1. Food stagnation (soft sticky) Badly restored filling
Gingivitis
Inflammation of gingival tissues commonly associated with dental plaque & calculus
Acute gingivitis
Causes: Local
Poor dental hygiene
Food stagnation (soft sticky)
Badly restored filling
Prosthesis - Orthodontic appliance
Mouth breathers
Trauma/ Traumatic bite
Infection
Dr S Chakradhar

2. Vitamin deficiency: Vit C , Vit B2, Vit A Hormonal effect Pregnancy
General causes
Vitamin deficiency: Vit C , Vit B2, Vit A
Hormonal effect
Pregnancy
Puberty
Systemic diseases: DM, TB, severe anemia and leukemia, HIV
Drugs: nifedipine, phenytoin, OCP
Dr S Chakradhar

3. Acute necrotising ulcerative gingivitis Herpetic gingivitis
Types
Acute necrotising ulcerative gingivitis
Herpetic gingivitis
Nonspecific gingivitis
Leukemic gingivitis
Dr S Chakradhar

4. ANUG Etiology Predisposing factors Borellia vincenti Fusiform bacilli
Smoking
Poor oral hygiene
Alcohol
Immunocompromised condition
Dr S Chakradhar

5. Fever, malaise and enlarge cervical LN
Clinical features
Pain
Ulcer
Bleeding
Salivation
Halitosis
Metallic taste
Fever, malaise and enlarge cervical LN
Dr S Chakradhar

6. Maintaining oral hygiene Prevention of plaque & Calculus
Management
Maintaining oral hygiene
Prevention of plaque & Calculus
Wash the lesion with 3% Hydrogen peroxide
Paint with 10% chromic acid gel
Advice antiseptic mouthwash eg 0.2% chlorhexidine
Analgesics as needed
Metronidazole 400mg PO TDS for 7 days
Dr S Chakradhar

7. Acute herpetic gingivitis
Caused by Herpes simlex virus, Herpes labialis
Occurs usually in children of 3 to 6 yrs
Clinical features
Small painful vesicles
Ulcer
May involve the lip, cheeks, tongue and palate
Halitosis
Fever, enlarged LN
Dr S Chakradhar

8. Maintaining oral hygiene Prevention of plaque & Calculus
Management
Maintaining oral hygiene
Prevention of plaque & Calculus
Self limiting disease (1 or 2 weeks)
Bed rest
Soft diet
Analgesics
Tetracycline mouth wash
250mg in 30ml water 6hrly
Dr S Chakradhar

9. Acute non specific gingivitis
Probably due to overgrowth of normal bacteria
Cl/F similar with pain and swelling of gums
Bleeds on probing and pus may also be seen
Treat by H2O2 wash
Advise proper oral hygiene
Dr S Chakradhar

10. Plaque and calculus around gingival margin
Chronic gingivitis
Causes
Plaque and calculus around gingival margin
Mouth breathers and incompetent lip seal
Traumatic bite
Inadequate treatment of acute gingivitis
Dr S Chakradhar

11. Usually complain that 'gums bleed on brushing‘
Clinical features
The classic triad of redness, swelling, and bleeding on gentle probing are diagnostic
Usually complain that 'gums bleed on brushing‘
Color change: from pink to beefy red/purple
Gingival pockets
Dr S Chakradhar

12. Oral hygiene maintenance
Treatment
Oral hygiene maintenance
Brushing
Mouthwash
Regular scaling
Gingivoplasty / Gingivectomy
Antibiotics: tetracycline
Dr S Chakradhar