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7gingivitis

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  • 1. GingivitisInflammation of gingival tissues commonly associated with dental plaque & calculusAcute gingivitisCauses: Local Poor dental hygiene Food stagnation (soft sticky) Badly restored filling Prosthesis - Orthodontic appliance Mouth breathers Trauma/ Traumatic bite Infection Dr S Chakradhar 1
  • 2. General causes Vitamin deficiency: Vit C , Vit B2, Vit A Hormonal effect  Pregnancy  Puberty Systemic diseases: DM, TB, severe anemia and leukemia, HIV Drugs: nifedipine, phenytoin, OCP Dr S Chakradhar 2
  • 3. Types Acute necrotising ulcerative gingivitis Herpetic gingivitis Nonspecific gingivitis Leukemic gingivitis Dr S Chakradhar 3
  • 4. ANUG Etiology Borellia vincenti Fusiform bacilli Predisposing factors Smoking Poor oral hygiene Alcohol Immunocompromised condition Dr S Chakradhar 4
  • 5. Clinical features Pain Ulcer Bleeding Salivation Halitosis Metallic taste Fever, malaise and enlarge cervical LN Dr S Chakradhar 5
  • 6. Management Maintaining oral hygiene Prevention of plaque & Calculus Wash the lesion with 3% Hydrogen peroxide Paint with 10% chromic acid gel Advice antiseptic mouthwash eg 0.2% chlorhexidine Analgesics as needed Metronidazole 400mg PO TDS for 7 days Dr S Chakradhar 6
  • 7. Acute herpetic gingivitis Caused by Herpes simlex virus, Herpes labialis Occurs usually in children of 3 to 6 yrsClinical features Small painful vesicles Ulcer May involve the lip, cheeks, tongue and palate Halitosis Fever, enlarged LN Dr S Chakradhar 7
  • 8. Management Maintaining oral hygiene Prevention of plaque & Calculus Self limiting disease (1 or 2 weeks) Bed rest Soft diet Analgesics Tetracycline mouth wash 250mg in 30ml water 6hrly Dr S Chakradhar 8
  • 9. Acute non specific gingivitis Probably due to overgrowth of normal bacteria Cl/F similar with pain and swelling of gums Bleeds on probing and pus may also be seen Treat by H2O2 wash Advise proper oral hygiene Dr S Chakradhar 9
  • 10. Chronic gingivitisCausesPlaque and calculus around gingival marginMouth breathers and incompetent lip sealTraumatic biteInadequate treatment of acute gingivitis Dr S Chakradhar 10
  • 11. Clinical features The classic triad of redness, swelling, and bleeding on gentle probing are diagnostic Usually complain that gums bleed on brushing‘ Color change: from pink to beefy red/purple Gingival pockets Dr S Chakradhar 11
  • 12. TreatmentOral hygiene maintenance Brushing MouthwashRegular scalingGingivoplasty / GingivectomyAntibiotics: tetracycline Dr S Chakradhar 12