Periodontitis, gum inflammation & co cure

Gingivitis – tips and tricks for proper dental care

The gums are just as important as the teeth. As part of the jaw system, it embeds the teeth safely and provides strength and good grip. Nevertheless, the gum care is given too little attention. When brushing it is often ignored, only the teeth are cleaned, but not the gums. Especially children often leave the gums. This can have serious consequences: gingivitis, bleeding and falling are common and must be treated.

Anyone who has ever had to deal with gum problems knows how painful it can be. Too cold and hot foods and drinks cause a stinging pain in the mouth. The pulsation of the inflamed area causes headaches, one is irritated and at the same time exhausted. But also diseases of the gums that are not painful at first need to be treated. Although gum drops do not cause any discomfort, they are untreated but a big problem.

How do gingivitis develop??

  • Symptoms suggestive of gingivitis or periodontitis:
  • Bleeding gums
  • Painful areas on the gums
  • reddened and / or swollen gums
  • soft gums
  • halitosis
  • Secretion or pus in the gum pockets
  • Gum Disease
  • loose teeth

On our oral flora live countless bacterial species, which, however, pose no threat to normal oral hygiene and are normal. Only when ours Mouth flora disturbed As it is caused by inadequate oral hygiene, too much sugar, etc., or less often by irritation, or injury, it can be beyond the limits multiply and become a problem. If the food leftovers that accumulate in our mouth after each meal are not removed on a regular basis, the bacteria have found easy play and a wonderful source of food. They begin to metabolize the food particles and form one teeth biofilm, our teeth in the form of plaque surrounds. If this is not eliminated at the latest, the bacteria form acids and other toxins. These acids and toxins irritate and damage now not only the teeth with the long term Development of tooth decay, but also our gums, in the form of Gingivitis (gingivitis). Here is between the acute gingivitis, with acute pain and the chronic gingivitis, which usually shows no symptoms.

Although chronic gingivitis is the most common chronic inflammation in the human body, it should not be left untreated. If the gingivitis is not treated soon, the bacteria will migrate through the neck of the tooth into the adjacent gum and it will come to an end incipient periodontitis. The tooth pockets, as the area between the tooth neck and the gum is called, is anatomically ideal for the bacteria to spread further. The entrainment of bacteria is reinforced by the formation of Tartar in the tooth pockets, Here, however, the tartar is no longer tartar but concretion. Hereby, especially at relatively protected locations of the tooth, e.g. the tooth pockets, or even in the interdental spaces, the plaque hardened by minerals from the saliva to tartar or calculus. Does this happen to the periodontal pockets, the area becomes more and more dilated and morbidly enlarged. It opens, so to speak, the door for the plaque and thus also the bacteria inside the gum and the inflammation expands more and more and can even for bone loss and thus to another Receding gums to lead. From which the jawbone is infested and the Tooth pocket depth on 3,5mm enlarged (a healthy tooth pocket depth has approx. 1-2mm) is then no longer a gingivitis, but one periodontitis. In the vernacular, this stage is also often called periodontal disease, which is actually wrong. A periodontosis actually designates one noninflammatory gum decline.

A special form acute gingivitis represents the most acute necrotizing ulcerative gingivitis (ANUG) This represents a very aggressive form of the Gingivitis In this case, the gums are very suddenly inflamed and the patients suffer from pain, strong bad breath (fetor ex ore) and fever. ANUG also forms through poor oral hygiene and additional risk factors such as smoke.

Another special form provides the Pregnancy gingivitis This is due to the altered composition of the saliva to disorders of the self-cleaning mechanisms in the mouth, which develops a gingivitis. Here, caution is advised, especially in pregnant women to make sure that these are not in one Pregnancy periodontitis further developed. If you are pregnant or intend to become pregnant soon, you should seek appropriate care Teeth during pregnancy best to inquire in advance.

Causes and risk factors for gingivitis

risk factors explanation consequences
Lack of dental hygiene Insufficient use of toothbrush, dental floss, mouthwash, etc Formation of dental plaque (plaque / calculus / calculus)
Mechanical stimuli Badly fitting dentures, jaw malpositions, too strong brushing Gums can become irritated and lead to inflammation
  1. immunosuppressants
  2. Antihypertensives
  1. reduced body’s defense
  2. let gums swell
Chronic diseases
  1. AIDS, Chron’s disease
  2. Diabetes mellitus, metabolic disorders
  1. reduced body’s defense
  2. impaired wound healing
  1. Bad circulation
  2. Decreased saliva production
  3. Teerbeläge on teeth
  1. wound healing
  2. worse self-cleaning mechanisms
  3. Bacteria can adhere better
Hormonal changes Pregnancy, puberty, pill
  1. Spechelzusammensetzung
  1. Worse self-cleaning mechanisms
Bad eating habits Plaque deposits are increasingly formed Bacteria have an ideal breeding ground and an energy source
  1. unhealthy food and drink
  2. inadequate dental hygiene
  3. physical stress / unhealthy lifestyle
  1. Nutrient medium for bacteria, vitamin deficiency
  2. too little care (dentist and at home)
  3. weakened immune system
Vitamin C deficiency
  • Development of the disease “scurvy”
  • Rarity in industrialized countries!
  • In developing countries consequence of malnutrition
Malnutrition causes vitamin C deficiency; after 2-4 months, symptoms start to appear, including: Gingivitis;
Genetic factors
  1. low saliva production (dry mouth)
  2. Saliva too thick
1st and 2nd self-cleaning mechanisms minimized

Everyone can get gingivitis (gingivitis, periodontitis, periodontitis). For example Almost all Central Europeans are affected by chronic gingivitis. However, certain risk factors, or the further development of frequent gingivitis into more severe periodontitis, are much more likely.

