How to cure gingivitis at home? Gingivitis: what is it, symptoms and methods of treatment of the disease.

• Purulent collections between teeth.
• Swollen and reddened gums.
• Painful sensations on pressure.
• Bleeding while using a toothbrush.
• Specific taste, unpleasant smell.

Treatment

Pharmacy funds

1. Cholisal, asepta, appident-active, metrogil-denta are used for diseases of the oral cavity. The drugs are available in the form of gels and ointments. Apply to gums affected by gingivitis with massaging movements or use as applications.
2. As a mouthwash: rotokan, listerine, miramistin.
3. Furacilin. For gingivitis, rinse your mouth with a prepared solution (1 tablet per glass of water) after meals.

Folk remedies

Herbs

Calendula, oak bark, St. John's wort, celandine, chamomile, sage, thyme. These herbs stop bleeding, promote tissue healing, and have antiseptic properties. Decoction. Take 10 gr. plants that are at home, pour 1 glass of boiling water. Let the decoction brew, rinse the gums affected by gingivitis.

From calendula, sage, St. John's wort, oil is prepared at home, which is used to lubricate the gums. Take chopped dry grass and any plant base in a ratio of 2: 4. Insist 3 weeks. Soak a swab, wipe the inflamed areas 2 times a day.

Chewing columns of cloves will relieve acute toothache with gingivitis, eliminate bleeding gums.

soda and salt

Against gum inflammation, apply a solution of baking soda (1 teaspoon per glass of warm water). Salt. For medicinal purposes, dissolve 1 tsp. salt in 100 ml of liquid. Rinse your gums for at least a minute several times a day. Continue treatment for gingivitis 7-10 days.

Aloe and Kalanchoe

Gingivitis is treated with leaves and juice. They have analgesic, antimicrobial action. Saturate the bandage with plant juice, apply to inflamed gums. Gingivitis can be treated with plant leaves. Cut the leaf in half, knead, apply to sore gums. It is recommended to take aloe and kalanchoe older than three years.

Garlic

As a natural antibiotic, garlic fights gum disease. It is effective for gingivitis. Grind a few teeth, hold for 20 minutes on diseased gums, remove. From the smell, eat an apple.

Pomegranate

Pomegranate peels for gingivitis. Take 50 gr. dry crusts, grind, pour 500 ml of water. Insist 6-8 hours. Boil to half, strain. Use to rinse gums. The infusion relieves swelling, bleeding in the oral cavity.

Blueberry

Blueberries have anti-inflammatory properties. Fresh juice is not available to everyone. It is easier to prepare an infusion of dry fruits. Pour two teaspoons of berries into a thermos, pour a glass of boiling water, leave overnight. When gingivitis, infusion and juice are used to rinse the mouth, apply compresses topically on the inflamed gums.

Essential oils

When massaging the gums, any of the oils is suitable: fir, tea tree, coconut, cloves, neem, sea buckthorn, olive. Antiseptic, wound healing, hemostatic properties of oils help with gingivitis. Gently rub into the gums or make applications, after the end of the procedure, remove.

Coffee beans

Roast coffee beans, grind. Mix with powdered sugar (1:2). Powder to rub the inflamed gums 2-3 times a day. Additionally, for gingivitis, use arnica tincture diluted with water.

Chaga

Pour a mixture of tablespoons of chaga and chamomile flowers into a thermos, pour a liter of boiling water. Infuse for 4 hours, use for rinsing twice a day. For ulcerative inflammation of the gums, add salt to the decoction. Treat gingivitis for a week.

Tea mushroom

Kombucha infusion contains vitamins, various acids, enzymes. It is indicated for diseases of the digestive system, gums. Treat gingivitis with a monthly infusion of kombucha. In the initial stages, relief occurs within a week. With advanced forms of gingivitis, treatment will last longer.

Mummy

Dilute 2.5 gr. mummy in 100 ml of warm boiled water. Use as a mouthwash. With gingivitis, treatment should be continued for 3 weeks.

Honey and bee products

Honey has bactericidal, anti-allergic, anti-inflammatory properties. Natural honey heals wounds and inflammations on the skin, oral mucosa.

Paste based on beeswax for gingivitis. Take 100 gr. melted beeswax and 50 gr. honey. Stir, add 3 drops of mint oil and a few drops of lemon juice. Divide the finished paste into pieces the size of hazelnuts, use like chewing gum. The paste improves blood circulation in gingivitis, relieves inflammation of the gums.

Gingivitis is the initial (mild) stage of gum disease. It often occurs in children, adolescents and adults under 30 years of age. Without timely treatment, gingivitis turns into periodontitis, a dystrophic process begins in the periodontium (periodental tissues), the gums sink, and the teeth loosen.

