Chronic catarrhal gingivitis
Chronic catarrhal gingivitis - is an exudative inflammation of the gums. Chronic catarrhal gingivitis in patients in response to the pathogenic effects of microorganisms on the gums of tooth deposits. It should be noted that chronic catarrhal gingivitis, usually develops due to inadequate oral hygiene and without prompt, adequate treatment becomes chronic generalized periodontitis.
The clinical picture of chronic catarrhal gingivitis is fairly typical and the diagnosis usually does not cause difficulties. Typically, patients with chronic catarrhal gingivitis complain of a slight itching in the gums, bleeding them with mechanical stimulation (eg, brushing teeth, taking a hard food). From history to figure out that the disease is chronic catarrhal gingivitis begins gradually, is long proceeded virtually without symptoms. It should be borne in mind that chronic catarrhal gingivitis most often develops in children and young adults (25-30 years).
General condition of patients with chronic catarrhal gingivitis is not broken. When viewed from the oral cavity are defined supra nemineralizovannye of tooth deposits, chronic mild inflammation of the gums (swelling, bleeding, redness). For gingivitis typically lack clinical pockets, because impairment of the integrity dentogingival attachment in this case does not occur. Teeth with chronic catarrhal gingivitis immobile, are not displaced. Radiological study of changes in bone tissue between the teeth of the partitions and other parts of jaw bones are not determined.
To diagnose and monitor the effectiveness of treatment of chronic catarrhal gingivitis is usually enough to questioning and patient examination of the cavity and gum disease, indication and evaluation of "tooth" raid of the Schiller-Pisarev.
In order differential diagnosis of chronic catarrhal gingivitis from periodontitis conduct clinical probing of pockets, evaluate tooth mobility in cases of doubt, X-ray examination showed alveolar processes of jaws.
Treatment of chronic catarrhal gingivitis begin with antiseptic oral antiseptic solutions. For oral use of hydrogen peroxide - 1% chlorhexidine - 0,06%, Frc - 0,02%. Antiseptics in chronic catarrhal gingivitis is used in the form of oral baths, gargles, applications to the gums.
Then start the critical phase of treatment - removal of tooth deposits. The individual groups of teeth obkladyvayut cotton balls and special tools (hooks, shovels, etc.) carefully remove "tartar" and soft "toothbrush" plaque. Then polish the tooth surface with special brushes with abrasive paste. After the professional cleaning of teeth "again spend antiseptic treatment of the mouth. Removal of tooth sediment carried in 1-2 visits.
The defining component in the treatment and prevention of chronic catarrhal gingivitis is an effective oral hygiene. On the first visit with a patient talking about the rules of brushing your teeth, give guidelines for choosing a toothbrush, toothpaste, flossing are trained to use. In repeated visits by staining "dental" plaque control efficacy of hygienic measures.
In the presence of chronic inflammation of gums with chronic catarrhal gingivitis held application of anti-inflammatory drugs (acetylsalicylic acid, butadion, indomethacin, etc.) and antimicrobial agents. In severe cases - a destination inside of metronidazole, lincomycin and other antibiotics.
Good effect in the treatment of chronic catarrhal gingivitis provides physiotherapy appointment in accordance with their therapeutic action:
- massage the gums (soft plaque removal and improvement of microcirculation in the gums)
- UV to the area of gum (an antibacterial effect)
- anode electroplating or electrophoresis of drugs from the anode (calcium chloride, vitamin B1)
- UHF in oligotermicheskoy dose
- local hypothermia
- helium-neon laser
- plasma argon flow (anti-inflammatory effect, the normalization of the trophic and microcirculation)
If you have any questions about the diagnosis or treatment of chronic catarrhal gingivitis, you can specify them with our dentist or dentist on the phone: (903) 167–99–20
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