Causes of the inflammatory process
Everyone has encountered the problem of gum inflammation: for some the process was more pronounced, for others less. However, the reaction to the inflammatory process is different - some people try not to make the disease worse and go to the dentist, while others let things take their course, hoping that “it will go away on its own.” Such an irresponsible attitude towards one’s health can ultimately lead to complications that will be difficult to cope with even with the help of a doctor.
To prevent inflammatory gum diseases, you need to know what can cause inflammation and what symptoms can be seen that it already exists.
What could be the reasons
1. Microbes
The human oral cavity contains a huge number of microorganisms that under normal conditions do not pose any danger. The body's general immune system and local immunity cope with the regulation of their numbers, growth and health effects until conditions favorable for microbes occur, when they become a serious threat.
2. Insufficient or poor oral care
In the absence of regular brushing of teeth, or the wrong choice of toothbrush, toothpaste, elixir or mouthwash, plaque accumulates on the surface of the teeth, which serves as an excellent breeding ground for pathogenic microorganisms.
3. Presence of tartar
Soft plaque under the influence of bacterial waste products turns into hard tartar. The appearance of these solid formations contributes to the development of the inflammatory process; The gums become injured and “sag,” and pathogens penetrate into the deeper layers of the soft tissue of the gums.
4. Other reasons
In addition to the above reasons, inflammatory gum diseases can occur:
- due to improper prosthetics and dental fillings
- smoking and vitamin deficiencies
- diseases of the gastrointestinal tract and endocrine system
Also, gum inflammation can be caused by a hereditary predisposition or weakening of the body's protective functions.
How do the symptoms manifest?
Inflammation does not occur immediately and is strong - it occurs in stages:
- swelling and redness of the gums, excessively soft tissue (this can be felt when palpating with a finger or touching a toothbrush)
- blood vessels are weakened, which is evident from the appearance of blood on the brush or dental floss (at first these are only traces, but later blood can appear at the slightest touch even with the tongue to the gum)
- tooth sensitivity increases, as the gums sag, the neck of the tooth is exposed, and since it is not as protected as the crown by enamel, any impact is noticeable
- the development of the inflammatory process can lead to the fact that the slightest irritation becomes a source of pain: it becomes difficult to chew food, and the contact of cold or hot, sour or sweet food on the inflamed area sometimes causes unbearable pain
- the surface and outline of the gums look uneven, the tissues become loose
- Bad breath becomes a constant unpleasant companion, which cannot be eliminated either by dental elixirs or by brushing your teeth.
General factors
The occurrence of inflammatory gum diseases is caused by a number of factors that weaken the functioning of the human immune system and make the gums susceptible to pathogens attacking them (gum inflammation begins - gingivitis). These factors are often:
- periods of hormonal changes (puberty, pregnancy, menstruation or menopause)
- stressful situations
- disorders of the body's protective functions
- active smoking
Inflammation of the gums can be caused by a disturbance in the composition of saliva, the balance of the bacterial flora in diabetes. Inflammatory gum disease can be caused by a lack of vitamins.
If these risk factors are present in your life, you should carefully monitor the formation of tartar and remove these unwanted deposits as quickly as possible.
Local factors
In addition to general factors, the occurrence of gingivitis is caused by poor oral care, dental plaque, poorly placed fillings and crowns, poor prosthetics, old fillings, malocclusion and the presence of orthodontic structures in the mouth that make normal teeth cleaning difficult. Increasingly growing deposits on teeth contribute to a greater accumulation of pathogenic microorganisms. Periodontal pockets may appear, which means inflammation moves to the gums.
Important for patients with cardiovascular pathology -
Many patients with gum inflammation try to self-treat, which involves regular use of antiseptics. Antiseptic solutions are not able to completely “disinfect” dental deposits (consisting of pathogenic bacteria) - to their entire depth, because antiseptics affect only the most superficial layer of microbial plaque or tartar. Therefore, firstly, the pathogenic effect of bacteria will continue even against the background of antiseptic rinses. But this is not the most dangerous thing.
