What is Gingivitis ?

What is Gingivitis ?
Gingivitis can be defined as a disease that will typically have swollen red and bleeding gums. Accrual of plaque and calculus (tartar) due to improper oral hygiene is the primary cause of this disorder. Do not ignore these symptoms and the condition as it can give way to severe gum problems. However, this is a reversible condition and proper hygiene and oral care will be able to cure this disease.

How Does Gingivitis Occur ?
After eating food, the tiny particles (of food) get accumulated in the small spaces between the teeth and the gums. These tiny particles consist of some harmful bacteria that are responsible for producing toxins and chemicals around the gums. With time these toxins and chemicals cause inflammation which at times can become so severe that it might result in loosing of teeth – the disease known as periodontitis. The teeth are held together in the jaws by the jaw bones. When there is decay in these bones, it results in tooth loss. The situation can be avoided by proper cleaning of the area just below the gum line. It is highly recommended that a dentist should be consulted in regular intervals for a professional cleaning. If a cleaning is done once in every 3 to 4 months, as the bacteria requires that time frame to grow back and once again restart the inflammation, the disorder can be cured. Research has shown that gum inflammation, if not attended to quickly, can lead to various heart related problems. The harmful toxins and bacteria enter the blood stream through the gums giving rise to various cardiac issues.

 


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The root cause of gingivitis is plaque. So, what is a plaque? A glutinous film of bacteria, formed from the starch particles (that is present in the food that we have consumed) and which is invisible to the naked eye is called plaque. Brushing removes the plaque but it reappears within one day. So, if you don’t do the brushing job properly, this accumulated plaque gradually hardens and eventually gives rise to tartar (or calculus as it is commonly called), under the gumline. The tartar is the home for all the injurious toxins and bacteria and can only be removed if you undergo professional cleaning. As the tartar increases, the inflammation and swelling of the gums also increases.

 

What are the Symptoms of this Gum Disorder ?

Listed below are a few of the symptoms which if present needs to be attended to immediately. Remember, that at the early stages, gingivitis often goes unnoticed because it is not painful; however, all or any one of these signs should act as a warning to seek professional advice.

• When the gums become dark red or even purple.
• When there is a swelling in the gums.
• The gums look unusually bright.
• When the thinning gumline is clearly visible
• The gums are so sensitive that they start bleeding very easily
• The affected gum becomes very itchy.

What are the Causes of Gingivitis ?
As mentioned earlier, the primary cause of gingivitis is plaque and tartar. However, there are some other causes that can also be attributed to this ailment:
Drugs – Thanks to the electronic media and the bright and colorful advertisements – today we can buy a wide variety of anti cold and anti depressant medicines that are available just across the counter. Though these medications are pretty effective in resisting the cold and bringing down the depression level, they have a big drawback. Most of these drugs decrease the saliva production in our mouth. Saliva, as we all know, acts a natural cleanser by forbidding the bacteria to grow on our teeth. This obviously brings down the possibility plaque formation to a great extent. Moreover, a few of drugs, like certain anti seizure medicines and calcium channel blockers, actually increases the chance of gingivitis by causing gingival hyperplasia or an overgrowth of gum tissue.

 

Hormonal Changes – Gingivitis is very common to women during pregnancy. This is because morning sickness and nausea, that haunts almost every would-be mother, makes it difficult to follow a healthy and regular oral hygiene pattern.


Other Health Problems – There are some diseases which also cause gingivitis and Leukemia is one of them. The leukemic cells attack the gums causing plaque and in turn giving rise to gingivitis. Some other disorders oral lichus planus (a chronic inflammatory condition) or pemphigus and pemphigoid (a rare skin disorder) though not directly related to the mouth, are also responsible for causing gingivitis.

 

Viral and Fungal Infections – The viral and fungal infections also cause gingivitis. The disease gingivostomatitis in which the gum inflammation is

accompanied by small, painful infections in the mouth is caused by the herpes virus. When the fungal infection inside the mouth becomes serious, some white wounds are formed on the tongue and inner cheek. These wounds can even spread all across the palate and gums.


Poor Nutrition – This is very critical. A balanced meal is very important for a healthy and disease free lifestyle. A diet with inadequate amount of calcium, Vitamin B and Vitamin C can give rise to gingivitis. Calcium is the key factor for the strengthening and development of the bones in our body including our teeth. According to medical science, the calcium intake of an average adult should be at least 1,200 milligrams per day and for a pregnant woman this intake must go up to at least 1,500 milligrams per day. Vitamin C is responsible for holding the connective tissues of the body together. Moreover, it is also protects the body from the free radicals which destroy these tissues. Eating disorder like anorexia nervosa and also excessive smoking can cut down the Vitamin C level in our body.


Diabetes – Diabetes is another cause of gingivitis. The high blood sugar level in the body causes severe damage including the gums.

What are the Treatments ?
The first step of treatment is “scaling”, which means cleaning all the plaque and tartar of the teeth and gums. This process can be done by your dentist – though usually a painless procedure, it can cause some amount of uneasiness if there is an excessive accumulation of plaque. It is necessary to follow a good oral hygiene routine after a professional cleaning to prevent the further appearance of plaque.

Pregnancy and Gingivitis
It is usually seen that most of the pregnant women are victims of gingivitis. The hormonal increase causes the gums to become extremely sensitive and reacts with the bacteria present in the plaque. This enhances the chances of pregnancy gingivitis. The disease can be present up to 6 months after the delivery. However, the severity of the problem depends on the situation that existed before pregnancy.

How can it be Prevented ?
Following these basic rules will prevent this problem:
• While buying toothpaste, ensure that it contains fluoride.
• Ideally brushing must be done after every meal. However, if this becomes difficult, make sure that you brush at least once a day.
• It is also important that you brush correctly. Choose the shape and the size of the brush that will help to clean even the innermost areas of the cheek and tongue.
• Change your brush after every 3 months no matter however new it looks.
• Try using floss as in most of the cases, toothbrush cannot do the full cleaning.
• Most importantly, visit your dentist regularly.
 

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Article Contributed By: Sukanaya Banerjee

 

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