Symptoms of gingivitis

The main signs of gingivitis are itching, redness and bleeding of the gums. At first, pain and bleeding occurs rarely and only during brushing.

But after a few months, a person begins to notice traces of blood when biting off solid food - apples, bread crusts, etc. As a rule, bleeding stops quickly after rinsing the mouth with cold water.

White plaque in the intergingival space and bad breath are also concomitant signs of the inflammatory process. In the later stages of gingivitis, the gum becomes bright red, swells and grows.

Etiology (causes) of gingivitis

The main cause of gingivitis is bacterial plaque that accumulates on the enamel and in the gum area. As a result of non-compliance with oral hygiene, a biofilm with harmful bacteria (Streptococcus oralis, Bacteroides gingivalis, etc.) is formed on the teeth and mucous membranes.

In the process of life, these microorganisms release toxins and organic acids that affect the mucous membrane. However, there are risk factors, the impact of which activates the inflammatory process.

Risk Factors for Gingivitis

General:

• decreased immunity;
• chronic diseases, such as diabetes;
• deficiency of vitamins B, C, E;
• malnutrition (diet, starvation);
• diseases of the cardiovascular system and gastrointestinal tract;

Local:

• prolonged and traumatic teething in children;
• burns, mechanical injuries of the mucosa;
• smoking;
• installation of low-quality fillings that injure the gums with a cutting edge;
• malocclusion - leads to increased stress on certain parts of the periodontium.

Another common cause of gingivitis is hormonal imbalances. That is why gum disease is often diagnosed in pregnant women and adolescents.

Forms of gingivitis

According to the course of the inflammatory process:

• acute gingivitis - occurs with pronounced symptoms, accompanied by typical signs of the inflammatory process (redness, itching, etc.). If this form occurs in a child, he becomes whiny, refuses to eat;
• chronic gingivitis - the clinical picture is blurred, the symptoms characteristic of the acute form appear only during the period of exacerbation (in the off-season, the period of SARS, after stress).

Distribution degree:

• localized gingivitis - a small area of ​​the gum becomes inflamed;
• generalized gingivitis - inflammation affects almost the entire oral cavity.

Gingivitis has many types according to the ICD system (International Classification of Diseases).

Catarrhal gingivitis

This is the initial stage, which occurs in 80% of all cases. Its main signs are bleeding and soreness with any mechanical impact on the periodontium. Easily treatable and reversible.

Hypertrophic gingivitis

As a rule, occurs in the anterior parts of the jaw. Accompanied by the growth of the gingival papillae (marginal gums), which partially cover the dental crown. The hypertrophic form is especially characteristic of adolescents during puberty.

Ulcerative gingivitis

Severe form of gingivitis. A person is constantly worried about severe pain and itching, profuse salivation. Small sores appear on the surface of the gums. An increase in body temperature and inflammation of the submandibular lymph nodes are possible.

Necrotizing gingivitis

At this stage, necrosis (necrosis) of periodontal tissues already begins. The affected area of ​​\u200b\u200bthe gum is covered with a green or gray coating. There is an unpleasant putrid odor in the mouth, as well as loss of appetite, general malaise. Sometimes there is a mixed form - ulcerative necrotic gingivitis.

Atrophic gingivitis

The most advanced stage of gingivitis. The gum tissue is destroyed, because of this it decreases in volume, the roots of the teeth are exposed. Enamel hypersensitivity to thermal stimuli appears, the mucous membrane becomes pale. The atrophic form can develop due to prolonged wearing of rigid prostheses that abut and press against the gums.

Methods for diagnosing gingivitis

Periodontists use complex diagnostics to determine the form and causes of gingivitis. It includes a visual examination of the oral cavity, the collection of anamnesis (patient complaints), as well as laboratory tests and tests.

Main diagnostic methods:

• Schiller-Pisarev test- the surface of the mucosa is lubricated with an iodine-based solution; if it turns dark, this indicates a high content of glycogen, which means the development of inflammation;
• test according to Kulazhenko- a tube of a vacuum apparatus is applied to the gum; if a hematoma forms after 30 seconds or less, this indicates inflammation;
• oxygen level test- using a special sensor, the degree of hypoxia (oxygen starvation) of the gum tissues is determined, if the oxygen content is reduced, then gingivitis develops;
• oral hygiene assessment- a solution of potassium iodide and crystalline iodine is applied to the surface of the front teeth, staining of all or most of the surface indicates a poor state of hygiene.

How to prevent gingivitis

Prevention of gingivitis includes regular and high-quality oral care, as well as the use of foods rich in vitamins and minerals (vitamin B6, C, potassium, magnesium, iron). However, already at the first symptoms of inflammation, you should see a doctor and undergo a full therapy.