The most important risk factors In the case of gingivitis, both gingivitis and periodontitis / periodontitis, these are factors that we ourselves can influence. Namely ours habits. Bad eating habits, Like many bad carbohydrates, and best distributed over the day, sweetened drinks and foods rich in sugar cause plaque buildup and provide additional energy to the bacteria that rely on it.

Smoke lets the plaque and tartar grow even further and the tar leaves the bacteria on it even wonderfully adhere. Smoking also leads to circulatory disorders, which weaken the self-cleansing power of the oral flora by reducing and altering the production of saliva. In addition, smoking leads to impaired wound healing, resulting in more difficult healing of defects.

If one more now lack of oral hygiene is added, so the plaque and tartar are not removed regularly, then gingivitis and other dental problems such. Caries almost preprogrammed.

Has similar mechanisms of action stress on the health of the gums. Due to the chronic lack of time, attention is not paid to the diet. It comes to food cravings, which is eaten too fast and thus less saliva is produced, which is a protective effect on the oral mucosa. Also, during such food cravings like to resort to junk food and sweets, but this has plenty of dental plaque result and the bacteria used as a source of food. Through stress, the body is affected by the stress hormones, such as increased cortisone release set in a kind of “continuous alarm condition”. This strikes the body in the long run and the body’s defense is weakened. Of course, this also has effects on the defense mechanisms and wound healing of the gums.

Risk groups for gingivitis, periodontal disease, periodontal disease reason
Older people Often dentures less salivation
smoker Decreased blood flow less salivary flow other salivary composition
pregnant woman Less salivary flow other salivary composition Connective tissue is loosened
Chronically ill (by diabetics, AIDS) Body’s own defenses decreased disturbed wound healing
People from lower education Bad eating habits worse oral hygiene
Children and adolescents Often sweet and junk food loves uncorrected and not so disciplined oral hygiene
Anorexic, bulimic ill, malnourished Chronic vitamin C deficiency leads to a scurvy scurvy; Symptoms include u.a. Gingivitis

Prevention of gingivitis (gingivitis) and periodontitis / periodontal disease

Tips for preventing gingivitis:

preventive measure execution
Tooth healthy diet Little Trick or Treat v.a. not rich in vitamins several times a day
beverages Mainly water no sweet and sticky drinks
dental care
Foresight Dentist
  • 2 times a year dental visit
  • 2 times a year professional teeth cleaning
  • in case of complaints immediately to the dentist
smoking cessation If possible, do not smoke

Since our habits play a crucial role in the development of gingivitis and the resulting periodontal disease / paradentosis, it can also be used to prevent the disease and its consequences.

Here and also in the prevention of all dental and gum diseases plays the optimal dental care a major role. For where beautiful white teeth shine, there are no dental plaque, and where there are no dental plaque, bacteria are hard to pin down. This stops the one Development of tooth decay, as well as the formation of gingivitis, periodontal disease and periodontal disease. Therefore, care should be taken that can set on our teeth no dental plaque. For this we should use our teeth 2-3 times a day toothbrush and toothpaste clean. This requires both the correct “cleaning technique” and high-quality equipment. At least half an hour should be between the last meal and brushing your teeth, as the enamel is weakened by food intake and takes time to harden again. Also should be at least once a day, best in the evening, floss or one Interdental brush be used. Only with this we can also in the interdental spaces and on the tooth necks to remove plaque and calculus thoroughly. To kill a large number of bacteria and to heal the slightest inflammation is also the application of mouthwash recommended once a day. But beware! Some mouthwashes should not be used for a long time in a row, as they can lead to tooth discoloration! So please read the leaflet!

Furthermore, one belongs vitamin-rich, healthy and balanced diet for optimal prevention. This should be on the proper nutrition for healthy teeth respect, think highly of. Especially carbohydrate-rich meals and sugar-rich foods and drinks strain the enamel and increase the formation of dental plaque and tartar. These in turn lead to gingivitis (gingivitis). And vitamin deficiencies can limit their immune system’s performance and make their gums more susceptible to bacteria.

Also, it should be both good for their overall health and for their gums smoking cessation respectively! Because the smoking of the formation of plaque and tartar is reinforced! In addition, the tar contained in cigarettes makes the bacteria adhere even better to the tooth surfaces and the effect of the pads is further enhanced. In addition, smokers have a significantly poorer blood circulation and resulting wound healing disorders. Small gum defects can be harder to heal and spread faster.

