The acute inflammatory gingivitis is characterized by mild redness of the gums, increased bleeding and slight swelling. Pain is either not available or only slightly. It is triggered by bacterial coverings.
The bacteria distinguished from substances (endotoxins), which can penetrate the mucosa. On the body’s own defenses and certain messengers did the immune response of the body – the acute inflammation. For heavier forms is the limited dental care possible, because any contact with the gums hurt.
Remedy usually creates Muskellunge of oral hygiene, ie regular and thorough brushing. Here are the bacterial plaque and the trigger for this disease away.
The gingivitis can also be caused by mechanical, chemical or thermal influences are triggered. Responsibility is often too strong cleaning of the teeth. It is the gingival through the bristles of the toothbrush injured and reacted with an inflammation. Swelling and pain occur in the famous pizza burns on the palate. This is a real combustion and heals over a few days. Also by strong acids or alkalis can cause gum inflammation come. You should avoid any contact with these fluids.
Chronic gingivitis
The chronic gingivitis arises mostly from the acute form. For 80 to 90% of adults can be a chronic gingivitis noted. Also here is the trigger of bacterial plaque. Simplified is the severity of inflammation at the bleeding down. For excessive gingival bleeding, which is already under a simple touch of the gingival trigger, you can also expect a strong gingivitis.
The chronic gingivitis also often appears together with a large quantity of tartar. It plays not only the bacterial component of a role. Through the calcified, hard and sharp lining it comes to a permanent mechanical irritation of the gingival.
Image: Oral-B
The picture shows a red and slightly swollen gingival, which originate in the tooth gap has. Through improved oral hygiene may be inflammation in a few days to subside. It remains undetected is in the chronic form.
Acute necrotizing ulcerative gingivitis (ANUG)
A special form of acute gingivitis is the ANUG (acute necrotizing ulcerative gingivitis), also Plaut-Vincent called gingivitis.
The pathogens are mainly small, large and medium spirochete, chopsticks and cocci bacteria.
The disease is not contagious. It affects mostly teenagers or young adults between 15 and 30 Year of life.
The bacteria penetrate quickly into the tissue, which by an existing gingivitis .
The disease begins on the gums, between the teeth is located and destroyed the Interdentally Papillion. That means that after the recovery of ANUG the gingival at these places is missing.
The affected patients suffer from high fever, severe bad breath, fatigue and severe pain. Often it affects smokers and people who are under severe stress (tests) are available. Lately, is also a latent viral infection in suspicion.
The ANUG begins abruptly with a inflammation, usually at the front teeth. The gums in the tooth gap is hochrot and with a slightly yellowish, cloudy wipe film. This can only help the dentist.
Hormonally-related gingivitis
The hormone-related gingivitis usually occurs in puberty or pregnancy on. Known is also the link between gum inflammation and pill. Triggers are basically the same factors as in the acute and chronic gingivitis. By the hormonal influence but the symptoms are exacerbated. With good dental hygiene but also occurs in these hormonal forms at no gingivitis.
On the left you can picture the difference between a healthy (1) and the inflammatory changes gingival (2) recognize. The bones of the tooth times (3) has not yet been attacked. The gum appears by the edematous swelling . The probe (4) is composed of 3mm spacing. The probe tip, 3-4mm into the diseased gum pocket penetrate – on the healthy side only 1-2mm.
Countermeasures
The acute and chronic gingivitis can be determined by a professional dental cleaning removed. You can prevent by good oral hygiene and regular dental visits.
You should avoid too hot meals and drinks and contact with corrosive substances.
When you ANUG remains the only immediate way to a dentist. Meanwhile, treatment consists of a thorough dental cleaning, after a local anesthetic was given. You may get an antibiotic and a painkiller fever. It is also advised bed rest.
Conclusion
In 90% of subjects show strong bacterial coverings on all teeth. A scientific study has some time before an attempt to dental students, in which the influence of the tooth surface on the training of gingivitis could be identified.
A group of students should brush teeth daily, which otherwise should not preen. Once again was cleaned, the inflammation disappeared again.
Try to avoid gum inflammation. And remember: The chronic gingivitis is also called lymphocytic-plasmacytic gingivitis. It does not automatically in a periodentitis over, but mostly a periodontal condition