If you are looking for an experienced periodontist for the treatment of gingivitis, we suggest using the information on our website. Here are the specialists in each district of the city.

Treatment of gingivitis (inflammation of the gums) depends on the stage of its course, the form and severity of the process, the age of the patient, the presence of other chronic diseases. The gingiva (gum) is primarily inflamed in response to plaque microbial toxins due to poor oral hygiene. A large role in this is also played by the state of human immunity, taking medications, changes in the properties and composition of saliva. Unlike, with gingivitis, pathological periodontal pockets do not form, which determines the prognosis of the disease and methods of treating inflammation.

The main stages of treatment of any form of gingivitis

1. Determination of hygiene indices. To assess the quality of hygiene, a dentist uses not only subjective data obtained during an external examination, but also uses evaluative specially developed indices. Also, to visually demonstrate the amount of plaque for the patient, staining of the teeth with the help of plaque indicators is used: methylene blue, iodine solution, fuchsin, erythrosine tablets. The areas of the teeth covered with plaque change their color greatly, so it is not difficult for the patient to see the degree of contamination of the teeth.
2. Teaching proper oral hygiene, toothpaste and additional items and dental care products. . A conversation about the need to regularly and efficiently care for the entire oral cavity.
3. Elimination of factors that contribute to the attachment of plaque and the formation of a denser structure - dental plaque. Explain to the patient the important role of nutrition in the development of gum disease. Residues of food rich in carbohydrates remain on the surface of the teeth for a long time due to the sticky structure and are the main breeding ground for pathogenic microorganisms in the oral cavity. It is the excess consumption of carbohydrates and the lack of cleaning of the teeth after that that have a negative impact on the condition of the gums and teeth. Insufficient intake of solid foods (raw vegetables and fruits) and liquids leads to a lack of physiological cleaning of the teeth during the day and the accumulation of plaque. , poor-quality fillings and crowns are also factors associated with the development of gingivitis in children and adults.
4. Carrying out professional oral hygiene: cleaning the teeth with a dental brush and a special paste, polishing the necks of the teeth, since it is in the cervical area that the main amount of plaque accumulates, which leads to inflammation of the gums.
5. Local drug treatment. The use of medications in some cases is combined with surgical and physiotherapeutic treatment (electrophoresis, ultraviolet radiation, laser).
6. General treatment of chronic diseases, prescription of drugs by mouth, referral of the patient for additional blood tests, consultations with other specialists.

Types of gingivitis and differences in treatment approach

: catarrhal, ulcerative necrotic and hypertrophic.

1. With catarrhal inflammation, the gum changes its color, becomes red, swollen, bleeds and hurts when brushing your teeth, so patients stop performing good oral hygiene. More and more plaque accumulates on the teeth, it becomes more and more painful for the patient to clean them, a vicious circle is obtained, which can only be broken by the struggle for the cleanliness of the teeth. With catarrhal inflammation, it is sometimes enough to carry out a professional cleaning of the teeth, prescribe rinsing with solutions of antiseptics or antimicrobial agents for several days, and the disease recedes. But only if the patient himself continues to monitor the quality of hygiene at home.
2. Gingival hypertrophy (enlargement, growth) is already manifested as a consequence of chronic catarrhal gingivitis. In some cases, an increase, swelling of the gingival papillae, swelling appears during pregnancy, with endocrine diseases or hormonal imbalance. An important role is also played by malocclusion (for example, deep traumatic) or medication (for example, Difenin for epilepsy). Treatment of hypertrophic gingivitis also includes the fight against plaque and tartar, local effects on the gums of drugs, as well as surgical, cryo- or laser excision of overgrown tissues in severe cases of the disease.
3. Ulcerative necrotic gingivitis often develops as a complication of catarrhal gingivitis, as well as with a sharp decrease in immunity, acute viral diseases, and the development of dysbacteriosis after antibiotic therapy. But in any case, the role of microbes and their waste products, toxins, is one of the main ones in the development of ulcerative lesions of the gums. Hygiene with this form of gingivitis is sometimes simply impossible due to severe pain, so it is necessary to carry out treatment in several stages. First, it is necessary to anesthetize and remove dead gum tissue with the help of enzyme preparations, then act on them with antimicrobial agents (combining local and general treatment). After the acute phase of the disease subsides, professional teeth cleaning is carried out, rinsing with antiseptics is used, and at the stage of healing of ulcers and erosions, the gums are treated with keratoplasty. General treatment involves taking antimicrobial, anti-inflammatory, desensitizing, decongestant and immunostimulating drugs (together with the therapist and taking into account the presence of chronic somatic diseases).

