but also to find the cause of the disease, teach proper hygiene and select suitable products.
This is impossible. Hardened plaque and tartar cannot be removed with a toothbrush either from the surface of the teeth or, even more so, from the gum pockets.
Pharmacy or folk rinses, ointments, compresses will not help. The medicine can only temporarily alleviate the symptoms, but does not remove the plaque in which bacteria settle and multiply.
Home treatment of gingivitis can be called harmful, as it prolongs the course of the disease. The infection can go under the gums and more complex treatment will be required.
Pharmacy or folk rinses, ointments, compresses will not help. The medicine can only temporarily alleviate the symptoms, but does not remove the plaque in which bacteria settle and multiply.
Home treatment of gingivitis can be called harmful, as it prolongs the course of the disease. The infection can go under the gums and more complex treatment will be required.