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Inflammation of Gingival Tissues Commonly Associated With Dental Plaque & Calculus

This document discusses gingivitis, which is inflammation of the gums commonly caused by dental plaque and calculus. It defines acute and chronic gingivitis and lists local and general causes. Four main types of gingivitis are described: acute necrotizing ulcerative gingivitis, herpetic gingivitis, nonspecific gingivitis, and leukemic gingivitis. Clinical features and management approaches are provided for each type. In general, maintaining strong oral hygiene through regular cleaning, scaling, and antimicrobial rinses/medications is important for treatment and prevention of gingivitis.

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Sri Maysarah
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519 views12 pages

Inflammation of Gingival Tissues Commonly Associated With Dental Plaque & Calculus

This document discusses gingivitis, which is inflammation of the gums commonly caused by dental plaque and calculus. It defines acute and chronic gingivitis and lists local and general causes. Four main types of gingivitis are described: acute necrotizing ulcerative gingivitis, herpetic gingivitis, nonspecific gingivitis, and leukemic gingivitis. Clinical features and management approaches are provided for each type. In general, maintaining strong oral hygiene through regular cleaning, scaling, and antimicrobial rinses/medications is important for treatment and prevention of gingivitis.

Uploaded by

Sri Maysarah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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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 1
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 2
Types
 Acute necrotising ulcerative gingivitis
 Herpetic gingivitis
 Nonspecific gingivitis
 Leukemic gingivitis

Dr S Chakradhar 3
ANUG
 Etiology
 Borelliavincenti
 Fusiform bacilli

 Predisposing factors
 Smoking
 Poor oral hygiene
 Alcohol
 Immunocompromised condition

Dr S Chakradhar 4
Clinical features
 Pain
 Ulcer
 Bleeding
 Salivation
 Halitosis
 Metallic taste
 Fever, malaise and enlarge cervical LN

Dr S Chakradhar 5
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 6
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 7
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 8
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 9
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 10
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 11
Treatment
 Oral hygiene maintenance
 Brushing
 Mouthwash
 Regular scaling
 Gingivoplasty / Gingivectomy
 Antibiotics: tetracycline

Dr S Chakradhar 12

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