Scientific research has shown that antiseptics interfere with the ability of oral bacteria to convert nitrates (found in foods) into nitrites. This bacterial activity is called “nitrate-reducing” and is one of the mechanisms that regulates our blood pressure. The fact is that nitrites formed by bacteria are then absorbed into the blood, and they help lower blood pressure. Therefore, if you regularly use antiseptic products (even toothpastes), this will reduce the production of nitrites by oral bacteria and may cause an increase in blood pressure.
This may not be noticeable in young healthy people, but will be significant in patients with chronic cardiovascular pathology. All these data are confirmed by scientific research - “The increase in plasma nitrite after a dietary nitrate load is markedly attenuated by an antibacterial mouthwash. Nitric Oxide" (2008), authors – Mirco Govoni, Emmelie Å. Jansson, Eddie Weitzberg, Jon O. Lundberg. If you wish, you can read this study using the link above using a browser translator. We hope that our article was useful to you!
Sources:
1. Dental education of the author of the article, 2. Based on personal experience as a periodontist, 3. American Academy of Periodontology (USA), 4. “Therapeutic dentistry. Textbook" (Borovsky E.V.). 5. “Non-surgical periodontal treatment” (Roncati M.).
Gingivitis
Gingivitis is an inflammation of the gums caused by local and general unfavorable factors, without a violation of the integrity of the tooth-gingival junction.
Although gingivitis is much easier to cure than periodontal disease or periodontitis, you should not relax: untimely contact with the dentist and delays in treatment can lead to very significant consequences. Firstly, you will need to spend more on treatment; secondly, it is unknown what side effects may appear on general well-being due to “simple” gum inflammation.
The main cause of gingivitis is still non-compliance with basic hygiene rules or a complete lack of oral hygiene. The disease can be caused by injuries of various types, improper installation of prostheses, and weakened immunity. Gingivitis is characterized by shallow inflammation of the gums around a tooth or several teeth. In dentistry, there are several forms of this disease.
Catarrhal gingivitis
There is redness of the gums around a tooth or several. Often the gums bleed, there may be slight itching, pain when eating or performing hygiene procedures. This is the most common form.
Ulcerative gingivitis
A severe form of the disease, when large areas of the gums are affected and a characteristic grayish coating is visible. At an advanced stage, the formation of purulent foci, necrosis of soft tissues, and bad breath may appear.
Hypertrophic gingivitis
In the clinic of this form, compaction and proliferation of the soft tissues of the gums are noted, sometimes leading to keratinization of its individual parts.
If the first symptoms of any form of disease appear, you should immediately see a doctor, because self-medication will not help in this case. Relieving the inflammatory process is not an end in itself; it is necessary to get rid of the cause that provoked the inflammatory process. Only a dentist can determine the cause of gingivitis and prescribe appropriate therapy. You may need to consult a specialized specialist, to whom a doctor will give a referral.
Gum disease - periodontal disease
Although periodontal disease is a gum disease, it has nothing in common with either gingivitis or periodontitis. Periodontal disease is especially often confused with periodontitis: this is due to the fact that periodontal disease also exposes the necks of the teeth. However, with periodontal disease there is no dental plaque, purulent inflammation and periodontal pockets. Moreover, these diseases have completely different pathogenesis. The exact causes of periodontal disease have not yet been determined, but most experts believe that the disease is formed as a result of metabolic disorders, chronic diseases of internal organs, lack of normal blood supply to soft tissues and poor heredity. One thing is good: periodontal disease is considered a fairly rare disease that occurs in no more than 10% of people. Since the disease is not inflammatory in nature, the treatment of periodontal disease has its own characteristics.
Inflammatory processes in the oral area
Today, there are a number of factors that can lead to inflammation of various types in the oral cavity.
Inflammation of the gums causes discomfort in the patient and does not contribute to improving communication with others: it is not very pleasant to talk with a person who has constant bad breath (and this accompanies any inflammation). However, one should not think that everything is limited only to the oral cavity: if infected saliva gets into the stomach, it can provoke quite serious systemic diseases.
Inflammatory process during pregnancy
Pregnancy for almost all women is problematic in terms of the condition of the oral cavity: tooth enamel weakens and begins to deteriorate; gums often become inflamed.
