Gingivitis, chronic K05.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 31.01.2023

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Synonym(s)

Desquamative gingivitis

Definition
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Multifactorial, chronic inflammation of the gums resulting from an unhealed acute gingivitis or an acute, necrotizing ulcerative gingivitis (see Gingivitis below) The term "chronic gingivitis" describes an unspecified gingivitis characterized by chronicity (> 6 weeks). The term desquamative gingivitis also does not describe a distinct disease, but only a clinical symptom.

Etiopathogenesis
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Multiple causes: Lack of hygiene as an essential etiological factor.

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Clinical features
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Diffuse redness and swelling of the gums. Foetor ex ore. Optional white-gray plaque. High sensitivity to pain; burning sensation.

General therapy
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Creation of a hygienic condition of the teeth; consistent oral hygiene.

External therapy
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Rinsing with antiseptic and anti-inflammatory solutions (see dentistry below) such as 0.1-0.2% chlorhexidine solution(e.g. chlorhexidine digluconate, R045 ) or tormentil astringent R255. Possibly anaesthetic solutions before meals (e.g. Dolo-Dobendan solution, Acoin solution or periodontal ointment).

Naturopathy
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Rinse with chamomile(e.g. Kamillosan, Kamillan Supra), sage(e.g. Salus Sage-Trp., Salvysat, Salviathymol N), myrrh (Inspirol-P-forte), witch hazel extract(Hametum) or other antiphlogistically effective plant extracts (e.g. Gingivitol, Pyralvex).

Literature
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  1. Gagari E et al (2011) Desquamative gingivitis as a manifestation of chronic mucocutaneous disease. JDDG 9:184 -188

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 31.01.2023