Ulcerative gingivitis - is an inflammation of the gums, accompanied by necrosis and ulceration of tissues. These processes ulcerative gingivitis with necrosis of gingival tissues is the predominance of the processes of alteration of tissues. In the cause of the ulcerative gingivitis leading role belongs to decrease the resistance of the mucous membrane of the gums fuzospirohetnoy oral microflora. In clinical dental practice, usually found acute ulcerative gingivitis.
Ulcerative gingivitis: inflammation of the gums with necrosis and ulceration of tissues.
The clinical picture of ulcerative gingivitis is fairly typical and is characterized by acute onset. Patients with ulcerative gingivitis complained of intense pain in the gums, foul breath, bleeding gums. Typically, as in patients with ulcerative gingivitis disturbed general condition: increased body temperature, marked weakness, headache, decreased performance.
When viewed from the oral cavity in patients with ulcerative gingivitis is found that the gingival margin covered with gray malodorous bloom, after the removal of which expose bleeding sharply painful surface. Vertex papilla as if cut off, the contours of the gingival margin violated. In a patient with ulcerative gingivitis determined abundant nemineralizovannye of tooth deposits, "tartar". Regional lymph nodes (submandibular, BTE) with the enlarged and painful on palpation.
In the blood plasma of patients with ulcerative gingivitis marked leukocytosis and increased ESR. Ulcerative gingivitis in a patient can be detected in urine protein.
When viewed from the oral cavity with ulcerative gingivitis revealed gingival margin covered with gray malodorous bloom, after the removal of which expose bleeding sharply painful surface.
On examination the patient with acute ulcerative gingivitis conduct inquiries, examination, palpation of regional lymph nodes, measuring body temperature, clinical blood and urine tests.
After decrease in acute inflammation of ulcerative gingivitis appropriate in-depth examination of the patient to identify the reasons why the body's resistance and disease progression.
Treatment of ulcerative gingivitis should be especially active when you first visit the dentist. When properly conducted therapy of ulcerative gingivitis in a patient a significant improvement occurs within 12-24 hours.
First spend analgesia affected ulcerative gingivitis sites gums. Better analgesia gums conduct by applications or mouth trays with 0,5-2% solution of novocaine, lidocaine or another local anesthetic.
Then remove the necrotic gum tissue. Good result applique on the gums of proteolytic enzymes (himopsin, chymotrypsin, etc.). Ulcerative gingivitis in a patient should seek to remove all necrotic plaque from the gum in the very first visit. At the same time eliminate the deposition of tooth, ground off the sharp edges of the teeth, injuring the mucosa.
After cleaning the gum from the necrotic masses topically applied antimicrobial agents: 0,06% chlorhexidine, 1% hydrogen peroxide solution, suspension metronidazole Sanguirythrine, etc., in the form of applications or mouth trays.
Therapeutic activities to meet patients with ulcerative gingivitis in the home:
- Metronidazole - 0,5 g, 2 times a day
- Diphenhydramine - 0,05 g morning and evening
- Acetylsalicylic acid - 0,5 g to x3 times a day
- mouthparts baths with antiseptic solutions (chlorhexidine, hydrogen peroxide, Frc), decoction of herbs (chamomile, sage, calendula)
- excessive drinking
- bland, nutritious diet
With the second visit, a patient with ulcerative gingivitis, while improving the general state and local status, use of application tools that enhance epithelization of the ulcerated surfaces: sea buckthorn oil and rosehip, karotolina, solcoseryl, oil solutions of vitamins A and E, Actovegin.
After arresting inflammation in a patient with ulcerative gingivitis perform a thorough sanitation of the oral cavity.
If you have any questions about the diagnosis or treatment of ulcerative gingivitis, you can specify them with our dentist or dentist on the phone:
- Dental anatomy
- Dental caries (tooth decay)
- Periodontal disease:
+7 (926) 988-14-23