The causes of inflammation and pain in the gums can be different:
- weakening of the protective functions of the whole body and local immunity, as a consequence
- the diet changes, metabolic processes proceed in an unusual mode for the body, which leads to an acceleration of the formation of dental plaque
- neglect of the rules of oral hygiene during pregnancy
Ultimately, an impressive layer of plaque accumulates on the teeth during the day, which serves as an excellent breeding ground for pathogenic bacteria that cause inflammatory diseases of the oral cavity.
As such, plaque on teeth does not pose any danger if it is removed on time and well enough. Morning and evening brushing of the oral cavity is enough to avoid the appearance of plaque. During pregnancy, special attention should be paid to the condition of the teeth and gums, without expecting that everything will go away on its own.
If left untreated, gingivitis can develop into periodontitis, which is much more serious and can lead to the loss of completely healthy teeth.
It is necessary to monitor the condition of the gums literally from the first days of pregnancy, since already in the first weeks the first signs of inflammation may appear. If there is pain in the gums, inflammation and bleeding, you should immediately go to see a doctor. You should not put off visiting the dentist and dental treatment until the postpartum period: you simply won’t have time, and most importantly, you will waste time, which will cause more serious consequences.
Prosthetics and installation of crowns
Orthopedic dental operations are not easy procedures in themselves, and additional complications arise against the background of gum inflammation. If prosthetics are necessary, then it is necessary to first treat the oral cavity, remove inflammatory processes, and then install orthopedic structures. In the initial stage, it is easier to get rid of any disease, so earlier treatment of inflammation will be more effective. If you need to install dentures for periodontitis, you need to know:
- the process will be longer due to the need for preliminary treatment
- “loose” teeth cannot be completely reattached to the gums, and if the teeth are too mobile, they will have to be removed; Even apparently healthy teeth, without traces of caries, are removed, since the dentures must have a strong, reliable support
- if you do implantation, then periodontitis will not be a contraindication
With periodontitis, the choice of dentures is small. Even in the remission stage of this chronic disease, one-piece metal-ceramic crowns, made of metal and ceramics, cannot be installed. For reliable installation of permanent dentures, it is necessary that the neighboring teeth are motionless, otherwise the denture will begin to loosen and the supporting teeth may become deformed.
Only an orthopedic dentist can determine which type of design is right for you. Based on examinations and examinations, he decides what kind of surgery is required: installation of a bridge, removable dentures, zirconium crowns or implantation. A good specialist will definitely have an option for you, no matter how difficult the dental situation may be!
Negative effects of wisdom teeth
Wisdom teeth begin to erupt after 18–19 years of age. This third pair of chewing teeth is not easy for a person: the gums become inflamed, swollen, and are literally “torn”. But if the pain or gum swelling is too severe, you should consult a dentist. Medical intervention or the use of special medications and hygiene products may be necessary.
Inflammation of the gums around wisdom teeth can occur for many reasons:
- it is difficult to clean with a toothbrush from food debris and plaque, which leads to the active proliferation of microbes
- the soft tissues of the gums are injured: eruption itself is difficult, plus improper growth of the wisdom tooth is possible
- inflammation around the figure eights can be caused by stomatitis, gingivitis, periodontal disease
In any case, inflammation of the gums around wisdom teeth requires treatment to prevent it from spreading further. Eights are often removed soon after they appear.
Local inflammation of the gums in 1-2 teeth –
In this section we will tell you how to relieve gum inflammation if it occurs in the area of only 1-2 teeth. The reasons for such limited inflammation may be, for example, a localized form of periodontitis or an exacerbation of chronic dental periodontitis. Swelling of the gums with localized periodontitis is usually located in the projection of the interdental space, and closer to the gingival margin (Fig. 9-10). Often, when you gently press on such a swelling, you can see that pus begins to ooze from under the gums.
Swelling of the gums with localized periodontitis: photo
The main causes of periodontitis localized in the area of 1-2 teeth are most often the following factors:
- Traumatic bite (super contact) – so-called “premature biting” may occur in the area of some teeth, i.e. antagonist teeth do not close evenly, and there is premature biting on one of the teeth. The presence of such supercontact causes mechanical overload of the tooth, which leads to destruction of the bone tissue around it and inflammation of the gums. Supercontacts can appear independently, or be the result of poorly made fillings and crowns.
