II-ORAL CARE -GINGIVITIS

GINGIVITIES-PREVENSION

If we do not care our mouth and buccal cavity there are many problems would arise including gingival inflammations.Gingivas under the teeth is fixed and gingiva attached with our inner jaws are movable but both are proned to get inflammations.

A inflammation the gingiva will be enlarged with a bluish hue due to engorged gingival capillaries and a slow venous return

Causes Gingival inflammations are caused by microbial damages if cellular and intercellular gingival tissues.There are chronic and acute gingivities.In chronic the gingival inflammations markedly localised and generalised.The gum would readily bleed on probing and brushing.Painful sensitization.The patient should seek a medical assistance.

For OTC treatments oral anesthetics include euginol(clove oil) and benzocaine (Oragel) are available.Clove oil has antiseptic property also.Paracetamol can also give a pain releif but the patient should seek the medical advice to get cure.

Periodontal Disease is formed if gingivitis is left untreated.In periodontal disease the periodontal ligament attachment and the alviolar bone support of the tooth deteriorate

Acute Necrotizing Ulcerative Gingivitis (ANUG)

It is known by the name Trench Mouth in which necrosis and ulceration of gingival cells occur with underlying inflammations.This condition is usually seen in young adults and teens.

Symptoms are included as severe gum pain,with foul taste,bad odour,bleeding and increased salivary secretions. 

The causative organisms are unknown but it is well beleived that it is associated by the over growth of spirochette and fusiform organisms which are usually present in the mouth.

Anxiety,stress,smoking,poor oral hygeine,malnutrions may also contributors of risk.

Treatments should be carried out by a dentist.The prescription include Penicillin-VK the oral penicillin of phenoxy methyl or ethyl penicillin as a potassium salt is more preferable because of its acid stability.Metronidazole can also be used to controll the lesions.

OTC Products These are for a temperory releif includes paracetamol.clove oil and oragel.Aspirin and any salicylate should not be used if bleeding is there

An oral mouthwash contains 1.5% hydrogen peroxide solution may be used.