Catarrhal gingivitis: treatment
Catarrhal gingivitis is one of the common forms of inflammation of the gums. Mostly the disease occurs in children and adults up to 35 years. Males carry the disease more often than women. Babies are usually symptoms of catarrhal gingivitis in the acute form in adults is chronic with periodic exacerbations.
Classification of the disease
Current patterns catarrhal gingivitis is divided into acute and chronic. On the prevalence of the inflammatory process, the disease is localized (in the region of 1-3 teeth), generalized or diffuse (in the region of one or both jaws).
According to the severity of lesions in dentistry there are three degrees of catarrhal gingivitis: mild, moderate and severe.
The disease rarely begins suddenly. It gradually develops from one stage of inflammation to another. The main factor predisposing to the early development of catarrhal gingivitis is the accumulation of abundant pathogenic plaque on tooth surfaces. Harmful bacteria, included in the plaque produce toxins and cause inflammation of the gums. In a few weeks the inflammation becomes more pronounced form, and the symptoms of the disease become pronounced. When mild catarrhal gingivitis affects exclusively the papillae of the gums. In the middle stage, the spread of the inflammatory process into the gums. When severe damage occurs throughout the gums along with its alveolar part.
The causes of the disease
Catarrhal gingivitis is called General and local factors. Reasons of a General nature are:
- a weak immune system;
- infectious disease;
- diseases of the endocrine system;
- diseases of the gastrointestinal tract;
- pathology of heart and vessels;
- disruptions in the hormonal system;
Local factors contributing to the formation of catarrhal gingivitis:
- substandard care of the oral cavity;
- the abundance of dental plaque;
- unprofessional treatment (low-quality fillings and prosthetics);
- the presence of the itchy sensation at the site of the gums.
Catarrhal gingivitis can be identified by the following features:
- swelling in the area of the gums;
- redness of the gums;
- itching of the gums;
- the acquisition of acute gingival papillae dome-shaped;
- spotting when cleaning the teeth or when chewing hard food;
- the presence of bad taste in the mouth;
- bad smell from the mouth;
- discomfort and pain when exposed to the gum;
- poor overall health;
- high body temperature in individual cases.
Possible complications of the disease
Catarrhal gingivitis is characterized by a persistent position of the teeth. In the absence of assistance, or improper impact on the tooth cavity there is a risk of loosening of the teeth, which happens when:
- ulcerative-necrotic gingivitis;
- abscess of the gums or jaw bone area;
Methods of diagnosing
Diagnosis of gingivitis catarrhal form occurs when the inspection of the oral cavity a dentist or periodontist. Specialist evaluates all the emerging symptoms and well-being of the patient. To evaluate the local status with this disease used dental indices. They are semi-quantitative indicators and reflect the state of the oral cavity. Index Silnes-Loei or green-Vermillion used to identify the number of pathogenic plaque at the cervical area. Papillary-marginal-alveolar index or the sample Schiller-Pisarev — to assess the strength of the inflammatory process. The method of probe samples to assess the degree of bleeding gums.
For diagnosis used reproduktory, vital microscopy, Doppler flowmetry. The testimony of these studies help to assess the microcirculation in periodontal tissues.
If required, conducted qualitative and quantitative research of the composition of the gingival fluid, biopsy and morphological examination of tissues.
When carrying out radiography and orthopantomography in patients suffering from catarrhal gingivitis, variations in alveolar bone are not detected. Sometimes, during a long course of gingivitis in a chronic condition, revealed osteoporosis or resorption of compact plate interdental partitions.
It is important when Troubleshooting not to confuse the chronic stage of the disease with swollen hypertrophic gingivitis and periodontitis mild. For the catarrhal form of gingivitis is characteristic of a variety of dermatoses.
The treatment of the disease
Treatment of patients with chronic catarrhal gingivitis is to remove deposits on the teeth, which are considered the main cause of inflammatory condition. Dental procedures are performed by a manual tool or an ultrasonic device. Before treatment is mandatory prior sanitation of the oral cavity with antiseptic solution and local anesthesia is used. Only after that eliminates the causes that contribute to the accumulation of plaque on the teeth, restore contact points, sealed the cervical cavity with the use of setoutputdevice composition and ceramic restorations.
Mandatory trained dentist patient the proper care of the oral cavity and teeth, as well as control over the ability to perform hygienic procedures. In each case, individually selected toothbrush, dental floss, irrigators, stimulators, interdental brushes, toothpaste and mouthwash. Inspections are conducted on the first week on each visit. That once a week for a month. During the period of treatment for rinsing is assigned Listerine solutions, usepty, chlorhexidine.