- Overhanging edge of the filling in the interdental space - when treating caries between teeth, the dentist may leave an overhanging edge of the filling, which will injure the gingival papilla in the interdental space. This is a gross mistake by the dentist. In addition to injuring the gums, the overhanging edge of the filling creates conditions for retaining food debris in the interdental space, which also contributes to the development of inflammation.
- The absence of a contact point between the teeth - when the part of the tooth that contacts the lateral teeth in the interdental space is destroyed - it is very important to restore correct contact. This is quite complex and painstaking work that requires skill, and not every dentist knows how to restore the “contact point” between teeth. Lack of good contact will lead to food getting stuck in the interdental space, followed by rotting of food debris and the development of inflammation (especially in patients who do not use dental floss).
- Overhanging edges of crowns –
Poorly made crowns can lead to permanent gum injury. For example, crowns may also have an overhanging edge that can injure the gums. In Fig. 12 you can see an X-ray of the tooth under the crown: in the interdental space, arrows indicate a deep periodontal pocket, which arose due to chronic trauma to the gums by the overhanging edge of the crown.
Inflammation of the gums near the tooth: treatment if the cause is the overhanging edge of the filling or crown, then it is necessary to grind off the overhanging edge of the filling with a bur (if possible, otherwise, completely replace the filling), and make a new crown. If there is no good contact point between the teeth in the interdental space, it is also necessary to replace the poor-quality filling or crown that caused the lack of contact. In the presence of traumatic supercontact, “selective grinding of teeth” is performed.
All of the above is basic therapy aimed at eliminating the causative factor that caused inflammation. Further, depending on the severity of the inflammation and the degree of destruction of the bone tissue around the tooth, curettage of the periodontal pocket can be carried out (with synthetic bone tissue placed in the bone pocket in order to try to restore the bone level), a course of anti-inflammatory therapy, tooth splinting, etc. .
Inflammation of the gums due to periodontitis -
With localized periodontitis, inflammation develops in the interdental space, in which a periodontal pocket is formed due to inflammatory bone resorption.
In turn, swelling of the gums during exacerbation of chronic periodontitis is already associated with the development of purulent inflammation at the apex of the tooth root (Fig. 13). In this case, swelling of the gums or a fistula with purulent discharge will no longer be closer to the gingival margin, but closer to the projection of the apex of the root of the diseased tooth onto the gum. Inflammation of the gums due to periodontitis: photo
The cause of periodontitis (inflammation at the apex of the tooth root) is an infection in the root canals. Periodontitis occurs either as a result of lack of timely treatment of dental caries and pulpitis, or due to poor-quality dental treatment, especially often due to poor-quality root canal filling. Inflammation of the gums during periodontitis is usually limited to 1 causative tooth, but when a large purulent abscess forms, it can spread to several teeth (Fig. 14).
In all cases, inflammation, as a rule, is localized and is located in the projection of the causative tooth. In a periodontitis tooth, a “cyst” (a sac filled with pus) forms at the apex of the root, which causes swelling of the gums. In this case, swelling and swelling of the gums can either constantly increase, or will appear periodically, then disappear, etc.
How to relieve gum inflammation due to periodontitis - first you need to make sure that the inflammation is actually caused by the development of periodontitis. An x-ray will help us with this, which we will compare with the data from a visual examination of the teeth. Externally, the causative tooth will always have either a filling or a carious defect (although if the caries is located in the interdental space, you may not notice it). An x-ray will allow you to see inflammatory changes in the bone tissue in the area of the apex of the tooth root, as well as the quality of root canal filling, if it was previously performed.
Next, dental treatment is carried out. If root canal treatment in a tooth has not been previously carried out, then the nerve is first removed and the root canals are mechanically treated, after which the inflammatory focus at the apex of the tooth root is treated using special pastes based on calcium hydroxide. Next, the root canals are filled with gutta-percha and the tooth crown is restored with a filling or crown. For comprehensive information on the treatment of periodontitis, read the article:
→ Algorithm for the treatment of periodontitis
An integrated approach to treatment
To stop the further development of the disease and eliminate discomfort, you must do the following:
- diagnose the disease to prescribe appropriate therapy
- remove deposits and stones from teeth
- treatment of inflammation
- sanitize the oral cavity
If necessary, loose teeth are splinted, dentures are placed, and teeth that cannot be treated are removed. After completing the treatment course, maintenance therapeutic procedures are prescribed. Only an integrated approach guarantees complete cure of inflammation, and following the recommendations will avoid relapses.
