Is amoxicillin effective for gingivitis?

Written by Wang Ji Zhong
Internal Medicine
Updated on September 21, 2024
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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.

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Written by Fang Xiao
Dentistry
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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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Written by Li Cui
Dentistry
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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.

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Written by Wang Ji Zhong
Internal Medicine
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Symptoms of gingivitis

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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Written by Li Cui
Dentistry
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Why does gingivitis bleed at night?

Patients with gingivitis often experience gum bleeding. However, this bleeding mainly occurs during morning tooth brushing, but it can also occur at night, though the timing is unpredictable. Patients with gingivitis should be cautious about their diet and avoid hard or overly spicy foods. Since gingivitis is a chronic inflammation, it can cause trauma during tooth brushing or chewing, leading to bleeding of the gum tissues. Therefore, it is advised that patients brush gently if they have gingivitis, using a soft-bristled toothbrush and maintaining a mild diet. Additionally, patients should focus on oral hygiene and develop proper oral health habits, including brushing their teeth both morning and night.

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Written by Wang Ji Zhong
Internal Medicine
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What will happen if gingivitis lasts for a long time?

Gingivitis has a high incidence rate, and the initial symptoms are not obvious, which many people overlook. Gingivitis is caused by the presence of a large amount of dental plaque and tartar on the gums. Long-term bacteria can cause inflammation of the gums, resulting in swollen and painful gums. Severe cases may often experience bleeding gums. If not treated promptly, the inflammation can further develop into periodontal inflammation, causing periodontal atrophy. This leads to insufficient periodontal protection around the tooth roots, bleeding, loose teeth, and tooth loss, severely affecting health. Therefore, it is essential to treat gingivitis promptly and pay more attention to oral hygiene to maintain healthy teeth.