Chronic gingivitis

IMI Clinic

Gingivitis and periodontitis

Gingivitis is an inflammatory process of the tissues surrounding the tooth caused by the presence of plaque and tartar, which is mainly due to poor or insufficient oral hygiene.

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The symptoms of gingivitis include bleeding when brushing or flossing your teeth and redness of the gums. The bleeding is due to the constant contact between the gums and the acids produced by plaque’s bacterial colonies: a film that forms on the teeth’s surface once it has been colonised by germs and bacteria.

If bacterial plaque is not removed with a correct oral hygiene, then tartar starts to form; a very hard build up generated by mineralization.

Tartar can be removed only by professional hygiene methods and, if it penetrates below the gums, it can lead to the formation of periodontal pockets, which are very dangerous. Such pockets, in fact, can lead to periodontitis – a severe pathology that destroys the tissues supporting the tooth, leading to tooth loss.

When the inflammation of the gums is not treated adequately, it becomes chronic and the symptoms of periodontitis develop.

Often times, in fact, many people ignore the first symptoms, and choose to visit their dentist only when the symptoms are evident and gingivitis has become chronic.

Symptoms of chronic gingivitis include:

  • Frequent bleeding of the gums;
  • Receding gums;
  • Tooth movement and mobility;
  • Festering discharge
  • Halitosis

chronic-gingivitisIt is important to point out that there are factors that favour the insurgence of chronic gingivitis, or, however, worsen the situation. Among these, besides an insufficient oral hygiene, there is the collapse of immune defences, which can be a consequence of a number of immune system pathologies, diabetes, smoking and the use of pharmaceuticals, such as corticosteroids.

When suffering from chronic gingivitis, it is necessary to undergo a professional dental visit as soon as possible, in order to have a complete diagnosis and evaluation of the situation and define a prompt plan of action to avoid further problems.

The dentist will proceed to treat the interested area and eliminate potential bacterial pockets, and, if necessary, will proceed to reconstruct parts of the teeth that may have been destroyed.

Therefore, it will be necessary to take antibiotics to eliminate the local infection.

In order to prevent a new insurgence of chronic gingivitis, it is necessary to visit the dentist periodically, based on the timeline established by the dentist. It is fundamental to have a correct oral hygiene, brushing and flossing your teeth regularly, and using a mouthwash with chlorhexidine.

It is also important to follow some specific dietary rules: foods high in sugar content must be avoided, while raw and crunchy foods such as apples, carrots and celery are to be preferred, since chewing these products can maintain your teeth clean and eliminate plaque, as well as massage your gums.

Finally, it is important to point out that all cases of gingivitis can evolve and become systemic – this is very dangerous, since the bacteria can migrate from the mouth to other parts of the body, quashing the functionality of some organs.


Do you suffer from gingivitis, or believe you may be suffering from gingivitis? Then contact IMI Clinic’s specialists immediately to receive a personalised consultation.

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