7gingivitis

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7gingivitis

  1. 1. GingivitisGingivitis Inflammation of gingival tissues commonly associated withInflammation of gingival tissues commonly associated with dental plaque & calculusdental plaque & calculus Acute gingivitisAcute gingivitis Causes: LocalCauses: Local  Poor dental hygienePoor dental hygiene  Food stagnation (soft sticky)Food stagnation (soft sticky)  Badly restored fillingBadly restored filling  Prosthesis - Orthodontic applianceProsthesis - Orthodontic appliance  Mouth breathersMouth breathers  Trauma/ Traumatic biteTrauma/ Traumatic bite  InfectionInfection 11Dr S ChakradharDr S Chakradhar
  2. 2. General causesGeneral causes  Vitamin deficiency: Vit C , Vit B2, Vit AVitamin deficiency: Vit C , Vit B2, Vit A  Hormonal effectHormonal effect  PregnancyPregnancy  PubertyPuberty  Systemic diseases: DM, TB, severe anemia and leukemia,Systemic diseases: DM, TB, severe anemia and leukemia, HIVHIV  Drugs: nifedipine, phenytoin, OCPDrugs: nifedipine, phenytoin, OCP 22Dr S ChakradharDr S Chakradhar
  3. 3. TypesTypes  Acute necrotising ulcerative gingivitisAcute necrotising ulcerative gingivitis  Herpetic gingivitisHerpetic gingivitis  Nonspecific gingivitisNonspecific gingivitis  Leukemic gingivitisLeukemic gingivitis 33Dr S ChakradharDr S Chakradhar
  4. 4. ANUGANUG EtiologyEtiology Borellia vincentiBorellia vincenti Fusiform bacilliFusiform bacilli Predisposing factorsPredisposing factors SmokingSmoking Poor oral hygienePoor oral hygiene AlcoholAlcohol Immunocompromised conditionImmunocompromised condition 44Dr S ChakradharDr S Chakradhar
  5. 5. Clinical featuresClinical features  PainPain  UlcerUlcer  BleedingBleeding  SalivationSalivation  HalitosisHalitosis  Metallic tasteMetallic taste  Fever, malaise and enlarge cervical LNFever, malaise and enlarge cervical LN 55Dr S ChakradharDr S Chakradhar
  6. 6. ManagementManagement Maintaining oral hygieneMaintaining oral hygiene Prevention of plaque & CalculusPrevention of plaque & Calculus Wash the lesion with 3% HydrogenWash the lesion with 3% Hydrogen peroxideperoxide Paint with 10% chromic acid gelPaint with 10% chromic acid gel Advice antiseptic mouthwash eg 0.2%Advice antiseptic mouthwash eg 0.2% chlorhexidinechlorhexidine Analgesics as neededAnalgesics as needed Metronidazole 400mg PO TDS for 7 daysMetronidazole 400mg PO TDS for 7 days 66Dr S ChakradharDr S Chakradhar
  7. 7. Acute herpetic gingivitisAcute herpetic gingivitis  Caused by Herpes simlex virus, Herpes labialisCaused by Herpes simlex virus, Herpes labialis  Occurs usually in children of 3 to 6 yrsOccurs usually in children of 3 to 6 yrs Clinical featuresClinical features  Small painful vesiclesSmall painful vesicles  UlcerUlcer  May involve the lip, cheeks, tongue and palateMay involve the lip, cheeks, tongue and palate  HalitosisHalitosis  Fever, enlarged LNFever, enlarged LN 77Dr S ChakradharDr S Chakradhar
  8. 8. ManagementManagement Maintaining oral hygieneMaintaining oral hygiene Prevention of plaque & CalculusPrevention of plaque & Calculus Self limiting disease (1 or 2 weeks)Self limiting disease (1 or 2 weeks) Bed restBed rest Soft dietSoft diet AnalgesicsAnalgesics Tetracycline mouth washTetracycline mouth wash 250mg in 30ml water 6hrly250mg in 30ml water 6hrly 88Dr S ChakradharDr S Chakradhar
  9. 9. Acute non specific gingivitisAcute non specific gingivitis Probably due to overgrowth of normalProbably due to overgrowth of normal bacteriabacteria Cl/F similar with pain and swelling of gumsCl/F similar with pain and swelling of gums Bleeds on probing and pus may also beBleeds on probing and pus may also be seenseen Treat by H2O2 washTreat by H2O2 wash Advise proper oral hygieneAdvise proper oral hygiene 99Dr S ChakradharDr S Chakradhar
  10. 10. Chronic gingivitisChronic gingivitis CausesCauses Plaque and calculus aroundPlaque and calculus around gingival margingingival margin Mouth breathers and incompetentMouth breathers and incompetent lip seallip seal Traumatic biteTraumatic bite Inadequate treatment of acuteInadequate treatment of acute gingivitisgingivitis 1010Dr S ChakradharDr S Chakradhar
  11. 11. Clinical featuresClinical features  The classic triad ofThe classic triad of redness, swelling, and bleeding onredness, swelling, and bleeding on gentle probing are diagnosticgentle probing are diagnostic  Usually complain that 'gums bleed on brushing‘Usually complain that 'gums bleed on brushing‘  Color change: from pink to beefy red/purpleColor change: from pink to beefy red/purple  Gingival pocketsGingival pockets 1111Dr S ChakradharDr S Chakradhar
  12. 12. TreatmentTreatment Oral hygiene maintenanceOral hygiene maintenance BrushingBrushing MouthwashMouthwash Regular scalingRegular scaling Gingivoplasty / GingivectomyGingivoplasty / Gingivectomy Antibiotics: tetracyclineAntibiotics: tetracycline 1212Dr S ChakradharDr S Chakradhar

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