Gingivitis Marginales | Gingivitis

Gingivitis Marginales

In marginal gingivitis, only the free, unattached marginal gingiva is affected. The term gingivitis simplex is often used as a synonym for gingivitis marginalis. Gingivitis marginalis often occurs due to increased plaque deposits caused by inadequate oral hygiene.

The bacteria that accumulate in the plaque produce enzymes and toxins that trigger inflammation of the gums. The inflammation appears garland-like from tooth to tooth and has a swelling and reddening effect. The gums are more prone to bleeding. With thorough oral hygiene and removal of the plaque, the inflammation symptoms disappear within a few days.

Gingivitis Desquamativa

Gingivitis desquamativa is a special term for gingivitis, which was used in the past to denote the highly pronounced type with swelling and injury of the gums.Today, the term gingivitis desquamativa is used to describe an inflammation caused by undetectable disease-specific antibodies that cannot be attributed to any other disease. Since the majority of those affected are women between the ages of 40 and 60, disorders of the hormonal household are suspected to be the cause during the menopause. The appearance is variable.

Often the entire gums, both the free gingiva and the attached, firm gingiva are affected by severe redness, swelling and also blistering. Bleeding is associated with the symptoms and these lesions have a poor healing tendency. Gingivitis desquamativa is only diagnosed when the pathology has been clarified by tissue sampling.

Gingivitis Simplex

Gingivitis simplex describes a non-specific inflammation of the gums, which is accompanied by swelling, redness and increased bleeding of the gums. A synonym for gingivitis simplex is gingivitis marginalis. Gingivitis simplex is usually caused by bacterial plaque, which infects the gums through prolonged existence and leads to complaints.

In this mild form of gingivitis, only the free, marginal gingiva is affected; the fixed gingiva is not infected. Gingivitis simplex is primarily caused by a lack of oral hygiene, but can also be accompanied by symptoms of influenza or during pregnancy. Due to the bacteria, pockets can form in the interdental spaces in particular, because the epithelium detaches from the tooth as a result of the infection. The bacteria can settle in the pockets and cause bone resorption, so that the affected tooth can loosen. In this case a simple gingivitis would turn into a periodontitis.