How to treat catarrhal gingivitis?

• 0.05% solution of Chlorhexidine as a rinse 2-3 times a day after brushing your teeth;
• 3% solution of hydrogen peroxide for rinsing while brushing teeth and with severe bleeding gums;
• 1% solution Ethonia for rinsing;
• 0.2% solution of Chlorophyllipt or 0.02% solution of furacilin for oral baths;
• Sangviritrin, solution 0.2% (rinse);
• chlorhexidino-bigluconate salt in the form of 0.1–0.2% rinsing solution;
• 1% solution of potassium permanganate (potassium permanganate);
• preparations based on chlorhexidine: Elugel, Korsodil, Peridex;
• iodine-glycol paste;
• solution or paste based on tin fluoride - Meridol;
• anti-inflammatory ointments: butadionic, 3% acetylsalicylic, indomethacin;
• rinsing with a decoction of chamomile, calendula, St. John's wort, plantain;
• gum massage.

How to treat hypertrophic gingivitis?

• The same antiseptic rinses as in catarrhal gingivitis;
• ointments dioxicol, dimexide, dioxidine;
• 0.2% alcohol solution of Sangviritrin;
• rinsing with Vagotil solution, polyminerol, propolis tincture, 30% celandine tincture;
• injections of 40% glucose solution, calcium chloride into the gingival papillae (3-8 procedures with breaks of 1-2 days);
• electrophoresis with 8% potassium iodide, lidase, heparin;
• cryosurgical or laser excision of overgrown gums, followed by electrocoagulation (cauterization).

What is the treatment for necrotizing ulcerative gingivitis?

• Applications of enzymes: lidase solution, trypsin, chymotrypsin, chymopsin, terrilitin;
• for pain relief: 5–10% anestezin ointment, Amprovizol, Kamistad;
• the same antiseptic rinses as in catarrhal gingivitis;
• solution of polyminerol (in a diluted form 1: 4 rinse your mouth 2-3 times a day for 5 minutes);
• 10–20% dimexide solution;
• Levomekol ointment (antiseptic);
• anti-inflammatory ointments: butadionic, indomethacin, acetylsalicylic, Metrogyl Denta, Holisal;
• rosehip oil, Solcoseryl-gel, sea buckthorn, peach oil, actovegin ointment, vinylin, 5% methyluracil ointment are used at the stage of healing of erosions and ulcers;
• electrophoresis of vitamins B1, B2, PP, C, enzymes, heparin;
• laser therapy, UFO, UHF.

General treatment of gingivitis

Inflammation of the gums, which developed against the background of poor hygiene, general treatment is not required. In any case, a proper balanced diet, taking vitamins will not be superfluous. If the inflammatory process in the gums causes a change in a person's well-being - headache, weakness, nausea, fever, impaired stool and swollen lymph nodes - it is necessary to combine local treatment with the general one. Often prescribed (if necessary) Metronidazole, Lincomycin, Biseptol, Diflucan, Bifiform for a course intake and other drugs. Often gingivitis can occur against the background of diseases such as stomatitis, tonsillitis, tonsillitis, so it is better to leave the choice of medicines for its treatment to a specialist.

Gingivitis in a child - how to treat?

Most often associated with the process of eruption of milk teeth, when oral hygiene is painful, or with the development of diseases such as acute herpetic stomatitis, candidiasis, herpangina, etc. The very first thing parents can do is anesthetize the affected areas. For this, Dentinox-gel, Bebident drops, Kalgel, vinylin are used. If inflammation of the gums is associated with a viral infection and the child has developed signs of intoxication of the body (fever, disturbed stools, sleep, nutrition), then special preparations must be used. With viral stomatitis - oxolinic or bonafton ointment, vinylin, anestezin in oil, Zovirax. If a bacterial infection has joined, anti-inflammatory ointments, antiseptic rinses (Miramistin solution, chamomile decoction), antibacterial lozenges (Lizobact, Tantum Verde) are prescribed. Often, bleeding and pain in the gums appear in children during puberty, when the hormonal background changes. In such cases, it is imperative to explain to the child the need for thorough oral hygiene, despite the discomfort, to select suitable items and hygiene products. In any case, it is better not to self-medicate, but to seek the advice of a dentist to determine the diagnosis and choose the right treatment.

Gingivitis of pregnancy

During pregnancy, the level and ratio of hormones in a woman's body changes, which cannot but affect the condition of the gums. The manifestation of gingivitis to varying degrees is noted by most expectant mothers. For some, complaints come down to bleeding during brushing, while for others - to severe pain and the growth of certain sections of the gums. The dentist, taking into account the severity of the course of gingivitis, prescribes the necessary procedures and means. Pregnant women with a mild form of the disease can be recommended in addition to thorough brushing of the teeth, the following remedies.

