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How is gingivitis treated?

Treatment methods for gingivitis are selected depending on the form of its course.

Catarrhal gingivitis can develop during teething, with accumulated gingival dental deposits, at the height of acute infectious diseases (including diseases of the mouth and throat). With catarrhal gingivitis, there is inflammation of the interdental papillae and the edges of the gums, hyperemia, slight bleeding, itching and tingling in the area of the mucous membrane adjacent to the teeth, and an unpleasant odor from the oral cavity.

In the treatment , the main attention is paid to the treatment of the diseases that caused it (removing dental plaque, treating infectious diseases), and conducting local anti-inflammatory therapy: rinsing with weak antiseptic solutions suitable for the oral cavity, herbal antiseptic infusions, make applications, applying antimicrobial gels to the edge of the gums (Metrogyl - denta) and non-steroidal anti-inflammatory ointments (Heparin for the oral cavity, Hydrocortisone for the oral cavity), wound healing agents (Solcoseryl - ointment or gel). Intraoral electrophoresis is used.

Necrotizing ulcerative gingivitis often appears as a continuation of the catarrhal form of gingivitis (its complication) and is the result of the fact that the immune system cannot cope with the scale of the infection on its own. As a result, ulcers and whitish necrotic plaque appear in places of marginal inflammation of the gums, indicating tissue death. This form of gingivitis is accompanied by a putrid odor from the oral cavity, painful sensations in the gum edge, fever, and a violation of general well-being. Necrotizing ulcerative gingivitis requires surgical intervention for excision of necrotic tissue, further processing with proteolytic enzymes and antiseptics of the affected areas of the gums, wound healing agents (Solcoseryl applications), general antimicrobial therapy and anti-intoxication measures to remove tissue breakdown products and toxins.

Hypertrophic gingivitis most often accompanies endocrine system disorders, sometimes occurs with toxicosis during pregnancy, can result from malocclusion or crowding of teeth, trauma from the edge of a crown or removable denture. Hypertrophic gingivitis can occur in the form of excessive swelling of the gum edge or in the form of an overgrowth of the tissues of the mucous membrane adjacent to the tooth. To relieve edema in hypertrophic gingivitis, applications of heparin or hydrocortisone are used, rinse the mouth with weak solutions of antiseptics or their herbal counterparts. Possible traumatic factors (removable denture, excessively hard toothbrush, remove odontolith) during treatment are excluded from use, grind down the protruding and traumatic parts of the tooth filling). With the proliferation of mucosal tissues, its excision is required.

Any form of gingivitis requires not only symptomatic treatment, but also general strengthening therapy:

Careful adherence to the rules of oral hygiene;
Vitamin injections (vitamin A, group B);
Taking vitamins E and C;
Immunostimulating therapy.

Gingivitis cannot be cured by rinsing and ointments alone, if its causes lie in dysfunction of any body systems, reduced immunity and the presence of factors injuring the gums. Home treatment for gingivitis should be supervised by a physician. Uncontrolled self-activity in the treatment of gingivitis can complicate the process of its course and lead to wider disorders in the periodontal area.