Consultation and initial examination of a specialist
At the first visit to the dentist, the patient undergoes an initial examination and receives advice on possible treatment methods for the identified disease. After a thorough examination of each tooth, the doctor records data on the condition of the teeth and gums in the patient’s medical record. The visitor is given information about which and how teeth need to be treated, and the approximate cost of the necessary procedures can be calculated.
Anti-inflammatory therapy
The problem of gum inflammation is a common phenomenon, however, self-medication cannot get rid of it. In order not to start the disease and not lose teeth, you should promptly seek the help of a dentist.
The combined use of conservative local therapy and physiotherapy gives good results. Medications used in the treatment of periodontitis are divided into several categories:
- antibacterial agents (antifungals, antiseptics, antibiotics)
- enzymatic, steroidal and non-steroidal drugs
- hormonal, immunostimulating agents, vitamins
If the inflammation worsens, an operation may be prescribed to open the gums so that the accumulated pus can be released. For periodontitis, planned operations are performed:
- patchwork
- gingivectomy
- curettage
Physiotherapeutic procedures are prescribed after getting rid of severe inflammation.
Treatment of inflammation caused by injury
There are two types of gum injuries - chronic and acute. The former are a consequence of the action of a constant irritating factor - an incorrectly installed prosthesis, unsuccessfully made bridges, crowns, etc. In this case, you cannot do without contacting an orthopedic doctor. Acute injuries can occur when using cutlery, dental floss or a hard brush, as well as in fights and falls.
Anti-inflammatory treatment is carried out by a periodontist. First, it is necessary to eliminate the cause of the inflammatory process:
- replacement of old or low-quality fillings is carried out
- uncomfortable dentures are removed
- It is recommended to buy a soft toothbrush
Next, the treatment course is carried out in stages:
- acute pain is relieved
- anti-inflammatory therapy is prescribed
Features of choosing toothpaste and brush
A toothbrush is a personal hygiene item; it should be individual for everyone. The brush should not be used for more than two to three months.
If there are no problems with your gums, a medium hardness toothbrush will do. If there are any gum diseases, then the brush should be soft to avoid injury to the gums.
If you are used to using an electric brush, then you need to know that you should not brush your teeth for more than 3 minutes, and the brush movements are the same as when brushing with a regular brush. To reduce the load on the teeth, the electric brush should be applied to the surface of the teeth with less force compared to a regular one.
The choice of paste and the rules for using it are of great importance. Don’t think that the more toothpaste you squeeze out of the tube, the better you can clean your teeth. The volume of the paste does not affect the quality of the procedure - just squeeze out a little paste, the size of a pea.
The selection of toothpaste is also individual and depends on the condition of the gums and teeth. If your gums are bleeding, then the toothpaste should contain antibacterial and anti-inflammatory components. Most often these are medicinal plants: chamomile, eucalyptus, oak bark, sage, coniferous extracts, echinacea and others. Paste with propolis works well.
As a prophylactic paste, you should use those containing zinc citrate and aluminum lactate. They have an astringent effect and prevent periodontal disease and periodontitis. To restore mucous membranes, you need to buy pastes containing allantoin and bisabolol.
To choose the most suitable paste for your case, it is better to seek the help of a dentist. After examining and assessing the condition of the oral cavity, the doctor will be able to recommend exactly the paste that you need to prevent disease or as part of a treatment course for existing inflammation.
Clinical researches
According to the results of the clinical use of the Asepta line of products: the examined patients, already at the first follow-up examination (after 1-2 days) of using the Asepta line of products, showed a decrease in complaints of discomfort in the gums. On examination, hyperemia and bleeding of the gingival papillae are noted. On the 7th day, complaints of gum bleeding persisted in a minority of patients.