Gingivitis is a disease characterized by inflammation of the gum line. Inflammation can cover the gums around all the teeth and then it is called generalized.

Gingivitis in the early stages is quite common. Between the ages of 14 and 19 years, gingivitis occurs in 80% of cases. In adults, gingivitis can turn into a more complex disease - periodontitis.

Anatomy of teeth and gums

• Free gum - surrounds the teeth and has a pale pink color. There is a small space between the teeth and gums, about one millimeter deep, called the gum pocket.
• The attached part of the gingiva is located behind the free gingiva and differs in color (coral red). This part of the gum is tightly connected to the alveolar processes of the jaws.

1. The main function of the gums is to hold the teeth in place.
2. Gums protect underlying structures

Reasons for the development of gingivitis

Reduced immunity plays an important role in the development of the disease. This leads to a weakening of the immune response and the development of a large number of microbes in the oral cavity.
Factors that increase the risk of developing gingivitis:

• Change in the quantity and quality of secreted saliva. As a rule, with this pathology, a reduced amount of protective factors is found in saliva.
• Breathing through the mouth (not normal). Leads to the accumulation of various microorganisms in the oral cavity. During normal breathing (through the nose), microbes are rendered harmless in the nasal cavity.
• Mechanical trauma to the gums (for example, with inaccurate brushing of teeth)
• Chemical gum injury - eating strong acids (vinegar essence)
• Physical injury to the gums (usually from eating food that is too hot or too cold)
• Hormonal disorders can lead to hypertrophic gingivitis
• Anomalies in the development of teeth (deep bite, crowding of teeth)
• Frequent hypothermia, tonsillitis. Lead to a weakening of the body's defenses.

• The initial inflammation (acute gingivitis) occurs approximately 3-4 days after the formation of microbial plaque on the teeth. If a person has good immunity, then the disease ends in a few days. In the case when the immune system fails, the disease becomes protracted.

• Secondary inflammation (chronic gingivitis) occurs 3-4 weeks after acute gingivitis. Chronic gingivitis proceeds in phases: first, an exacerbation occurs, which is then replaced by a temporary remission (improvement). Then the phases are repeated.

Types of gingivitis: catarrhal, hypertrophic, ulcerative, atrophic

Symptoms of gingivitis

Itchy gums - usually appears when eating, is characterized by an unpleasant sensation and a desire to scratch the gums.

Sore gums that make eating difficult, aggravated by brushing teeth, sometimes affecting speech. Very often, the pain is accompanied by an increase in body temperature up to 39 degrees Celsius.
In the hypertrophic form of gingivitis, patients complain of gum growth, deformation of the interdental spaces of the gums.

When examining the oral cavity, symptoms such as:

• Hyperemia and swelling of the gums in the area of ​​​​several teeth with a localized form, or in the area of ​​\u200b\u200ball teeth with a diffuse form
• Dental joints, unlike periodontitis, are not damaged.
• Presence of dental plaque or tartar
• With ulcerative necrotic gingivitis, the appearance of ulcers with elements of dead tissue

Diagnosis of gingivitis

Microbial index- used to determine the amount of accumulation of microbial plaque. This index is necessary to prescribe the correct treatment.

Bleeding index speaks for the severity of gingivitis.

General blood analysis may be unchanged or with a slight increase in the number of leukocytes and erythrocyte sedimentation rate (ESR). In severe cases, they resort to the study of capillary blood from the affected gum to determine the degree of inflammation.

X-ray examination of teeth- at an early stage of the inflammatory process, the bone tissue is not affected. In chronic gingivitis, changes such as: foci of osteoporosis (decrease in bone density) are possible.

