The teeth and gums are separated

When the gums become inflamed, the teeth and gums will separate, leading to local tissue necrosis and even ulcers. Therefore, you need to find the inflammation first and treat it accordingly. Do not deliberately delay the condition or fail to cure it, which will cause the condition to recur and may even cause unnecessary trouble.

treat

In the acute phase, first remove necrotic tissue and scrape off large pieces of tartar, apply 3% hydrogen peroxide solution for local rinse, apply iodine glycerin to the gingival sulcus, take metronidazole orally, and take vitamin C complex. For chronic patients, in addition to eliminating the cause and controlling the disease, gingivoplasty is performed on abnormal gingival shape, or revision surgery is performed to correct plaque and prevent recurrence.

Clinical manifestations

1. Acute necrotizing ulcerative gingivitis

Necrosis of the interdental papillae and marginal gingiva can be seen, which are easy to bleed and painful, and have typical putrefactive halitosis. Smear microscopy showed a large number of fusobacteria and spirochetes.

2. Gingivopapillitis

The local gingival papillae are red and swollen, and bleed easily when touched or sucked. There may be spontaneous swelling and tenderness.

3. Acute multiple gingival abscesses

The onset is acute, with prodromal discomfort symptoms such as fatigue and fever. In the early stage of the disease, the gingival papillae are bright red and swollen, and then small abscesses are formed from the redness, swelling and throbbing pain, which rupture on their own after a few days. The course of the disease is 1 to 2 weeks.

4. Simple gingivitis

The subjective symptoms are not obvious. Gingivitis is limited to the free gingiva and gingival papillae, which are red, edematous and soft, not attached to the tooth surface, and easily bleed upon palpation.

5. Adolescent gingivitis

It is more common in the front teeth, with congested and soft gingival margins, easy bleeding, and spherical protrusions between the teeth. After puberty, inflammation can be relieved by removing the local factors.

6. Pregnancy gingivitis

Generally, mild gingivitis occurs before pregnancy. Symptoms begin to appear in the second or third month of pregnancy and reach a peak in the eighth month. Two months after delivery, gingivitis can be largely resolved to the pre-pregnancy level. Examination showed that the gums were bright red, soft and shiny, bleed easily when touched, and were generally painless.