How to treat severe gingivitis?

Written by Fang Xiao
Dentistry
Updated on October 23, 2024
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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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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.

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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.

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The difference between periodontitis and gingivitis

Periodontitis and gingivitis have essential differences. Gingivitis is the early stage of periodontitis. Both gingivitis and periodontitis involve the formation of periodontal pockets, but the pockets in gingivitis are pseudo pockets, caused by inflammation of the gums which leads to the local proliferation or swelling of the gums, enveloping part of the tooth crown. In contrast, the periodontal pockets in periodontitis are true pockets, caused by the resorption of the alveolar bone, a condition that accompanies the loss of alveolar bone. Therefore, the difference between gingivitis and periodontitis lies in whether there is bone loss or not.

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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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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.