Medical history (history of the patient) represents an important component in the diagnosis of gingivitis (gum inflammation). Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Have you noticed any changes in the gums such as receding gums, … Gum Inflammation (Gingivitis): Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus (diabetes). Folic acid deficiency (in pregnant women). Vitamin C deficiency Infectious and parasitic diseases (A00-B99). HIV infection Infection – e.g., with β-hemolytic streptococci (streptococcal infections). Mycoses (fungal infections), especially with Candida albicans. Syphilis (lues) Viruses such as herpes viruses, Epstein-Barr virus (trigger of Pfeiffer’s glandular fever) or … Gum Inflammation (Gingivitis): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by gingivitis (gum inflammation): Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Periodontitis – inflammation of the periodontium. Tooth loss as a result of periodontitis Symptoms and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99). Halitosis (bad breath)
The dental examination is the basis for selecting further diagnostic steps General dental examination including collection of gingivitis index.
The diagnosis of gingivitis is made by the dentist based on the dental findings. 2nd order laboratory parameters – depending on the results of the medical history, dental examination, etc. – for differential diagnostic clarification. If specific infections are suspected, a throat swab (pathogen and resistance) should be performed. Further laboratory tests are usually not … Gum Inflammation (Gingivitis): Test and Diagnosis
Therapy target Healing of gingivitis Therapy recommendations If diseases or infections (bacteria, viruses or fungi) are the cause of gingivitis, causal therapy must be applied. This means that the underlying condition must be treated first, since the treatment of a causative disease is a prerequisite for the gums to heal again. Local (“local”) therapy of … Gum Inflammation (Gingivitis): Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. X-ray of the jaws with the teeth
A deficiency symptom may indicate that there is an insufficient supply of vital substances (micronutrients). The complaint gingivitis may indicate a deficiency of vital substances (micronutrients) for Vitamin A Vitamin C Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for prevention. Vitamin D Magnesium The above vital substance … Gum Inflammation (Gingivitis): Micronutrient Therapy
To prevent gingivitis (gum inflammation), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Alcohol Tobacco (smoking) Psycho-social situation Stress Lack of oral hygiene: plaque not removed regularly. Prevention factors (protective factors) Mechanical oral hygiene (tooth brushing + interdental … Gum Inflammation (Gingivitis): Prevention
The following symptoms and complaints may indicate gingivitis (gum inflammation): Leading symptoms Gums are reddened – healthy gums are pale pink. Gums are swollen Loss of stippling – orange peel-like surface in healthy gums. Bleeding gums when brushing teeth Pain when brushing teeth
Pathogenesis (development of disease) Gingivitis is caused by pathogens that can spread, usually due to inadequate tooth cleaning, and then damage the gums (gingiva). This is how inflammation is triggered. As a result, gingival pockets may develop, in which bacterial plaque accumulates. If not treated, this plaque solidifies and leads to tartar. This, in turn, … Gum Inflammation (Gingivitis): Causes
It is quite easy to prevent plaque-induced gingivitis. Regular removal of plaque will deprive the bacteria of the basis of life and the irritation of the gums will remain absent. General measures Mechanical plaque control: Toothbrushes Dental floss Interdental brushes Professional dental cleaning (PZR) Recommendations for the pregnant woman: to avoid pregnancy gingivitis as much … Gum Inflammation (Gingivitis): Therapy