Upon examination, a decrease in hyperemia and swelling of the gums was noted, but bleeding persisted upon probing. On day 14, 2 patients continued to complain of bleeding gums when brushing their teeth; upon examination, a significant decrease in hyperemia and swelling of the gums was noted. After the final application of the gel with propolis, normalization of clinical manifestations was revealed, which is manifested by the absence of bleeding during brushing and probing.
Improved dynamics of indicators allows us to recommend the Asepta line of products for the local treatment of inflammatory periodontal diseases.
Sources:
- Clinical experience in using the Asepta series of products Fuchs Elena Ivanovna Assistant of the Department of Therapeutic and Pediatric Dentistry State Budgetary Educational Institution of Higher Professional Education Ryazan State Medical University named after Academician I.P. Pavlova of the Ministry of Health and Social Development of the Russian Federation (GBOU VPO RyazSMU Ministry of Health and Social Development of Russia)
- The use of adhesive balm "Asepta®" in the treatment of inflammatory periodontal diseases L.Yu. OREKHOVA*, Dr. med. Sciences, Professor, Head of Department V.V. CHPP**, Dr. med. Sciences, Professor, Head of Department S.B. ULITOVSKY*, Dr. med. Sciences, Professor A.A. LEONTIEV*, dentist A.A. DOMORAD**, O.M. YAKOVLEV** SPbSMU named after. acad. I.P. Pavlova, St. Petersburg - *Department of Therapeutic Dentistry, **Department of Microbiology
- The use of new anti-inflammatory drugs in the complex of therapeutic and preventive measures for periodontal diseases (E.D. Kuchumova, A.A. Leontyev, O.V. Kalinina, L.Yu. Orekhova, S.B. Ulitovsky) E.D. Kuchumova, Ph.D., Associate Professor, A.A. Leontyev, dentist, O.V. Kalinina, dentist, L.Yu. Orekhova, Doctor of Medical Sciences, Professor, Head of Department, S.B. Ulitovsky, Doctor of Medical Sciences, Prof. Department of Therapeutic Dentistry of St. Petersburg State Medical University named after. acad. I.P. Pavlova
- Article “Treatment and hygiene features for mild and moderate periodontitis” by S.B. Ulitovsky head Department of PFS, Professor, Doctor of Medical Sciences, A.A. Leontyev Associate Professor of the Department of PFS, Ph.D. PSPbSMU named after. I.P. Pavlova
- Evaluation of the effectiveness of treatment of chronic generalized periodontitis of mild and moderate severity using Asepta antibacterial agents (S.I. Gazhva, A.I. Voronina) S.I. Gazhva, Doctor of Medical Sciences, Prof., Head of Department A.I. Voronina, aspirant, dentist, Department of Dentistry, Faculty of Dentistry, State Educational Institution of Higher Professional Education "Nizhny Novgorod State Medical Academy"
- Study of the clinical effectiveness of treatment and prophylactic agents of the Asepta line in the treatment of inflammatory periodontal diseases (A.I. Grudyanov, I.Yu. Aleksandrovskaya, V.Yu. Korzunina) A.I. GRUDYANOV, Doctor of Medical Sciences, Prof., Head of Department I.Yu. ALEXANDROVSKAYA, Ph.D. V.Yu. KORZUNINA, asp. Department of Periodontology, Central Research Institute of Dentistry and Maxillofacial Surgery, Rosmedtekhnologii, Moscow
Preventive actions
It is easier to prevent a disease than to treat it. To prevent gum inflammation, a whole range of hygienic and general health measures is necessary. It is necessary to prevent the appearance of tartar; maintain favorable microflora of the oral cavity; prevent the proliferation of microbes that cause inflammation and properly carry out hygienic procedures for caring for the oral cavity.
Comprehensive prevention includes the following measures:
- maintaining oral hygiene, using properly selected care products and a toothbrush for regular care
- mandatory doctor visits twice a year; When the first signs of inflammation appear, go to an appointment with a dentist outside of your plan
- treatment of general somatic diseases
- maintaining a proper diet with the introduction of a large number of foods containing a lot of fiber and vitamins into the menu (it is advisable to consume fruits and vegetables without heat treatment)
- introduce celery, apples, carrots into your daily diet
- the use of mouth rinses with antiseptic properties that do not destabilize the balance of microflora in the mouth
Treatment of children at RAIDEN
In the RAIDEN network of dental clinics, the treatment and prevention of oral diseases of young patients is treated with the utmost attention and reverence - the health of the younger generation is very important to us!
