Gingivitis is one of the most common conditions in the offices of dentists. It is characterized by redness, swelling and bleeding of the gums. The consultation is easy to detect the observed bleeding on periodontal probing, exploring the groove, and not observe periodontal pocket.
Tooth decay and gum disease are the two most prevalent oral infectious diseases in consultations, provide the first up to 90% of patients in adulthood, and the second between 50 and 60% of people.
Its formation is due to the appearance of biofilm and consequent proliferation of bacteria in an uncontrolled manner. Defense cells, neutrophils, proliferate and fighting biofilm, but if they are not able to remove the inflammatory response becomes chronic and may end up damaging the tissues.
Gingivitis is an alarm before it advances to more serious diseases.
At this point, if not mechanically or chemically remove the biofilm, our defense system may end up not eliminate gingivitis, a condition that if advances are resulting in the destruction of the periodontal tissues and the development of periodontitis. Thus, gingivitis is an alarm before it advances to more serious diseases.
Health professionals have an opportunity to prevent the spread of these diseases through proper oral hygiene education, in consultation showing why the occurrence of gingivitis and treatment.
The use of organic dyes such as erythrosine, is very useful as it shows the patient where there is more plaque. When the biofilm appears, it not only expands by inadequate oral hygiene, but also the patient goes into a vicious circle in which the pain associated with inflammation of the gums and gingival sulcus more difficult turn , oral hygiene.
Once gingivitis occurs, treatment should start with the elimination of the bacteria that cause it. For this as it is performed supragingival and groove area professional hygiene . After this phase is when you need to teach the patient how to control the biofilm from scratch, explaining how to prevent it.
The main weapon is the mechanical removal of the biofilm by brushing daily with either a manual toothbrush or an electric one. Its use must be done properly, a minimum of 2 minutes, without fear of bringing the head outside the gums to remove plaque.
Despite the effectiveness of brushes, interdental areas remain the weak point of oral hygiene. Therefore, the use of silk or interproximal brushes is essential to prevent and control gingivitis. Along with the use of brushes and interdental brushes silk or be used toothpastes and mouthwashes to complete hygiene.
The pastas are the best vehicle for applying chemical agents because they act simultaneously to the mechanical removal of the biofilm. But not all pastas are equal: depending on which active and effective lead is displayed.
With regard to mouthwashes, as with pasta, not all are equal. The star component plaque remains chlorhexidine , a highly effective, able to penetrate into the biofilm antibacterial agent but must be used properly to be a side effect, which is the staining of the teeth are not cleaned properly.
Less antibacterial efficacy would mouthwashes with essential oils and containing Cetylpyridinium chloride.
Importantly rinses do not release work through mechanical removal of dental, interdental brushes or thread. They are not substitutes rather will cure gingivitis without adequate interdental hygiene.
The main conclusion is that gingivitis is a warning sign that there is a problem with the gums. Therefore, education in dental hygiene is the best way for treatment and prevention. This hygiene passes through good mechanical biofilm control, using the toothbrush and interproximal brushes and / or silk, besides the use of chemical agents in paste or mouthwash.