Treatment of gingivitis

Treatmentcatarrhal gingivitis	First stage treatment of catarrhal gingivitis: Removal of tartar and soft bacterial plaque. This procedure is carried out only in the office of a dentist. Tartar and soft bacterial plaque are removed using special ultrasonic units. After that, grinding of the surface of the teeth, from which dental deposits were previously removed, is necessarily carried out. This procedure significantly reduces the risk of tartar formation. Second phase treatment of catarrhal gingivitis. This stage includes anti-inflammatory therapy. It is carried out either at the dentist (in severe cases) or at home. Rinse with chlorhexidine or furamistin or furacilin is prescribed. Rinsing with a solution of chlorhexidine 0.05% is done after each meal. Before rinsing with this solution, rinse your mouth with plain water to remove food debris. After that, rinse your mouth with 10-15 milliliters of the solution for at least 25 seconds. Rinsing with a solution of furamistin 0.01% is carried out according to the same rules described above. Rinse with a solution of furatsilina. A ready-made solution of 0.02% is used, or one tablet of furacilin can be crushed and then diluted with a glass of warm water. In addition to rinsing, gels or ointments should be used. These products are used after rinsing, having previously dried the surface on which you will apply the gel with a cotton or gauze swab. Gels: 1. Holisal. The gel is applied to the inflamed areas of the gums 3 times a day, has analgesic and anti-inflammatory effects. 2. Solcoseryl (gel for teeth). The drug heals bleeding gums well. It must be applied on both sides of the gum. 3. Asepta gel. The drug is well suited for the treatment of chronic gingivitis (relieves chronic inflammation, itching). It is applied 2-3 times a day. Ointment Apident - active. Ointment based on natural ingredients well relieves pain, inflammation. The ointment is applied to the inflamed areas and gently rubbed in a circular motion for better absorption. The duration of anti-inflammatory treatment is on average 10-20 days. Third stage. Examination of teeth by a dentist for the possibility of caries. Caries as a secondary and chronic infection can be the cause of chronic inflammation of the gums. Fourth stage. After the disappearance of the symptoms of gingivitis, training by the dentist in proper oral hygiene. This measure will significantly reduce the risk of recurrence of the disease.
Treatment of necrotizing ulcerative gingivitis	In addition to the treatment described above, surgical treatment is necessary. It consists in removing dead gum tissue. Repeated courses of antibiotics locally and systemically are necessary. Treatment of intoxication with various solutions and vitamins. The use of drugs that restore the mucous membrane of the gums.
Treatment of hypertrophic gingivitis	An obligatory part of the treatment is the removal of plaque and the suppression of the inflammatory process. If the treatment does not help, then other methods of therapy are used, which depend on the form of hypertrophic gingivitis. Edematous form (gingival edema predominates) - drugs are used that reduce hypertrophy (sclerosing drugs). Anesthesia is carried out, then a drug is injected into the gum (10% calcium chloride solution or 25% magnesium sulfate solution). Several such introductions are assigned. The interval between them is 2-3 days. Fibrous form (hypertrophy predominates due to fibrous tissue). With this form, surgical treatment is used (removal of hypertrophic areas). After the operation, anti-inflammatory therapy and vitamin therapy are prescribed, as well as various gels for wound healing.

Folk remedies for the treatment of gingivitis

• pine needles- have an antimicrobial effect, and also eliminate bad breath.

• Sage- has an anti-inflammatory effect, and also reduces gum bleeding.

• herbal collection- helps to relieve inflammation, bleeding and pain, as well as eliminate bad breath.

• Aloe- used to prevent bleeding gums.

Method of application: fresh washed aloe leaves to chew 2-3 times a day.

• turnip leaves- to relieve bleeding and inflammation.

• pharmaceutical camomile- has a pronounced anti-inflammatory effect.

How to choose the right toothbrush and toothpaste?

Toothpaste should be chosen individually, taking into account what your teeth and gums need. Components to look out for when choosing a toothpaste:

• Chlorides and nitric potassium - are part of the pastes for sensitive teeth
• Pyrophosphates - chemical compounds that fight the formation of plaque and tartar
• Fluoride - reduces the risk of caries
• Whitening ingredients - brighten the color of the teeth. However, the use of such toothpastes should be limited to 2 times a week, as these components can damage the enamel.
• Sodium sulfate - reduces pain in stomatitis
• Toothpaste should not contain toxic antimicrobial substances

• Usually, a paste with fluorine compounds is recommended for children.
• For teenagers, calcium paste is recommended
• Adults - according to indications

Prevention of gingivitis

Proper nutrition will also reduce the risk of developing gingivitis. Eat more fruits and vegetables in various forms (boiled, stewed, fresh). You should limit the use of sweets (chocolate, cakes, sweets).

Contact the dentist in case of symptoms of the disease, as well as preventive examination by the dentist every six months.

Gingivitis in children and pregnant women

Gingivitis is an inflammation of the marginal part of the gum that is adjacent to the teeth. The disease leads to the mobility of the teeth, it interferes very much when talking and eating. Pathology develops as a result of mechanical and surgical damage to the gums. For an accurate diagnosis, you need to consult a dentist. He will identify the main cause of inflammation, eliminate it and advise how to carry out further treatment of gingivitis at home.

Gingivitis mainly affects people with chronic diseases, weakened immunity, hormonal disruptions. The disease develops slowly, and its manifestations are simply impossible not to notice, as they interfere with leading a normal life. The following factors contribute to the emergence and development:

• avitaminosis;
• chronic fatigue;
• lowered immunity;
• hormonal disorders;
• diseases of the digestive tract, heart and blood vessels;
• endocrine pathologies;
• injury to the gums by improperly installed fillings, fragments of decayed teeth or erupting teeth in babies;
• untimely removal of soft plaque, which gradually hardens;
• infectious diseases;
• and other dental diseases.

