DefinitionThis section has been translated automatically.
Collective term for microbially triggered and maintained inflammatory processes at the gingival margin, which are caused by local as well as systemic processes. The clinical pictures of acute gingivitis and chronic gingivitis are characterized by strict localization to the free and adherent gingiva and, with appropriate therapy, heal without permanent damage to the periodontium.
EtiopathogenesisThis section has been translated automatically.
- Diseases of the teeth (bacterial plaque on the necks of the teeth and tartar that accumulates in the sulcus area), infections, disorders of the immune system.
- Traumatic causes (too hot, spicy food), lack of saliva secretion, idiopathic (e.g. gingivitis granulomatosa).
- Occurrence in the context of basic dermatological diseases.
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Clinical featuresThis section has been translated automatically.
- Acute gingivitis: Hyperemia with redness and oedema of the interdental papillae and the gumline; therefore prominence of the interdental papillae; increased vulnerability; bleeding. An etiologically independent clinical picture is the acute necrotizing ulcerative gingivitis (ANUG).
- Chronic gingivitis (desquamative gingivitis): In case of persistence of the inflammation, destruction of the dento-gingival connection. Formation of a pseudo-pocket. This increases the inflammation.
- Dermatologically relevant are especially desquamative gingivitis as manifestation of independent or associated diseases involving the oral mucosa:
General therapyThis section has been translated automatically.
Avoid or eliminate the triggering cause.
External therapyThis section has been translated automatically.
Rinse with antiseptic and anti-inflammatory solutions such as 0.1-0.2% chlorhexidine solution R045 or tormentil astringent R255 or ratanhia myrrh astringent R210. Possibly anaesthetic solutions before meals (e.g. Dolo-Dobendan solution, Acoin solution or periodontal mouth ointment).
Progression/forecastThis section has been translated automatically.
Healing after elimination of the noxious agent.
ProphylaxisThis section has been translated automatically.
Therapeutically, the creation of a hygienic condition of the dentition as well as a consistent oral hygiene are urgently required.
NaturopathyThis section has been translated automatically.
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Incoming links (12)
Acute necrotizing ulcerative gingivitis; Congenital deficiency of leukocyte-adherence glycoprotein; Gingival hyperplasia; Gingivitis catarrhalis; Gingivitis, chronic; Gingivostomatitis herpetica; Keratosis palmoplantaris diffusa with mutations in cathepsin c; Matricariae flos; Myrrhe; Ratanhiae radix; ... Show allOutgoing links (18)
Acute necrotizing ulcerative gingivitis; Chamomile real; Chlorhexidine; Chlorhexidine mouth rinse solution 0.1 or 0.2% (nrf 7.2.); Gingivitis, chronic; Gingivitis, pregnancy gingivitis; Gingivostomatitis herpetica; Lichen planus erosivus mucosae; Lidocaine; Lupus erythematosus systemic; ... Show allDisclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer