Why Gingivitis Always Persists

Written by Li Cui
Dentistry
Updated on January 28, 2025
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The treatment of gingivitis first requires patients to pay attention to adjusting their diet and lifestyle, as gingivitis is greatly related to the dietary habits of the patient. Patients who do not pay attention to oral hygiene over a long period and indulge excessively in eating and drinking, often consuming barbecued or fried foods, are likely to experience issues such as increased heat in the body or a reduction in immune resistance, depleting some of the body’s energy.

Therefore, it is recommended that patients maintain a light diet, eat more fresh vegetables and fruits, drink more water appropriately, and ensure adequate rest, avoiding staying up late. Additionally, patients should initially undertake treatment with anti-inflammatory medications, often involving anti-anaerobic or antibiotic drugs, which can effectively treat gingivitis. Additionally, patients can also routinely get their teeth cleaned in daily life, which can effectively relieve the symptoms of gingivitis.

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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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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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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.

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What will happen if gingivitis is not treated?

When a patient has gingivitis, if they cannot receive timely treatment, they may experience long-term inflammation that irritates the gum tissue, leading to nutrient loss in the gums and eventual gum recession. Further progression can lead to loose teeth, and ultimately, tooth loss. Therefore, it is crucial for patients with gingivitis to seek prompt treatment. Additionally, patients must pay attention to oral hygiene, as long-term poor oral hygiene is a major cause of gingivitis. It is important to promptly remove food residues after meals to prevent bacterial infections. Furthermore, developing correct brushing habits in the morning and evening is recommended, and patients should consider regular dental cleanings, which can effectively remove tartar and plaque, reducing irritation to the gums.

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Where is it effective to massage for gingivitis treatment?

When the patient experiences gingivitis pain, if they want to treat and alleviate it through traditional Chinese medicine massage, the simplest method is to massage the Hegu acupoint on the hand. Additionally, massaging the Xiaguan acupoint can also play a role in alleviation. It is advised that if the patient experiences severe pain and acute inflammation of the gums, they should first maintain a light diet and drink more water for conditioning. If there is no improvement, oral anti-inflammatory drugs such as artificial bezoar metronidazole can be taken. This can be combined with some antibiotic anti-inflammatory drugs, such as amoxicillin, levofloxacin hydrochloride, or other drugs like roxithromycin, all of which can have anti-inflammatory effects and relieve pain. (Please use medication under the guidance of a doctor.)