II. Definition

  1. Gum local inflammation without the bone loss seen in Periodontitis

III. Causes

  1. Plaque
  2. Calculus
  3. Food accretion

IV. Symptoms

  1. Painless swelling and erythema of the gums
  2. Gums bleed easily with Tooth Brushing and flossing
  3. Halitosis

V. Signs

  1. Gingival margin redness and swelling
  2. Bulbous interdental papillae
  3. Disappearance of normal stippling
  4. Easy bleeding with light contact

VI. Course

  1. Tooth mobility or migration
  2. Gingival recession

VII. Complications

VIII. Management

  1. See Oral Hygiene below
  2. Chlorhexidine gluconate 0.12% rinse (Peridex) or
  3. Hexetidine 0.1% rinse (Oraldene) or
  4. Listerine antiseptic

IX. Prevention: Oral Hygiene

  1. See Oral Health
  2. Frequent Tooth Brushing, flossing and fluoride rinses
  3. Newer toothpastes contain antibiotic Triclosan
    1. Colgate Total and Crest Multicare
    2. Reduces Plaque and Gingivitis up to 50%
    3. No signs of Antibiotic Resistance
  4. References
    1. (7/4/97) FDA Talk Paper
    2. (12/29/97) WSJ
    3. (1996) J Clin Dent (7 Suppl):S199

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Ontology: Gingivitis (C0017574)

Definition (MSH) Inflammation of gum tissue (GINGIVA) without loss of connective tissue.
Definition (NCI) A disorder involving inflammation of the gums; may affect surrounding and supporting structures of the teeth.
Definition (CSP) inflammation of the gingiva, the tissues that surround the teeth.
Concepts Disease or Syndrome (T047)
MSH D005891
ICD10 K05.10
SnomedCT 196355002, 66383009
English Gingivitides, Gingivitis, GINGIVITIS, gingivitis (diagnosis), gingivitis, Gingivitis NOS, Gingivitis [Disease/Finding], gum inflammation, Inflammation gum, Gingival inflammation, Inflammation of gum, Gingivitis (disorder), Gingivitis, NOS
French GINGIVITE, Inflammation gingivale, Gingivite
Portuguese GENGIVITE, Inflamação gengival, Inflamação da gengiva, Gengivite
Spanish GINGIVITIS, Inflamación de encías, Inflamación gingival, gingivitis (trastorno), gingivitis, Gingivitis
Japanese 歯肉炎, シニクエン, シニクノエンショウ, 歯肉の炎症
Swedish Tandköttsinflammation
Czech zánět dásně, gingivitida, dáseň - zánět, Gingivitida, Zánět dásně
Finnish Ientulehdus
German ZAHNFLEISCHENTZUENDUNG, Entzuendung der Gingiva, Entzuendung des Zahnfleisches, Gingivitis
Polish Zapalenie dziąseł
Hungarian Gingivitis, Fogínygyulladás
Dutch tandvleesontsteking, ontsteking tandvlees, gingivitis, Gingivitis
Italian Infiammazione gengivale, Gengivite
Norwegian Gingivitt, Tannkjøttbetennelse