Gingivitis
Gingivitis is termed as inflammation of gum
characterized by swollen, red and bleeding gums.
Sign and
symptoms
Gum redness, bleeding on probing, swollen gums, bad
breath and bad taste in mouth. Hot and cold sensation, sweet sensation,
bleeding on brushing. Formation of deep pockets between Gingiva and tooth.
Causes of
Gingivitis
After gingival recession the detachment of gingiva
with teeth occurs, food debris accumulates in the space between gingiva
and the tooth. This debris difficult to remove by brushing and bacteria starts
accumulation in the space between gingiva
and tooth which causes inflammation of gingiva.
Gingivitis also starts with the accumulation of plaque (a sticky film made up of bacteria on the teeth that causes due to bad
oral hygiene). Bacteria in the plaque produces toxin that cause irritation
and gums get infected. Bad oral hygiene is the basic cause, proper brushing to
remove all debris from mouth is necessary. Gingivitis is caused by anaerobic
bacteria.
If Gingivitis persist long time with no treatment, it leads to Periodontitis,
that cause loosening of teeth. Periodontitis can also lead to lose of tooth, if
the tooth left untreated.
Treatment
Scaling
Drug of Choice
Metronidazol is the drug of choice in Gingivitis.
Metronidozol is indicated, used prophylactically
and treating infections caused by anaerobic bacteria.
Metronidazol is active
against a wide range of pathogenic micro-organisms, notably species of
Bacteroides, Fusobacteria, Clostridia , Eubacteria, Anaerobic Cocci and
Gardnerella Vaginalis.
Metronidazol can also penetrate in gingival fluid where anaerobes bacteria
present.
Dosage
Metrinidazol (Flagyl) 200mg - TDS
Side Effects
Gastrointestinal disorder, fever, painful urination and mouth sores
Contra
Indication Pregnancy and lactation due to its feature
to penetrate in body fluids
