Periodontal diseases (gingivitis and periodontitis)

EBM Guidelines
Apr 4, 2023 • Latest change Feb 6, 2024
Veli-Jukka Uitto

Table of contents

Extract

  • If bacterial deposits are not regularly removed from the surfaces of the teeth, gingivitis may develop. The typical sign of gingivitis is bleeding from the gums, for example when brushing the teeth.
  • Predisposition to gingivitis is often increased during pregnancy and in puberty.
  • At an early stage it may be possible to stop the bleeding by careful daily cleaning of the teeth with a soft toothbrush and, if necessary, by using dental floss or a special brush for cleaning between the teeth.
  • If cleaning of the teeth does not bring sufficient results, mouthwash solutions may be used in addition. The most effective ones are those containing 0.12 to 0.20% of chlorhexidine.
  • Certain drugs, e.g. calcium channel blockers and immunosuppressive agents (cyclosporin), may lead to gingival hypertrophy. In such a case, the medication should be changed, if possible. Otherwise, the treatment consists of careful daily cleaning of the teeth and, if necessary, surgical removal of the hypertrophic tissue.

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Dental medicine, Gingival Hemorrhage, Gingivitis, K05, K05.0, K05.1, K05.2, K05.3, Oral health, Periodontal Diseases, Periodontitis, Teeth