Chronic gingivitis
I would like to ask the doctor, if I often feel that the tissue behind my teeth is slightly swollen, but it is not very noticeable externally, could it be chronic gingivitis? I don't experience bleeding while brushing, and there is not much pain; I can eat and bite without issues.
However, when I'm not eating, I can vaguely feel some sensation around the gums or tissue near my teeth.
Can this condition improve with dental hygiene? Thank you, doctor.
Vivi, 40~49 year old female. Ask Date: 2017/05/03
Dr. Huang Tingfang reply Dentistry
Dear Ms.
Vivi,
Hello! Essentially, maintaining oral hygiene is quite effective for chronic gingivitis.
If there is still some swelling in the gum tissue, an X-ray should be taken to check for any severe periodontal disease or bone issues.
Please communicate more with your dentist! Thank you! Wishing you peace!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2017/05/03
More Info
Chronic gingivitis is a common dental condition characterized by inflammation of the gums, often resulting from poor oral hygiene. It can lead to more severe periodontal disease if left untreated. Your description of feeling slight swelling in the gum tissue behind your teeth, without visible signs or significant pain, suggests that you may indeed be experiencing early signs of chronic gingivitis.
Symptoms of Chronic Gingivitis
1. Swelling and Inflammation: The gums may appear slightly swollen or feel tender, even if there is no visible redness or bleeding.
2. Sensitivity: You might experience discomfort or sensitivity in the gum area, especially when pressure is applied (e.g., during chewing).
3. Bad Breath: Chronic gingivitis can lead to persistent bad breath due to the buildup of bacteria in the mouth.
4. No Bleeding: Unlike acute gingivitis, chronic gingivitis may not always present with bleeding during brushing or flossing.
Causes
Chronic gingivitis is primarily caused by plaque buildup on the teeth. Plaque is a sticky film of bacteria that forms on teeth and can harden into tartar if not removed through regular brushing and flossing. Other factors that can contribute to chronic gingivitis include:
- Poor Oral Hygiene: Inadequate brushing and flossing can allow plaque to accumulate.
- Smoking: Tobacco use can impair gum health and healing.
- Hormonal Changes: Fluctuations in hormones, such as during puberty, menstruation, or pregnancy, can make gums more sensitive.
- Medical Conditions: Certain diseases, such as diabetes, can affect gum health.
- Nutritional Deficiencies: Lack of essential nutrients, particularly vitamin C, can lead to gum problems.
Dental Care Tips
1. Maintain Good Oral Hygiene: Brush your teeth at least twice a day with fluoride toothpaste and floss daily. This helps remove plaque and food particles from between the teeth and along the gum line.
2. Regular Dental Check-ups: Visit your dentist at least twice a year for professional cleanings and check-ups. Your dentist can identify early signs of gum disease and provide treatments as necessary.
3. Use Antimicrobial Mouthwash: An antimicrobial mouthwash can help reduce plaque and bacteria in the mouth, further aiding in gum health.
4. Healthy Diet: Eating a balanced diet rich in vitamins and minerals can support gum health. Foods high in vitamin C, such as citrus fruits, can be particularly beneficial.
5. Quit Smoking: If you smoke, seek help to quit. Smoking is a significant risk factor for gum disease.
6. Stay Hydrated: Drinking plenty of water helps wash away food particles and bacteria, reducing the risk of plaque buildup.
Conclusion
While your current symptoms may not seem severe, they are worth monitoring. Maintaining good oral hygiene practices can significantly improve your gum health and potentially reverse early signs of gingivitis. If you notice any changes, such as increased swelling, bleeding, or pain, it is essential to consult with your dentist for a thorough evaluation and appropriate treatment. Early intervention can prevent the progression of gum disease and maintain your overall oral health.
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