All medications used in our clinic meet the highest quality requirements. Before using them, we conduct a blood test of the baby to determine drug tolerance. The safety of your children, our little patients, is paramount to us.
Antiseptic rinses against inflammation
They are good at removing microbes and the toxins they produce, partially destroying pathogens, protecting the enamel and reducing the enzymatic activity of various types of rinses.
Rinses used for inflammatory processes can be divided into:
- antimicrobial action;
- anti-inflammatory action;
- mixed (or combined) action.
Antimicrobial solutions include antiseptics or antibiotics. They don’t just temporarily remove inflammation, they act on the root cause of inflammation – pathogenic microflora.
Important note: when using rinses with anti-inflammatory agents, it is recommended to simultaneously use gum gels containing antibiotics or antiseptics.
How not to do it
Patients often self-medicate and try to get rid of gum disease with hydrogen peroxide. Despite the fact that this is a good antiseptic, it is not suitable for use in the treatment of inflammatory gum diseases and does not give any effect other than foam in the mouth. It is not possible to rinse periodontal pockets on your own using a syringe; certain knowledge and skills are required.
Solcoseryl
One of the most popular gels in dentistry is Solcoseryl. This remedy is classified as a medicine (while many others act as balms), therefore it is recommended by dentists for the treatment of such unpleasant pathologies as oral candidiasis, viral, traumatic and necrotizing ulcerative stomatitis.
Solcoseryl gel will help get rid of pain; the active ingredients in its composition stimulate metabolic processes in the affected tissues, which accelerates regeneration.
Gels and ointments against the inflammatory process
To treat periodontitis, applications with various therapeutic agents are used. Each has its own recommendations for use, however, during all procedures one should strictly adhere to one rule: hands must be clean (processing can be carried out with cotton swabs)
After eating, you should brush your teeth and squeeze out a small amount of gel from the tube. Apply the product to the affected part of the gum, then do not eat or drink for half an hour. You should not take a lot of gel or ointment: the effect will not increase, and a reaction to the swallowed drug may follow.
However, no ointments or gels used at home can replace dental treatment. They can become a good auxiliary component of a complex of treatment measures prescribed by a doctor. They can relieve discomfort, prevent gingivitis or periodontitis, but cannot replace treatment.
How to relieve pain when pressing on the gums
Remember, only a dentist can help eradicate the pain experienced when pressing on the gums or teeth. It is important to quickly determine the cause of the discomfort and prescribe proper treatment. However, to eliminate discomfort before visiting a doctor, you can try the following methods:
- Take painkillers, such as paracetamol or analgin. The main thing is not to overdo it with such drugs, as they can be addictive and negatively affect the functioning of internal organs.
- Brush your teeth properly, trying to free the inflamed cavity from plaque and food particles.
- Rinse your mouth with a solution of baking soda, furatsilin or potassium permanganate.
Remember, it is strictly forbidden to warm your cheeks and gums or apply warm compresses to the sore spot. Heat can trigger more severe inflammation. Also, you should not take antibacterial or anti-inflammatory drugs without a doctor’s prescription.
It is also prohibited to put analgesics into the cavity of a diseased tooth. This popular method is far from safe: you can not only cause an infection, but also get a serious burn to the mucous membrane.
Toothpastes against gum disease
If your gums are bleeding, you should choose the right toothpaste. Aluminum lactate has a good hemostatic effect; chlorhexidine and mineral salts are slightly inferior to it.
As for the other components included in the toothpaste for gums - bisabolol, allantoin, medicinal plant extracts - they do not directly affect bleeding gums. They have an anti-inflammatory effect, as a result of which bleeding is reduced and may disappear. Thus, we can only talk about their indirect effect on bleeding gums, which is why a positive result is observed later than when using a paste with aluminum lactate or chlorhexidine.
At the same time, you need to know that even the best paste only temporarily removes bleeding, but in no case is a remedy. To get rid of the disease, you need to see a dentist.
