What is Gingivitis? - Symptoms, Causes, Stages, and Treatment

What is Gingivitis? 

Gingivitis is a common and moderate form of gum disease (periodontal disease) that causes irritation, redness, and swelling (inflammation) of the gingiva, the gum around the base of your teeth. 

Gingivitis must be taken seriously and treated as soon as possible. Gingivitis can progress to periodontitis, a far more serious gum disease that can result in tooth loss.

Poor dental hygiene is the most common cause of gingivitis. Brushing at least twice a day, flossing daily, and receiving regular dental examinations can all help to prevent and reverse gingivitis.

Gingivitis Symptoms and Signs

Recognising gingivitis signs is critical for prompt treatment. The following are the most prevalent warning signs:

1. Swollen and Red Gums: 

Gingivitis frequently causes gum inflammation, which results in redness and swelling. Healthy gums, on the other hand, should be pale pink in colour and have a strong, durable structure.

2. Bleeding Gums: 

Bleeding gums can be an early sign of gingivitis, which is defined by gum inflammation. 

This symptom is frequently observed while brushing or flossing, with blood appearing on the toothbrush or in the sink following dental hygiene activities. These events may indicate the presence of gum disease.

3. Foul Breath: 

Despite frequent brushing and flossing, foul breath might be an indication of gingivitis. The bacteria that cause gum disease emit unpleasant odours, which contribute to the condition.

4. Gum Sensitivity: 

Gingivitis can cause increased gum sensitivity. When eating particular foods or brushing your teeth, you may feel discomfort or pain.

5. Receding Gums: 

As gingivitis continues, the gums may begin to recede, giving the teeth the appearance of being longer. Receding gums expose the tooth roots, causing increased discomfort and an unsightly appearance.

6. Gum Irritation: 

Gum irritation manifests as a harsh burning sensation or discomfort that occurs after eating or coming into touch with food. Sensitivity, inflammation, or gum tissue injury can all cause this sensation. 

It is critical to identify the underlying reason and obtain appropriate dental therapy for the irritation.

7. Loose Teeth: 

As the gum infection worsens, the gums weaken, causing teeth to loosen and maybe shift. 

Damage to the supporting structures, such as the periodontal ligaments and the jawbone, causes this disorder. Timely treatment is critical to preventing further tooth loss and restoring gum health.

What Causes Gingivitis? 

The most prevalent cause of gingivitis is poor oral hygiene, which promotes the formation of plaque on teeth, resulting in inflammation of the surrounding gum tissues. 

Plaque can cause gingivitis in the following ways:

  • Plaque builds up on your teeth. Plaque is an unseen, sticky film formed on your teeth when starches and sugars in food interact with microorganisms naturally prevalent in your mouth. Because plaque re-forms quickly, it must be removed on a daily basis.
  • Tartar develops from plaque. Plaque that remains on your teeth might harden into tartar (calculus), which accumulates bacteria. 
  • Tartar makes plaque more difficult to remove, forms a protective coating for microorganisms, and promotes gumline irritation. Tartar removal requires skilled teeth cleaning.
  • Gingivitis is an inflammation of the gingiva. The longer plaque and tartar remain on your teeth, the more they irritate the gingiva, which is the area of your gum that surrounds the base of your teeth and causes irritation. 
  • Your gums will get swollen and bleed easily over time. Tooth decay (dental caries) may also occur. Gingivitis, if left untreated, can progress to periodontitis and eventually tooth loss.

Stages  Of  Gingivitis

The patient may not feel any pain at this stage because it just affects the gums' soft tissue. 

Even though the symptoms could be quite slight, it's critical to identify gum disease at this stage before it develops into periodontitis.

There are several stages of gingivitis, which are described below:

1. Initial stage:

This is the earliest stage of gingivitis and is characterized by red, swollen gums that bleed easily during brushing or flossing. At this stage, there is no irreversible damage to the gums or bone supporting the teeth.

2. Early stage:

In this stage, the gums continue to be red and swollen and may begin to recede from the teeth. Pockets may also begin to form between the teeth and gums, making it easier for bacteria to grow.

3. Moderate stage:

In the moderate stage, the gums become more inflamed and may begin to bleed spontaneously. The pockets between the teeth and gums deepen, and the bone supporting the teeth may begin to deteriorate.

4. Advanced stage:

This is the most severe stage of gingivitis, in which the gums are extremely swollen, painful, and may be pus-filled. The teeth may begin to loosen and shift, and bone loss may become significant.

Advanced Gum Disease Stages of Periodontitis

Periodontitis is the term for more severe periodontal disease, and if left untreated, it can endanger the bone structures that support the teeth as well as the gums.

Without routine dental appointments, symptoms might not be identified until there is moderate periodontitis.

Acute Periodontitis

The gums begin to pull away from the teeth as they get more inflammatory, creating what are known as periodontal "pockets." 

Infection results from food, bacteria, and plaque building up in the pockets. Both bacterial toxins and the immune system's reaction to an infection cause harm to the nearby bone.

Mild Periodontitis

As the infection progresses, periodontal symptoms worsen and potential discomfort arises. The gums recede more, teeth become looser, and more supporting bone is lost.

Chronic Periodontitis

Advanced periodontitis, a key factor in adult tooth loss, is characterized by uncomfortable abscesses that develop as a result of the infection extending below the gum line.

How is Gingivitis Treated?

The goal of treating gingivitis is to stop the infection and restore your teeth and gums to health. Your teeth will be completely cleaned by your dentist or periodontist to get rid of any harmful bacteria, plaque, or tartar. 

Other gingivitis remedies include:

Root planning and scaling:

Root planning and scaling are similar to a regular dental cleaning, this process gets further beneath your gums. 

Tartar and bacteria are removed via scaling. Your teeth's root surfaces are made smoother by planning, which keeps bacteria from adhering.

Better oral hygiene:

Better oral hygiene Gingivitis is often treated with a thorough dental cleaning. But once you get back home, you need to maintain the order. 

You'll pick up some tips on how to brush your teeth correctly and get assistance setting up checks.

Antimicrobial mouthwash: 

Rinsing with one of these products can help kill bacteria that cause illness.

Dental work repair: 

If a crown, filling, or bridge sticks out or doesn't fit well, your dentist may correct it or remove it. Surfaces with more lustre are simpler to keep clean.

How can I lower the risk of getting Gingivitis?

By maintaining good dental hygiene, you can lower your risk of developing gingivitis:

  • Brush your teeth properly twice a day, once in the morning and once in the evening.

  • If you have diabetes, take care of it.

  • Avoid using tobacco products or smoking.

  • To get rid of microorganisms between your teeth, floss daily.

  • Limit alcoholic and excessively sugary foods and beverages.

  • For checks, visit the dentist at least once a year, more frequently if you are experiencing any symptoms.

  • You may be more susceptible to having gum disease if you have family members who already have it. 

  • To stop gum disease, you could want extra exams and cleanings. Consult your dentist to determine the best teeth cleaning schedule for you.

Conclusion

The good news is that gingivitis can be reversed with early treatment. However, untreated gingivitis can develop into more severe gum disease. 

Early problem detection and treatment can save you a lot of time, stress, and money in the long run.

Gingivitis, the early stage of gum disease, can be prevented by practising good oral hygiene. Early detection and treatment of gingivitis can prevent lasting harm to your teeth and gums.

Instead of only visiting the dentist when you have a toothache or another dental problem, schedule regular cleanings and examinations.