Gingivitis K05.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Collective term for microbially triggered and maintained inflammatory processes at the gingival margin, which are caused by local as well as systemic processes. The clinical pictures of acute gingivitis and chronic gingivitis are characterized by strict localization to the free and adherent gingiva and, with appropriate therapy, heal without permanent damage to the periodontium.

Etiopathogenesis
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  • Diseases of the teeth (bacterial plaque on the necks of the teeth and tartar that accumulates in the sulcus area), infections, disorders of the immune system.
  • Traumatic causes (too hot, spicy food), lack of saliva secretion, idiopathic (e.g. gingivitis granulomatosa).
  • Occurrence in the context of basic dermatological diseases.

Clinical features
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General therapy
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Avoid or eliminate the triggering cause.

External therapy
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Rinse with antiseptic and anti-inflammatory solutions such as 0.1-0.2% chlorhexidine solution R045 or tormentil astringent R255 or ratanhia myrrh astringent R210. Possibly anaesthetic solutions before meals (e.g. Dolo-Dobendan solution, Acoin solution or periodontal mouth ointment).

Progression/forecast
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Healing after elimination of the noxious agent.

Prophylaxis
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Therapeutically, the creation of a hygienic condition of the dentition as well as a consistent oral hygiene are urgently required.

Naturopathy
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Rinse with chamomile(e.g. Kamillosan, Kamillan Supra), sage(e.g. Salus Sage-Trp., Salvysat, Salviathymol N), myrrh (Inspirol-P-forte), witch hazel(Hametum Extract) or other antiphlogistically effective plant extracts (e.g. Gingivitol, Pyralvex).

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020