Symptoms of gingivitis

Written by Wang Ji Zhong
Internal Medicine
Updated on September 29, 2024
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Gingivitis is a common and frequently occurring disease. If it is not treated in time, it can lead to pulpitis, periodontitis, and even cause dental pain, necrosis, tooth loosening, and loss. When gingivitis occurs, the gingival tissues exhibit vascular congestion, leading to a change in the color of the gums from normal pink to dark red or purplish red. Additionally, symptoms of gingivitis include edema and a change in the appearance of the gums, which become looser and do not adhere tightly to the teeth. There may also be pain, increased fragility of the gums, and spontaneous bleeding, particularly noticeable during brushing and when biting hard objects.

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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.

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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.)

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Is it effective to have an IV drip for gingivitis?

Gingivitis is caused by irritants or poor oral hygiene habits. If medication is administered via intravenous infusion, it affects the whole body and can cause significant side effects, reducing its effectiveness on the targeted area. Generally, the results are not very noticeable, so it is not very effective. Therefore, it is recommended that patients visit a regular dental hospital for a diagnosis to determine the cause. If gingivitis is present, dental cleaning can be carried out to remove irritants from the surface of the teeth to prevent the progression of inflammation, which can lead to loosening or even loss of teeth. If the pain caused by gingivitis is severe, it may be appropriate to use oral sprays, such as sprays for oral inflammation, which can provide effective local anti-inflammatory effects.

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How to treat severe gingivitis?

Gingivitis is relatively common in daily life, mainly due to poor oral hygiene, dental calculus, plaque, food residues, and soft tartar, which irritate the gums, causing redness, swelling, and bleeding of the gums. If severe, it can lead to gum recession, absorption of the alveolar bone, and loosening or loss of teeth. For severe gingivitis, initial treatment involves supragingival cleaning followed by subgingival scaling and root planing. If individual teeth continue to experience recurring swelling and pain after scaling, surgical treatment such as gingival flap surgery may be performed. This involves cutting open the gums to thoroughly remove calculus, plaque, food residues, and soft tartar, which can subsequently improve tooth mobility. In cases where teeth cannot be preserved and need to be extracted, severe gingivitis can also lead to the formation of gum abscesses. In such cases, oral cephalexin can be taken, and using a compound chlorhexidine mouthwash can help alleviate the condition and reduce pain.

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Can hydrogen peroxide be used as a mouthwash for gingivitis?

Gingivitis can be treated with hydrogen peroxide mouthwash, as hydrogen peroxide is a colorless liquid with an irritating odor, and medically, it is commonly used for disinfecting wounds and otitis media. When the skin is infected or there are wounds and pus or contamination in the oral mucosa, 3% hydrogen peroxide can be used for disinfection, as it can destroy the bodies of bacteria and kill them. During oral treatment, such as some root canal treatments, hydrogen peroxide can be used for rinsing because most oral infections originate from anaerobic bacteria, and hydrogen peroxide has a strong bactericidal effect. However, as hydrogen peroxide is a topical medication, care should be taken not to swallow it while using it for mouthwash.