Practicing the art of dental medicine.
Dr. Daniel Balaze D.M.D.Inc

What is Gingivitis, and What can I do About it?

According to Steadman's Medical Dictionary, Gingivitis is:
Inflammation of the gingiva as a response to bacterial plaque on adjacent teeth; characterized by erythema, edema, and fibrous enlargement of the gingiva without resorption of the underlying alveolar bone.
This common type of gingivitis is often referred to as "plaque-induced gingivitis".  It is a form of non-destructive gum disease, that left untreated by a dentist, can progress into periodontitis and eventual tooth loss.  Possible complications resulting from untreated gum disease can include dental abscesses, infections, periodontitis, and trench mouth.  Many studies have also linked gum disease, gingivitis and periodontitis to systemic conditions like heart disease, high blood pressure, stroke, diabetes, rheumatoid arthritis, pre-term birth and lung diseases.

Gingivitis has many causes.  When dental plaque isn't adequately removed it causes an accumulation of calculus [tartar] at the base of the teeth and near the gums.  Calculus is so hard that it can only be removed professionally by your dentist or dental hygienist.  The bacteria in plaque and calculus are the primary cause of gingivitis.  Other causes are: 
- Systemic disease [diabetes, cancer, HIV]
- Medication [those that limit saliva production, dilantin, and some anti-hypertensive medications]
- Smoking [smokers more commonly develop gingivitis vs non-smokers]
- Hormones [changes that occur during puberty, menopause, and pregnancy]
Though you may have symptoms and signs of gingivitis, a diagnosis can only be made after a complete exam performed by a dentist.  The good news, though, is that when diagnosed early and treated properly gingivitis can be reversed.


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