One of the most important preventative measures is the perception of the checkups by your dentist. He can see even the smallest gingivitis and initiate treatment early, so that it can not even come to the development of periodontitis, or serious sequelae. Also, the dentist can perform a professional tooth cleaning. As part of this all dental plaque and calculus are removed with different hand tools, ultrasound and the removal of air-water-salt mixtures. Here, the interdental spaces and necks are cleaned and the development of caries and gingivitis effectively prevented. Unfortunately, the professional dental cleaning is not reimbursed by the statutory health insurance. A Treatment costs about 80-90 € and becomes i.d.R. 2 times a year carried out in certain diseases, e.g. Frequent gingivitis or periodontitis also more common. Therefore, people who use the professional teeth cleaning regularly, should complete a dental insurance, which covers these services. There are different Dental supplement insurance with professional teeth cleaning services. The tariff Württemberg V1, V2, V3 is recommended here in particular.

Treatment and therapy for gingivitis (gingivitis), periodontitis and periodontal disease

Has one easy Gingivitis (gingivitis), it is often sufficient for the general dental care measures improve. This can reduce the inflammation usually without the help of the dentist. It is important to see this first inflammation as a warning, not to neglect dental hygiene and gum care. Soft brushing with soft, rounded bristles also includes flossing or flossing. Especially in the acute case of gingivitis should be temporarily antibacterial mouthwash (e.g., chlorhexidine). Also homeopathy can help with acute gingivitis (Z.b. Calcium fluoratum). But also home remedies can be used to support wound healing and pain relief. Here is the gurgle with Chamomile, sage tea and diluted Apple Cider Vinegar proven. However, if the symptoms do not resolve within a few days or improve significantly, it is recommended Visit to the dentist, which will then initiate a more targeted treatment.

Does not cure a gingivitis by the measures described above, or the gingivitis is already in one Periodontitis / periodontal disease passed, the visit to the dentist is unmerciful >

The dentist diagnoses only one gingivitis or one more not too pronounced periodontitis, It may be sufficient once all the plaque, calculus and tartar in the context of a professional tooth cleaning to remove thoroughly. Furthermore, the necks and tooth roots are thoroughly cleaned below the mucosal border. This process is called closed curettage. The doctor will use scaler, curettes, ultrasound, laser, or other hand-held devices to carefully remove any debris that can not be reached with the toothbrush. Then the patient gets Behavioral recommendations for the home explained. These include e.g. the daily use of an antibacterial mouth rinse (chlorhexidine), etc. to bring the gingivitis finally to heal. For particularly stubborn, or aggressive bacteria, it may also be necessary antibiotics is given. This is either inserted into the affected tooth pockets (Medicinal deposits), or in the form of tablets ingested. Also, can be permanent insoles with the Active ingredient chlorhexidine (e.g. PerioChip), which is the same as in the antibacterial mouthwashes into which tooth pockets are inserted. Since the chip has a higher dosage of the active ingredient chlorhexidine and can act more targeted, as it is inserted directly into the affected tooth pockets, it is more effective than the mouthwash.

Is the periodontitis beautiful strong (For example, tooth pocket depth over 6mm), or the periodontal disease with the above measures can not get under control, unfortunately, a minor surgery must be performed. This is called open curettage. Hereby, the gums are loosened from the tooth at the affected areas in order to better clean and disinfect the teeth under view.

During these treatments, there may be costs that are not covered by statutory health insurance (for example, professional teeth cleaning, laser therapy, medical inserts in tooth pockets). Therefore, it makes sense for all insured persons to think about the conclusion of a dental insurance. In order to determine which tariff is lockable for them and also suitable for the services, is a Dental supplement insurance comparison meaningful.

Consequences and complications that may be associated with periodontitis

If a periodontitis remains untreated, this can be serious in the long term sequelae develop. Here, the bacteria can get through the inflamed areas in the bloodstream and be spread from here to other parts of the body and lead to sequelae or complications.

For example, periodontal disease is suspected of being a risk factor for the arteriosclerosis (Vascular calcification), which is a Heart attack or stroke can result. In diabetics may be due to untreated periodontal disease even the Make diabetes worse. Likewise, people with periodontal disease are more likely to develop one Tumor in the head and neck area as people without this pre-existing disease. But also for rheumatism untreated periodontitis is a risk factor. Especially pregnant women should be on their Teeth during pregnancy respect, think highly of! Because pregnant women with periodontitis have a many times higher risk premature birth or miscarriage to suffer as pregnant without this pre-existing disease! Also in pregnant women due to periodontal disease is the risk of developing a gestational diabetes elevated! In the elderly and immunocompromised, bacteria from the mouth can be too heavy respiratory diseases, such as. lung infection to lead.


Those who take good care of their teeth, not only get healthy, beautiful, white teeth, but may even extend their lifetime by stopping the development of secondary diseases, or at least pushing them backwards! In any case, pay attention to the correct dental care, eat healthily and take preventive examinations with your dentist!

So that they can go through life for a long time with a radiant smile!

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Christina Cherry
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