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GINGIVITIS
MEDICAL DEPARTMENT DENTAID
• Definition
• Signs
• Aetiology
• Classification
• Epidemiology
• Diagnosis
• Prevention strategies
• Treatment
• Conclus...
Definition
• Gingivitis is a form of gum disease
characterised by reversible gingival
inflammation without destruction of
...
Signs
• Redness
• Increased volume
• Change in texture
• Bleeding
Aetiology
• Bacterial: Formation of oral biofilm
• Immuno-inflammatory response:
innate (nonspecific) and adaptive
(specif...
Classification
• Plaque-induced gingival diseases
• Non-plaque-induced gingival diseases
Armitage G. Development of a clas...
Epidemiology
• Around 50-60% population > 35 years
• Up to 80% of children and adolescents
Llodra JC. Oral Health Survey i...
Diagnosis
GINGIVITIS
Acute / Chronic
Localised / generalised
Prevention Strategies
• Mechanical biofilm removal:
• Manual or powered toothbrush: 2-
3 times per day for at least 2 minu...
Prevention Strategies
• Chemical removal and/or alteration of biofilm:
• Toothpastes:
• Cetylpyridinium chloride
• Fluorid...
Treatment
• OH instruction and motivation:
plaque control
• Eliminating poor habits: stop
smoking
• Professional removal o...
Conclusions
• Reversible inflammation
• Very common
• Mechanical and chemical prevention and treatment
• Role of oral heal...
Gingivitis
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Gingivitis

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Gingivitis is a form of gum disease characterised by reversible gingival inflammation without destruction of tooth-supporting tissues, periodontal ligament or bone

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Transcript of "Gingivitis"

  1. 1. GINGIVITIS MEDICAL DEPARTMENT DENTAID
  2. 2. • Definition • Signs • Aetiology • Classification • Epidemiology • Diagnosis • Prevention strategies • Treatment • Conclusions
  3. 3. Definition • Gingivitis is a form of gum disease characterised by reversible gingival inflammation without destruction of tooth-supporting tissues, periodontal ligament or bone
  4. 4. Signs • Redness • Increased volume • Change in texture • Bleeding
  5. 5. Aetiology • Bacterial: Formation of oral biofilm • Immuno-inflammatory response: innate (nonspecific) and adaptive (specific) • Genetic: family history • Habits: tobacco smoking, stress • Systemic diseases or conditions: diabetes, pregnancy
  6. 6. Classification • Plaque-induced gingival diseases • Non-plaque-induced gingival diseases Armitage G. Development of a classification system for periodontal diseases and condictions. Annals of Perio 1999
  7. 7. Epidemiology • Around 50-60% population > 35 years • Up to 80% of children and adolescents Llodra JC. Oral Health Survey in Spain 2010. RCOE 2012. 17 (1): 13-41.
  8. 8. Diagnosis GINGIVITIS Acute / Chronic Localised / generalised
  9. 9. Prevention Strategies • Mechanical biofilm removal: • Manual or powered toothbrush: 2- 3 times per day for at least 2 minutes • Interdental hygiene: dental tape or floss and interproximal brushes • Oral irrigators • Professional cleaning: removal of calculus
  10. 10. Prevention Strategies • Chemical removal and/or alteration of biofilm: • Toothpastes: • Cetylpyridinium chloride • Fluoride • Mouthwashes: • Chlorhexidine • Cetylpyridinium chloride
  11. 11. Treatment • OH instruction and motivation: plaque control • Eliminating poor habits: stop smoking • Professional removal of biofilm: using ultrasound, curettes, polishing • Improving local and systemic conditions
  12. 12. Conclusions • Reversible inflammation • Very common • Mechanical and chemical prevention and treatment • Role of oral healthcare professional is key
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