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Gingivitis

Karlynn Sievers, MD and Sheila O. Stille, DMD Reviewed 06/2019
 


BASICS

DESCRIPTION

Gingivitis is a reversible form of inflammation of the gingiva. It is a mild form of periodontal disease. Classification includes the following: 
  • Plaque induced

  • Not plaque induced (bac...

DIAGNOSIS

HISTORY

  • Gingival erythema, edema, and bleeding

  • Gingiva is tender to touch but otherwise painless.

  • Bleeding of gingiva when brushing, flossing, or eating

  • Inquire about HIV risk, pregnancy, nutrit...

TREATMENT

GENERAL MEASURES

  • Stop any contributing medications.

  • Remove irritating factors (plaque, calculus, faulty dental restorations, or partial dentures).

  • Good oral hygiene (see “General Prevention”)

  • Re...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Outpatient

  • No restrictions

Patient Monitoring

Until clear; dental follow-up for continued cleanings and secondary prevention 

DIET

  • Well-balanced diet that includes fru...

REFERENCES

1
Eke PI, Thornton-Evans GO, Wei L, et al. Periodontitis in US adults: National Health and Nutrition Examination Survey 2009–2014. J Am Dent Assoc.  2018;149(7):576–588.e6. [View Abstra...

ADDITIONAL READING

  • Aarabi G, Heydecke G, Seedorf U. Roles of oral infections in the pathomechanism of atherosclerosis. Int J Mol Sci.  2018;19(7):E1978. [View Abstract on OvidMedline]

  • James P, Wor...

CODES

ICD10

  • K05.10 Chronic gingivitis, plaque induced

  • K05.11 Chronic gingivitis, non-plaque induced

  • K05.00 Acute gingivitis, plaque induced

  • K05.01 Acute gingivitis, non-plaque induced

  • A69.1 Other Vincent’s...

CLINICAL PEARLS

  • Gingivitis may be prevented and treated with regular dental cleanings, good oral hygiene, and use of certain mouth rinses including chlorhexidine.

  • Untreated, gingivitis may progress to ...

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