Gums are bleeding - contact a periodontist
If you notice the slightest symptoms of periodontitis, immediately go to the doctor. The first sign is regular bleeding of the gums after mechanical impact.
If there is a single bleeding, there is no reason for serious concern: to strengthen the gums, you can change the toothpaste to a special product for the treatment and prevention of periodontitis, or use a strengthening gel or balm. But if bleeding becomes regular, you need to see a specialist.
If the disease progresses, some teeth may need to be removed. Therefore, the earlier the diagnosis is made and treatment is started, the greater the chances of completely getting rid of periodontitis without negative consequences.
Traditional methods of treating gum inflammation
Alternative medicine offers many ways to treat inflammation in the oral cavity. Gingivitis, periodontitis and periodontal disease are treated with ointments, tinctures, rinses and special “masks”. In addition to medicinal plants, honey, salt, soda, and peroxide are used to prepare medicinal compositions.
But we must understand that traditional medicine cannot seriously become a full-fledged treatment. When you notice the first signs of inflammatory diseases, you should go to see a dentist, and use folk remedies only on his recommendation.
Treatment of gums in children
Medicines prescribed by a doctor have analgesic, antibacterial and anti-inflammatory effects. They help restore the proper condition of the mucous membrane. Methods of using drugs are different, but the principle is the same: rinsing, irrigation.
For gum disease in infants, the dentist will prescribe special gels to relieve symptoms, namely itching and pain. Parents should pay special attention to cleaning their mouths from food debris.
Antibiotics are prescribed by a dentist in rare cases. Indications for the use of antibiotics is a form that reaches a complex (ulcerative-necrotizing gingivitis) or chronic stage. Antibacterial or antifungal drugs are prescribed when the problem is caused by an infectious process, and the goal is to eliminate its causative agent.
Prices for treatment of gum inflammation in our clinic
We can talk about the cost of treatment for any inflammatory gum disease only after clarifying the diagnosis, determining the cause and level of neglect of the disease. With a timely visit to the dentist, professional teeth cleaning is often sufficient. In severe cases, surgery may be prescribed. If the examination reveals the presence of concomitant diseases of the oral cavity that complicate the therapeutic treatment of gingivitis, periodontal disease, periodontitis, consultation with a specialized dental specialist - an orthopedist, surgeon or therapist - will be required. This also affects the final cost of treatment.
You should not delay the treatment of periodontitis and gingivitis, because they can quickly develop into a more severe form. If your gums become swollen, red, or begin to bleed; there is pain and itching when eating; If stones and heavy plaque appear on your teeth, you should immediately visit a dentist.
A competent doctor is always aware of the most modern treatment methods and, after examination, will give recommendations and, if necessary, prescribe an appropriate course of treatment.
Treatment of gums and oral cavity with periodontitis
When gums hurt, treatment of periodontitis is almost always complex and depends on the severity of the disease and its specific manifestations. The difficulty is that periodontitis can be treated well only in the early stages: when the disease is in severe form, it is very difficult to cure it. Below are the current techniques that are used to effectively treat gums today.
| Stage of gum disease | Treatment |
| Easy stage | Cleansing teeth from plaque and tartar, as well as antiseptic treatment. Additionally, antibiotics, vitamin complexes and special hygiene products may be prescribed. |
| Stage of gum disease | Treatment |
| Middle stage | At more serious stages, it is almost always necessary to take antibiotics (lincomycin, clindamycin and others), and periodontal pockets are also treated (deephalization). A carbon laser is best suited for this purpose, as it effectively clears the affected tissue from the area and promotes faster healing. |
| Stage of gum disease | Treatment |
| Severe stage | The stage of the disease that is most difficult to treat. The most effective method of treating severe periodontitis is curettage. This is a surgical procedure where the doctor makes an incision along the gum line and cleans out the pockets of granulation tissue and dental plaque. Often, when teeth are loose, splinting is required, and in case of extensive damage to bone tissue, bone grafting is required. However, even such measures do not always provide a positive result. |
Patients often note that their gums hurt after treatment. This is normal, especially after surgery, but if the pain is much worse than usual and does not go away for a long time, we recommend notifying your doctor.