Additionally, in the treatment of catarrhal gingivitis is applied, the polishing surface layer of a dental pastes for special applications with abrasive. For this purpose, brushes, plastic head and mechanical lugs. At the end of the remedial measures to consolidate the effect recommended toothpaste for teeth with members of their staff with antiseptics (triclosan, chlorhexidine), enzymes or anti-inflammatory action. But it is worth considering that chlorine-containing paste can not be applied more than three weeks. Then we recommend the use of hygienic pastes.
Catarrhal gingivitis is not recommended the use of toothpastes of red and Burgundy. They mask the bleeding gums, which is the initial symptom of inflammatory process.
If after professional hygienic cleaning of the swelling and redness does not disappear, drug therapy is prescribed, aimed at a specific symptom and factor. To dental of therapy include the use of anti-inflammatory drugs. They normalize the state of permeability of blood vessels and help to eliminate tissue swelling. Basically it is a non-steroidal anti-inflammatory drugs.
It is not rare for the restoration of tissue metabolism, collagenopathy and improve the General condition of the patient requires taking vitamin complex.
Catarrhal gingivitis it is important to reduce or eliminate from the diet of food of a soft structure, sticky, and foods rich in sugars. But if you are not able to refuse such products, should be mandatory after each use food to cleanse the hygiene of teeth and oral cavity.
Only after restoring the normal condition of the gums permits the holding of the finger-massage the gums, massage. In this case, recommended chewing load that can be obtained when chewing solid food. It is necessary to pass inspection at the dentist at least two times each year. If necessary, the specialist will conduct follow-up hygiene treatment.
With the rapid diagnosis of catarrhal gingivitis, the right medical actions and care, there is a complete cure.
At exacerbation of chronic catarrhal gingivitis symptoms become pronounced. In this case, the patient complains of soreness in the gums, General weakness because of intoxication. The inflammation is intense. The gums are swollen, bluish color, and bleeding from any impact. Lymph nodes are enlarged and sore. In some cases there is a rise in body temperature. If not treated, the symptoms will manifest themselves within 1-1,5 weeks, and then pass.
Treatment of catarrhal gingivitis exacerbation is to eliminate inflammatory conditions, pain, and intoxication effects. To do this, use an antibacterial, antiseptic, analgesic, anti-inflammatory drugs.
Sometimes, if required, allergen medications such as clemastine, mebhydrolin, hloropiramin. In the period of exacerbation is impossible to use products with a sharp and irritating.
The important place occupied by local agents with anti-inflammatory effects, antimicrobial and antiseptic effect. They are used both before and after the removal of dental plaque. Before cleaning, carried out by the local application anesthesia with 5% lidocaine gel. Next on the gums the gel is overlaid with etiologically grounded components (chlorhexidine, metronidazole). Then applied the gel with diclofenac. For better effect of the ointment from the top closing film «Dependent», which includes anti-inflammatory, antimicrobial components, analgesics, and antiseptics.
These manipulations are performed for the elimination of acute inflammatory conditions, and treatment of the disease. But it is worth considering that in the acute form is prohibited all kinds of traumatic manipulation, and instead of cleaning is rinsing the mouth with antiseptics. A full professional treatment catarrhal gingivitis can be carried out only after the elimination of acute inflammation.
To prevent the development of catarrhal gingivitis it is necessary to observe a number of recommendations:
- thoroughly clean the teeth from plaque;
- use regular floss;
- rinsing the mouth with antiseptic solutions;
- passing the regular examinations at the dentist;
- avoidance of injury to the oral cavity.
It is important to prevent the progression of the disease, and at the first signs of inflammation and discomfort immediately consult a dentist. Timely diagnosed catarrhal gingivitis, and the treatment is carried out correctly, will allow to avoid serious complications.
The use of folk remedies
In the presence of catarrhal gingivitis is allowed to treat folk remedies, but only as a Supplement to the main therapeutic measures. Traditional methods used in the process of fixing events, help in the prevention of recurrence of the disease.An important feature of national resources is the lack of side reactions, which is important in the removal of inflammation in the mouth in children.
To support the popular ways include:
- In a container pour 500 ml of boiling milk. Add one tablespoon of the mixture of chamomile flowers and one tablespoon of sage (leaves). Infuse for 15 minutes in a well-closed container. Infusion to rinse your mouth.
- Dessert spoon of dried blueberries or cherry pour 250 milliliters of water and boil for 20 minutes.
- In one Cup of boiling water brew a tablespoon of oak bark and filter the liquid. In the resulting infusion add one teaspoonful of sage leaves and boil for 10 minutes.
- One crushed leaf Golden mustache, pour one liter of boiling water and infuse hour. The liquid is allowed to add half a teaspoon of salt to enhance the anti-inflammatory effect.
- One tablespoon of leaves and flowers of St. John’s wort to grind into powder and add to it 100 grams olive oil or sunflower oil. Stir mixture and bring to a boil three times. The mixture to cool and strain. Ready oil to lubricate the gums several times a day.