Ulcerative gingivitis is almost never due to any violations of hygiene, microtraumas and the addition of an infection like catarrhal gingivitis.
The causes of ulcerative gingivitis are chronic poisoning with salts of heavy metals or deep immune disorders with autoimmune pathology, leukemia, sepsis, or AIDS.
Ulcerative gingivitis can develop in the absence of periodontitis and/or catarrhal gingivitis treatment. Sometimes ulcerative gingivitis suddenly complicates GI, angina, and influenza. Many authors note the etiological role of stress.
In a bacteriological study, the most commonly detected pathogenic gram-negative microflora.
Symptoms of ulcerative gingivitis
The disease begins vysipiskobrazno, with the rise of temperature and syndrome of general intoxication. The patient practically on the first day swells and become painful gums, eating difficult, swollen and react with pain to the nearest lymph nodes.
On the 2-3rd day there is a splitting of the epidermis in a place where the clear face of the tooth. At the site of detachment, multiple painful ulcers are formed. The bottom of the sores is dark or black - there are areas of dead tissues.
The severity of ulcerative gingivitis is determined by the prevalence of the process in the oral cavity and the depth of ulcerative lesions. Severe ulcerative gingivitis leads to the appearance of neck teeth and irreversible effects.
Diagnosis of ulcerative gingivitis
Clinical manifestations of the disease are obvious, so diagnostic errors are excluded. In the blood test, signs of acute inflammation are found: leukocytosis with shift to the left, increase of ESR. With severe impairment of immunity, sepsis, and AIDS, the blood pattern may change.
Of great importance in the prognostic plan and for treatment has a bacteriological analysis. For example, the appearance in the oral cavity of fuzopyrochette, ashenaceous ameb and trichomonads will seriously complicate treatment. Definition of the study of the sensitivity of the microflora to drugs allows for directed antibiotic therapy.
Treatment of ulcerative gingivitis
With ulcerative gingivitis, local treatment and general therapy are indicated. Local treatment should be performed in a dentist's office at a periodontal doctor.
- Initially gums are treated with antiseptics (hydrogen peroxide, rivanol, chlorhexidine, furatsilin and others). For the treatment of interdental gaps, resorting to the help of tourists.
- After application or infiltration anesthesia removes dental deposits.
- Depending on the condition of the ulcer and the microflora sensitivity, applications of proteolytic enzymes or antibiotic ointments are performed.
- Finish the local treatment by imposing hardening bandages.
- General therapy is carried out in a complex way, including preparations of several groups.
- Conduct antibiotic therapy with antibiotics and/or sulfanilamides, taking into account the sensitivity of the flora, usually injectable.
- Metronidazole is prescribed in the presence of trichomonads and in order to stimulate regeneration.
- Conduct desensitizing treatment.
- Assign multivitamins and immunomodulators.
In the recovery period, locally used sea buckthorn or hipster oil, metiluratsilovuyu ointment. For rinses you can use folk remedies (sage, camomile, St. John's wort, oak bark, and others).