Gingivitis


Is amoxicillin effective for gingivitis?
Gingivitis is primarily caused by the presence of dental plaque on the gums, which is erosive due to the large amount of bacteria. Taking oral amoxicillin, an antimicrobial drug, does not show a very obvious effect. One reason is that the gum tissue is relatively tough, and the concentration of the drug in the gum tissue when administered systemically is not sufficient to provide the expected therapeutic effect. Another reason is that oral bacteria, mostly anaerobic bacteria, cause this condition, and general anti-inflammatory drugs do not work well. The best method to treat gingivitis is still dental cleaning, which can directly remove the bacteria on the gums, clearly affecting the treatment. Subgingival scaling is also effective, which can lead to better outcomes.


Can gingivitis be transmitted through kissing?
The patient presents with gingivitis, generally due to intrinsic causes. It could be caused by the patient's internal heat leading to inflamed gums, resulting in gingivitis and periodontitis. Typically, kissing does not lead to transmission because it is not a contagious disease. It is advised that the patient pays attention to their oral hygiene, regularly undergoes dental cleaning, and avoids causing other dental diseases. Gingivitis and oral ulcers do not spread through kissing. However, it is recommended that the patient seeks timely treatment and avoids kissing during this time. While it does not cause contagion, it can lead to the spread of some bacteria in the mouth, which may exacerbate the condition. Therefore, early treatment is advised, but there is no need for excessive worry.


What to soak and drink for gingivitis?
If the patient has gingivitis caused by excessive internal heat, it is appropriate to soak some honeysuckle or drink chrysanthemum tea. However, using only these herbal teas for the treatment of gingivitis will not be very effective. It is recommended that patients address the underlying causes of their gingivitis, whether it be dental caries or pulpitis that is causing the gum inflammation. It is advised that patients seek treatment in a hospital under the guidance of a professional doctor. Taking anti-inflammatory drugs or pain relievers as appropriate can be very effective in reducing inflammation. Additionally, using traditional Chinese medicine to clear heat and detoxify can also help reduce inflammation and internal heat. Patients should focus on a bland diet and avoid spicy and irritating foods. Maintaining a regular diet and lifestyle and developing good habits are also recommended. (Medication should be used under the guidance of a professional doctor.)


The difference between periodontitis and gingivitis.
Gingivitis and periodontitis are distinct conditions, with gingivitis being an early stage of periodontitis. If gingivitis is not treated in time, it can progress into periodontitis. The difference between gingivitis and periodontitis lies in the formation of periodontal pockets. During the stages of gingivitis and periodontitis, periodontal pockets are categorized into true and false pockets. During an outbreak of periodontitis, true periodontal pockets form due to the loss of alveolar bone, whereas the pockets during the gingivitis stage are false pockets, formed by the overgrowth of gum tissue. Once true periodontal pockets are formed, there is either loss or destructive resorption of the alveolar bone. Therefore, the crucial difference between gingivitis and periodontitis lies in whether there is destructive resorption of the alveolar bone, which fundamentally distinguishes the two conditions.


The Hazards of Gingivitis
Gingivitis refers to an inflammation of the gum tissues, commonly caused by not brushing teeth in time after eating, accumulation of food residues or dental plaque around the teeth, which over time forms tartar due to the calcification by saliva. This long-term irritation to the gum tissue leads to bleeding gums, including bleeding while eating or brushing teeth. It is necessary to get a timely dental cleaning, otherwise it can lead to periodontitis or even result in loose teeth, and potentially tooth loss. Therefore, the harm caused by gingivitis is significant. Once gingivitis occurs, it requires timely dental cleaning to remove tartar and other irritating factors to alleviate symptoms of gum bleeding, allowing the gums to return to a normal, healthy state.


Should gingivitis be treated with hot compresses or cold compresses?
When patients experience gingivitis, this condition is generally related to inflammation within the body, a prolonged habit of poor diet leading to decreased immune function, resulting in inflammation of the gums. When gingivitis occurs, since it involves inflammation, it is generally recommended to apply cold compresses to relieve the pain somewhat; one should definitely not apply hot compresses as they might increase the local inflammation. It is advised that patients undergo appropriate medical treatment. They can take some anti-inflammatory drugs orally, such as Metronidazole or Tinidazole, or a combination with antibiotic anti-inflammatory drugs. If the pain is severe, one can also use antipyretic analgesics to alleviate local tooth pain. Most importantly, patients should develop good dietary and lifestyle habits.


What should I do if I have gingivitis?
Gingivitis is characterized by symptoms such as bleeding while eating or brushing teeth. Sometimes, bloodstains may be found on the pillow upon waking up, which are also signs of gingivitis. Gingivitis can sometimes cause pain while eating, necessitating timely and thorough treatment, which includes both initial and maintenance phases. The initial treatment involves removing irritants around the teeth, including tartar, dental plaque, or soft deposits around the gums, followed by medicated rinsing. After controlling gingivitis, it is necessary to enter a regular maintenance phase with check-ups every six months, and any existing tartar should be promptly removed.


Can gingivitis be detected by taking an X-ray?
Gingivitis is some inflammatory changes in the gum tissue, which cannot be seen on an X-ray. Generally, an X-ray can reveal some changes in the anatomical structure of the teeth. Therefore, it is recommended that patients with gingivitis should seek diagnosis at a formal dental hospital. Treatment should be targeted based on the specific symptoms of the gums and should not be limited to other tests. A comprehensive consideration of multiple examinations can potentially enhance the repair of the teeth. For general gingivitis, it is appropriate to take some anti-inflammatory medication orally. In terms of diet, avoid spicy and irritating foods, and refrain from consuming foods that are too cold, too hot, or too hard, as these may irritate the gums.


Can I eat grapes with gingivitis?
Patients with gingivitis can eat grapes, as grapes contain rich vitamins and nutrients, which can be very beneficial to the body. However, it is recommended that patients rinse their mouth and brush their teeth immediately after eating grapes to remove any residual grape juice. Since grapes are sweet, leaving residues in the mouth can lead to bacterial growth and worsen gingivitis. Therefore, patients can consume a moderate amount of grapes, and eating other fresh fruits can also be beneficial for inflammation recovery. In daily life, it is also recommended for patients to eat more fresh vegetables and fruits. For gingivitis, it is important to identify the causes, whether it is due to wisdom teeth, periodontitis, or apical periodontitis. In such cases, it is generally advised to seek medical advice and receive appropriate treatment under the guidance of a doctor.


What should I do about recurrent gingivitis?
Gingivitis is caused by not cleaning the mouth promptly after eating, with the presence of irritating factors around the teeth causing repeated outbreaks. For example, bleeding during brushing or eating. This situation requires teeth cleaning, which includes ultrasonic scaling to remove dental calculus and other basic causative factors. Only by removing the irritating factors and treating the cause, applying medicine around the gums and improving the bleeding condition, can the symptoms of gingivitis improve. If oral hygiene is not maintained after removal, over time, dental calculus or dental plaque can reattach around the teeth, leading to a recurrence of gingivitis.