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

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

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

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

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

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

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

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

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

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

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

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