Oksana Shiyka

Dentist-therapist

Note! If this disease is not treated in a timely manner, it becomes complicated.

Forms

Gingivitis has varieties, each of which is characterized by certain signs. The main symptoms of the disease include:

1. Change in gum color. They become reddish or bluish. Their soreness and bleeding are observed.
2. Peeling of the gums from the teeth.
3. Unpleasant .

Exacerbation of the disease is manifested by the presence of erosive areas on the tops of the interdental papillae of the gums, swelling, cyanosis.

There are several varieties of gingivitis, the characteristics of which are reflected in the table.

Form of gingivitis	Characteristic
catarrhal	The simplest and most harmless form of the disease. It is characterized by swelling, redness of the gums, the appearance of soft or hard plaque along the edges of the teeth. It becomes painful for a person to brush his teeth, and he does it poorly. Because of this, bacteria multiply, which further complicates the disease.
hypertrophic	Has 2 forms: Localized. It is diagnosed when the gums are affected in the region of 1-5 teeth. Caused by hormonal imbalance. It develops during puberty, pregnancy, menopause. Generalized. The disease affects both jaws. It develops with injuries of the mucous membrane of the mouth and gums, due to the incorrect position of the teeth.
	This type of gingivitis is characterized by necrosis of the gum tissue, the appearance of ulceration. The first symptoms are swelling, bleeding gums. Then a greenish-gray plaque appears on the gingival papillae. The teeth are covered with soft plaque, which is difficult to remove with the help of ordinary hygiene procedures. Saliva becomes viscous, tongue furious. Accompanied by the appearance, damage to the oral mucosa and putrefactive processes in the periodontal pockets.

Proper treatment of gingivitis at home

Inflammation of the gums can be treated independently at home, but only after consulting a dentist. First you need to eliminate the cause of the appearance of the pathology (remove plaque or, tooth fragments, improperly installed crowns, fillings). This can only be done by a doctor. He will also do oral health care. If diseases of the internal organs have become the cause of gingivitis, a person will be sent to a doctor of a narrow specialty to eliminate the pathology. After the cause is identified and eliminated, it is possible to treat gingivitis in adults at home. Self-therapy is carried out for 10 days. Every day, the mouth is treated with various means.

Use of ointments and gels

These remedies perfectly cope with inflammation, eliminate bleeding and swelling of the gums. In the treatment of gingivitis at home, they quickly relieve soreness, accelerate the regeneration of affected surfaces.

Oksana Shiyka

Dentist-therapist

Note! Any medication should be used only after consulting a dentist. Any independent action can harm your health.

The following drugs are popular.

Name	Action
Gel Metrogil-dent	It has antiseptic and antibacterial action. Effectively relieves the symptoms of gingivitis, heals the oral cavity.
Asepta gel	The drug is often used as part of complex treatment. It contains propolis, a natural antiseptic. The drug reduces chronic inflammation, promotes wound healing, anesthetizes, relieves itching. Asepta gel is applied in the morning and at bedtime on the gums for 3 weeks.
Apident asset	Ointment with propolis, bee venom and herbal extracts. Apident effectively eliminates the main symptoms of the disease. Apply the ointment after each meal and brushing your teeth, gently rubbing with massaging movements into the gums.
Holisal Gel	An agent with a powerful analgesic, antimicrobial, anti-inflammatory effect. It can be used to treat adults and children who have gingivitis.

To achieve a greater effect, you should treat gingivitis at home in a certain order.

The processing scheme is as follows:

• brush their teeth;
• rinse your mouth with an antiseptic (for example, Chlorhexidine solution);
• blot the gums with a clean napkin for better application of the gel;
• finger or cotton swab distribute the drug along the edges of the gums.

After applying the medication, you should not drink any liquid, and you should not eat for 2-3 hours.

ethnoscience

Along with medications, the treatment of gingivitis in adults at home is carried out with natural remedies. Many plants have a powerful hemostatic, anti-inflammatory, wound healing effect. Proper use of decoctions, compresses, rinses based on medicinal herbal remedies will help to quickly cope with gingivitis.

