Gingivitis and Periodontitis

Gingivitis is an inflammation of the gingiva which may affect one or more teeth. It is caused by plaque – a thin film that adheres to the tooth surface and deposited in the gingival sulcus when oral hygiene is not performed properly. In the very first stage of this disease, bone and alveolar tissue that hold the teeth to their roots, are not affected.

Without the necessary gum disease receding gums treatment and care, gingivitis can progress to periodontitis, a more severe form of the disease that affects all the tissues around the tooth (periodontal) which promote their support, causes bone resorption, receding gums and therefore mobility and loss teeth.

receding gums reverse

In such cases, gum inflammation progresses and certain substances in the saliva are fixed in plaque intensifying the inflammatory process and creating favorable conditions for the formation of periodontal pockets, which departs from the gum of teeth, promotes contamination by bacteria and the development of tartar.

Bacterial endocarditis is a serious complication of periodontitis. Studies show that bacteria installed in periodontal pockets may spread into the bloodstream lodge in the heart valves and restricting the blood circulation and heart function.


The most common cause of gingivitis is the lack of proper oral hygiene, which allows the accumulation of plaque on the teeth and gums.

Other possible causes are malocclusion, tartar, cavities, no restorations, small production of saliva, cigarette, and certain medications.

Hormonal changes that occur at puberty, during menstruation, pregnancy and menopause probably explain episodes of gingivitis which can be set up in these phases of life, and therefore require dental treatment and special care like oral hygiene.

Gingivitis can also be a manifestation associated with diseases such as herpes labialis, diabetes, epilepsy, AIDS, leukemia, hypovitaminosis, or be caused by allergic reaction.

Studies show that gingivitis and periodontitis are related to genetic factors. When this type of framework is diagnosed by family history, attention to oral hygiene care should be intensified.


The most common symptoms include swelling, redness around the contour of the teeth and spontaneous exudation or bleeding during brushing and flossing.

When periodontitis is mounted, these symptoms intensify, bad breath becomes persistent, the taste is altered and your teeth look longer because of bone resorption and gingival recession.

Tooth Pain is a complaint, but not always present in these patients.


Proper tooth brushing and flossing especially after meals and before going to bed, as well as undergo a dental evaluation twice a year, avoid sugar consumption and not smoking are essential to prevent gingivitis, periodontitis and its complications.


The diagnosis of gingivitis and periodontitis is clinical by considering the signs and symptoms of the disease, the general conditions of the patient’s health and your family history. The sooner it is done, the better the results of treatment.



Initial episodes of gingivitis may regress through regular brushing by following a particular technique and flossing. In other cases, the treatment targets to control the infection and removal of tartar or the hardened plaque that separates gingiva from teeth. For this purpose, a sweep is made above and below the gingival contour with a particular instrument, using ultrasound or by applying a spray with liquid consists of few salts. This is followed by scraping root smoothing and polishing of the teeth to eliminate the infection. The prescription antibiotics and anti-inflammatories can be an important therapeutic option in some cases. Periodontal surgery can be necessary when these therapeutic interventions are not produced the desired effects.


  • Inquire about the correct way to brush teeth. Good brushing and flossing are essential to maintaining oral health and regularly apply the Nature’s Smile. This is a thick paste extracts that seep through the deep pockets in the middle of the teeth and gums. It actively attacks all the germs that are present there in the mouth.
  • Monitor brushing the teeth of young children. They should be encouraged to do it alone, but often need help in the beginning to acquire healthy habits.
  • Avoid sweet foods and drinks, especially if you have a chance to brush your teeth immediately.
  • Consider brush your teeth before going to bed, even if you have already brushed after meals.
  • Do not forget that smoking is also a poison to the gums and teeth.
  • Make regular visits to the dentist and when you notice changes in the appearance of your gums.

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