Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.



Published on

  • Be the first to comment


  1. 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. 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. 3. Types Acute necrotising ulcerative gingivitis Herpetic gingivitis Nonspecific gingivitis Leukemic gingivitis Dr S Chakradhar 3
  4. 4. ANUG Etiology Borellia vincenti Fusiform bacilli Predisposing factors Smoking Poor oral hygiene Alcohol Immunocompromised condition Dr S Chakradhar 4
  5. 5. Clinical features Pain Ulcer Bleeding Salivation Halitosis Metallic taste Fever, malaise and enlarge cervical LN Dr S Chakradhar 5
  6. 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. 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. 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. 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. 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. 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. 12. TreatmentOral hygiene maintenance Brushing MouthwashRegular scalingGingivoplasty / GingivectomyAntibiotics: tetracycline Dr S Chakradhar 12