dental disorders
Gingivitis
Treatment of Gingivitis
Regular oral hygiene and professional cleaning Simple gingivitisis controlled by proper oral hygiene with or without an antibacterial mouth rinse. Thorough scaling (professional cleaning with hand or ultrasonic instruments) should be done. If appropriate, poorly contoured restorations are reshaped or replaced and local irritants are removed. Excess gingiva, if present, can be excised. Drugs causing gingival hyperplasia should be stopped if possible; if not, improved home care and more frequent professional cleanings (at least every 3 months) usually reduce the hyperplasia. Pregnancy tumors are excised. Pericoronitistreatment consists of Removal of debris from under the gingival flap Rinses with saline, 1.5%hydrogen peroxide, or 0.12%chlorhexidine Extraction (particularly when episodes recur) If severe infection develops, antibiotics may be given for a day before extraction and continued during healing. A common regimen isamoxicillin500 mg orally every 6 hours for 10 days (or until 3 days after all inflammation has subsided). Abscesses associated with pericoronitis require localized incision and drainage, a periodontal flap and root debridement, or extraction. In gingivitis caused by systemic disorders, treatment is directed at the cause. In desquamative gingivitis during menopause, sequential administration of estrogens and progestins may be beneficial, but adverse effects of this therapy (see Menopausal Hormone Therapy ) limit recommendations for its use. Otherwise, dentists may prescribe a corticosteroid rinse or a corticosteroid paste that is applied directly to the gums. Gingivitis caused by 