Gingivitis

Subject: Medical and Surgical Nursing I (Theory)

Overview

If the plaque is not cleared by thorough brushing and flossing, gingival irritation may result. Eventually, swelling separates the gingiva from the tooth by destroying the supporting tissue. Its causes include poor nutrition, bacterial plaque, and poor oral hygiene. Its signs include pain, swelling, bleeding gums, etc. It can be controlled with good oral hygiene and routine dental exams.

If the plaque is not cleared by thorough brushing and flossing, gingival irritation may result. Eventually, swelling separates the gingiva from the tooth by destroying the supporting tissue. The periodontal ligament and alveolar bone are also affected by the gum inflammation, which eventually destroys the teeth's supporting framework. As a result, the teeth become loose and may even fall out, depending on how severe the periodontal disease is.

Pathophysiology

Within 4 to 8 days of dental plaque formation, bacterial compounds and toxins produce an inflammatory reaction in the gingiva. Plaque-associated gingivitis has a structure that is predominantly made up of T cells and macrophages, and as a result, it behaves something like a controlled delayed type hypersensitivity reaction.

Causes:

  • Oral hygiene issues
  • Unsound nutrition
  • Plaque of bacteria

Clinical manifestation:

  • Pain
  • Swelling
  • Gum bleeding
  • Halitosis.

 Management:

  • Proper oral hygiene.
    • At least twice daily, gently brush the teeth with a toothbrush.
    • After each meal, rinse your mouth.
  • Regular dental check up.
    • Eschew sweets.
    • Every two months, change your toothbrush.
    • Eliminate irritants like plaque, calculus, and broken dentures.
    • Rinse with warm saline.
    • Management of pain
    • Observe the vital signs

References

  •  A Textbook of Adult Health Nursing (2nd ed.). Mandal, G. (August 2013). Dilllibazar kathmandu: Makalu publication house. Retrieved August 2013
  • healthline.com/health/gingivitis
  • mayoclinic.org/diseases-conditions/gingivitis/basics/definition/con-20021422
  • webmd.com › Oral Care › Guid
Things to remember
  • The periodontal ligament and alveolar bone are also affected by the gum inflammation, which eventually destroys the teeth's supporting framework.
  • Within 4 to 8 days of dental plaque accumulation, bacterial products and toxins cause an inflammatory response in the gingiva.
  • At least twice daily, gently brush the teeth with a toothbrush.
  • Every two months, change your toothbrush.
Questions and Answers

If the plaque is not cleared by thorough brushing and flossing, gingival irritation may result. Eventually, swelling separates the gingiva from the tooth by destroying the supporting tissue. The periodontal ligament and alveolar bone are also affected by the gum inflammation, which eventually destroys the teeth's supporting framework. Because of the severity of the periodontal disease, the teeth may become loose and fall out or necessitate extraction.

 

If the plaque is not removed by proper brushing and flossing, gingival inflammation may result. Eventually, swelling separates the gingiva from the tooth by destroying the supporting tissue. The periodontal ligament and alveolar bone are also affected by the gum inflammation, which eventually destroys the teeth's supporting framework. Because of the severity of the periodontal disease, the teeth may become loose and fall out or necessitate extraction.

Pathophysiology

Within 4 to 8 days of dental plaque accumulation, bacterial products and toxins cause an inflammatory response in the gingiva. Plaque-associated gingivitis has a structure that is primarily made up of T lymphocytes and macrophages, and as a result, it behaves somewhat like a controlled delayed type hypersensitivity response.

Causes

  • Poor oral hygiene,
  • Poor nutrition,
  • Bacterial plaque.

Clinical Manifestation:

  • Pain,
  • Swelling,
  • Gum bleeding,
  • Halitosis.

Management:

  • Proper oral hygiene.
    • Brush the tooth using soft brushes at least two times a day.
    • Rinse mouth after each meal.
  • Regular dental check up.
    • Avoid sweets.
    • Replace toothbrush every 2months.
    • Remove irritating factors such as plaque, calculus, and faulty dentures.
    • Use a warm saline rinse.
    • Pain management.
    • Monitor the vital signs.

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