Kalanchoe and Aloe

These home healers are known for their antimicrobial, anti-inflammatory effects. With gingivitis, the gums are treated with carefully crushed leaves of the plant, gently rubbing the juicy gruel along the marginal part of the gums.

rinses

The following rinses are considered the most effective:

1. Propolis. 30 grams of propolis and a tablespoon of Kalanchoe leaves are poured into 0.5 liters of vodka. Infuse for 7 days in a dark place, shaking the liquid three times daily. The resulting tincture is filtered and used to lubricate the gums, previously diluted in 3 parts of water.
2. Soda. One of the best remedies for gingivitis is a soda rinse. It disinfects, helps relieve pain and inflammation. To prepare it, dilute a teaspoon of baking soda in a glass of warm water. Rinse your mouth 5-6 times a day.
3. Potato juice. Fresh potato juice has an antimicrobial effect. For gingivitis, rinse your mouth with undiluted juice every 3 hours.

Oksana Shiyka

Dentist-therapist

Note! Before you treat gingivitis at home with folk recipes, you need to make sure that you are not allergic to their components.

Strengthening infusions

To strengthen the immune system and improve the condition of the gums, infusions for oral administration should be used.

1. Rose hip. The berries are ground into gruel, 4 tablespoons of the mixture are taken, placed in a thermos and poured with 1.5 liters of hot water. Insist 12 hours. Used instead of tea. Rosehip is one of the leaders in the content of vitamin C, so the drink strengthens the immune system well.
2. Pine needles. Pine needles are a source of vitamin C and strengthen the gums. To prepare a drink in a thermos, steam 2 tablespoons of pine needles with a liter of boiling water and insist for an hour. Drink after eating a quarter cup. Coniferous infusion can be used as a rinse.

Use of essential oils

In addition to herbs, essential oils have proven themselves well in the treatment of gingivitis. They are used to massage sore gums. Essential oils of eucalyptus, tea tree, fir, juniper have anti-inflammatory, wound healing, analgesic properties. Sea buckthorn oil, due to its unique composition, quickly eliminates inflammation in the oral cavity and heals wounds.

For the procedure, moisten a cotton pad in oil, apply to the gums and gently massage them for 1-2 minutes. If the massage causes pain, simply apply an oil-soaked sponge to the painful areas. In addition to massage with oil, you can hold a tablespoon of sea buckthorn oil in your mouth an hour before meals. This simple procedure effectively eliminates pain.

Medical treatment

Before you cure gingivitis at home, you should know that the choice of method of therapy will depend on the form and degree of development of the disease. It is recommended to use anti-inflammatory ointments, which include Butadion, Indomethacin, Acetylsalicylic acid.

Medicinal rinses with the following medicines are useful:

1. Miramistin. To eliminate gingivitis, a 0.01% Miramistin solution is used. They rinse their mouth three times a day. The drug destroys most bacteria. With advanced gingivitis, Miramistin is applied to sterile gauze and applied to areas of inflammation for 25 minutes.
2. Furacilin. Inexpensive, but very effective drug that kills most bacteria. You can purchase a ready-made product or simply dissolve the tablet in a glass of warm water. Furacilin solution rinse your mouth after eating.
3. Chlorhexidine. The drug has a local anti-inflammatory effect. Rinse your mouth with Chlorhexidine solution 3 times a day.

When should you see a doctor immediately?

With the growth of the gingival papillae, gingivitis can no longer be cured at home. It is necessary to consult a doctor for injections with special medicinal preparations. If the disease has led to severe inflammation, accompanied by weakness, fever, enlargement of the submandibular nodes, then the doctor prescribes Metronidazole or Biseptol. They also prescribe vitamins and drugs that increase immunity.

Treatment of gingivitis in children

Gingivitis often occurs in children after 5 years of age. The development of the disease contributes to the lack of habit of brushing your teeth twice a day. As a result, bacteria multiply on the teeth and gums, which leads to the development of inflammation. But it also happens in babies up to 2 years. This is due to teething and the habit of putting everything in the mouth. Before treating gingivitis at home in a child, the cause of its appearance should be identified.

If the disease is not provoked by teething, then therapy is almost not required. The basic rule is compliance, cleanliness of toys and nipples. It is recommended to treat the oral cavity with a weak saline solution or hydrocarbonate water (Rychal-Su, Essentuki). When gingivitis in a child is not associated with the appearance of molars, the same treatment is carried out as in adults. If the baby does not yet know how to rinse his mouth, his gums are treated with antiseptics, anti-inflammatory drugs and herbal solutions. Until the age of two, Holisal, Lugol, Miramistin, iodine preparations are not used.

once every 6-12 months to undergo preventive examinations at the dentist;

monitor the state of your immunity - avoid hypothermia, harden, take vitamins in the autumn and spring.

Summing up

Gingivitis is a painful and very unpleasant pathology, but you can cope with it at home. Timely diagnosis and treatment of inflammation is important. Otherwise, serious complications (for example, peritonitis or sepsis) will develop that threaten the patient's life.