Gingivitis
Introduction
Introduction Gingivitis, the inflammation of the gums, is the first stage of gum disease, which is the easiest to cure. The direct cause of gingivitis is the long-term formation of spots on the teeth and gums, which is a thin layer of soft, sticky and colorless bacteria. Modern medicine believes that long-term stimulation of plaque and local foreign bodies such as calculus, food obstruction, and overhang of fillings is the main cause of this disease. Chinese medicine believes that this disease can be caused by unclean mouth, food residue accumulated in the teeth, long-term rot and become poisonous, wet poison invade the sputum and sore and so on.
Cause
Cause
Modern medicine believes that long-term stimulation of plaque and local foreign bodies such as calculus, food obstruction, and overhang of fillings is the main cause of this disease. Dental malformations, certain systemic factors such as endocrine disorders, vitamin C deficiency, nutritional disorders and systemic diseases can also cause or aggravate gingivitis, and mouth breathing is often an important factor in anterior teeth proliferative gingivitis. Bacterial infection is also the cause of this disease. Common bacteria such as Staphylococcus aureus, Pneumococci, Streptococcus and other bacteria produce toxins that cause inflammation of periodontal tissues.
Chinese medicine believes that this disease can be caused by unclean mouth, food residue accumulated in the teeth, long-term rot and become poisonous, wet poison invade the sputum and swollen. Or eating spleen and stomach, spleen deficiency, heat and dampness, dampness and heat accumulation of the gastrointestinal tract, follow the menstruation, fumigation of the gums, resulting in blood stasis, body fluid blocked and swollen and painful. Or because of excessive anger, excessive depression, causing liver qi stagnation, long-term stagnation and smoldering, liver fire upside down, burns and sputum. Or because of the wind and evil invasion, the evil left meridians, causing the meridians to suffocate, the blood is impassable, and the long-term qi and blood fight with evil.
Examine
an examination
Related inspection
Oral endoscopic oral X-ray examination
Laboratory examinations must be summarized and analyzed based on objective materials and medical examinations, and several possible diagnostics are proposed, and then further examinations are performed to confirm the diagnosis. Therefore, gingivitis can be examined in the mouth, showing bleeding gums, redness, pain, swelling of the gingival crevicular fluid, increased temperature; oral X-ray examination and oral diagnosis and treatment.
Diagnosis
Differential diagnosis
An important difference between gingivitis and early periodontitis is the presence or absence of attachment loss and alveolar bone resorption. Chronic gingivitis due to inflammatory swelling of the gums, the depth of the sulcus can be more than 3mm, but there is no loss of connective tissue attachment, the bottom of the sulcus is still located at the bone boundary of the enamel or its crown, no teeth are seen in the X-ray film Slot bone absorption. In clinical practice, the adjacent surfaces of the molars and incisors should be carefully examined for the presence or absence of attachment loss. The jaw flaps can be photographed for the presence or absence of alveolar crest absorption.
