Gingivitis: Symptoms, Diagnosis, and Treatment Options

The issue of gingivitis?

I would like to ask the doctor, previously I felt swelling near the last tooth in the upper right row, so I went to see a dentist for an examination.
After taking X-rays, no significant issues were found.
However, when the dentist used a probe to touch the front of the last tooth's crown, there was slight bleeding.
The nerve of this tooth has not been extracted, and the dentist mentioned that the gum and tooth are slightly separated, which normally should be tight.
I was advised to use a soft-bristled toothbrush.
If the condition persists, the dentist suggested that the crown may need to be removed for further examination.
He diagnosed me with gingivitis.
I would like to inquire, as I do not experience pain and have no issues while eating, but sometimes I feel something when I am not eating.
Will consistent brushing improve this condition, or should the crown be removed for inspection? Thank you for your patient response, doctor.

vivi, 40~49 year old female. Ask Date: 2017/06/12

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Vivi,
Hello! As the doctor mentioned, please focus on maintaining good oral hygiene.
If that improves the situation, then it's fine! It may be a periodontal issue; if problems persist, we may need to remove the braces.
There could be cavities under the braces! Please communicate frequently with your doctor.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2017/06/12

More Info

Gingivitis is a common and mild form of gum disease (periodontal disease) that causes irritation, redness, and swelling (inflammation) of the gingiva, the part of your gum around the base of your teeth. It is often caused by poor oral hygiene that encourages plaque to form on teeth, leading to inflammation of the surrounding gum tissues. If left untreated, gingivitis can advance to more serious gum disease, which can result in tooth loss.

Symptoms of Gingivitis
The symptoms of gingivitis can vary, but they typically include:
- Swollen or puffy gums
- Bright red or dark red gums
- Gums that bleed easily when brushing or flossing
- Bad breath (halitosis)
- Receding gums
- Tenderness in the gums
In your case, the swelling near your last upper right tooth and the bleeding when the dentist probed the area are indicative of gingivitis. The fact that you do not experience pain while eating is not uncommon, as gingivitis can often be painless, especially in its early stages.

Diagnosis
Diagnosis of gingivitis typically involves a dental examination where the dentist will look for signs of gum inflammation and may use a probe to measure the depth of the pockets between your teeth and gums. X-rays may also be taken to check for bone loss or other issues.

Treatment Options
The treatment for gingivitis primarily focuses on improving oral hygiene to remove plaque and tartar buildup. Here are some common treatment options:
1. Professional Cleaning: A dental hygienist will perform a thorough cleaning of your teeth, removing plaque and tartar from above and below the gum line. This is often the most effective way to treat gingivitis.

2. Improved Oral Hygiene: Following the professional cleaning, it is crucial to maintain good oral hygiene at home. This includes:
- Brushing your teeth at least twice a day with fluoride toothpaste.

- Flossing daily to remove plaque from between the teeth and below the gum line.

- Using an antibacterial mouthwash to help reduce plaque and bacteria.

3. Regular Dental Check-ups: Regular visits to the dentist (typically every six months) are essential for monitoring your gum health and catching any issues early.

4. Possible Further Treatment: If your gingivitis does not improve with these measures, your dentist may recommend further treatment, which could include scaling and root planing (a deep cleaning procedure) or, in some cases, surgical interventions.

Your Situation
Given your description, it sounds like you are in the early stages of gingivitis. The dentist's recommendation to use a soft-bristled toothbrush is appropriate, as it can help minimize irritation to your gums while you brush. Continuing to maintain good oral hygiene practices at home is crucial. If you notice that the condition does not improve or worsens, it may be necessary to return to your dentist for further evaluation, which could include removing the crown to assess the underlying tooth and gum health.

In summary, while your symptoms may not be severe at this point, it is essential to take gingivitis seriously. With proper care and attention, you can reverse the condition and maintain healthy gums. If you have any concerns or if symptoms persist, do not hesitate to consult your dentist for further advice and treatment options.

Similar Q&A

Understanding Gum Bleeding: Causes, Treatments, and Dental Care Tips

Bleeding gums during brushing or flossing, as well as bad breath, can be indicative of periodontal disease. Periodontal disease should be treated through a combination of professional dental cleanings, improved oral hygiene practices, and possibly antimicrobial treatments. It is ...

Dr. Zeng Guanghui reply Dentistry
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following advice: Bleeding gums during brushing or flossing can be a sign of gingivitis or periodontal disease, indicating that bacteria or infection in the oral cavity is causing infla...

Understanding Gum Recession and Oral Mucosa Issues: A Patient's Guide

Hello, doctor. I've been experiencing persistent oral issues lately that are quite troubling. 1. I have noticeable signs of gum recession. I visited a dentist twice last September, and they both said my gums were fine and not receding. However, in November, I saw another d...

Dr. Zeng Guanghui reply Dentistry
1. Gingival inflammation and recession are generally early symptoms of periodontal disease; it is advisable to consult a dentist for further treatment. 2. Persistent white patches in the oral mucosa may indicate mucosal inflammation or an immune issue; it is recommended to see an...

Understanding Swollen Gums: Causes, Symptoms, and Treatment Options

The gums on the lower jaw appear swollen, and there is some slight whitening at the bottom. I've been feeling a tingling sensation for three days now, and despite brushing my teeth after every meal, the condition has not improved.

Dr. Huang Zhicheng reply Dentistry
Hello, the most common cause of swollen and painful gums is poor oral hygiene. In addition to regular oral care, which includes brushing and flossing, it is also crucial to have a comprehensive dental cleaning every six months to maintain oral health. It is advisable to seek assi...

Understanding Gum Issues: Pain, Bleeding, and Treatment Options

There is a white area on the outer side of my gums that hurts when toothpaste touches it. Occasionally, there is slight bleeding, and it also hurts when I don't eat or drink and accidentally touch the sore. The symptoms have been present for about a week. I visited the denti...

Dr. Lin Jiayong reply Dentistry
Hello, the recurrent canker sores you are experiencing may be due to generally low immunity. It is recommended to maintain a positive mood, follow a regular routine, and avoid excessive irritation to the affected area. They should heal on their own in about 1 to 2 weeks. Please r...