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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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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