Gum inflammation or gingivitis

Gum inflammation, also known as gingivitis, is the most common form of soft tissue disease around the teeth. It usually develops due to the buildup of plaque, tartar, and bacteria, and if left untreated, it can progress to periodontitis - leading to gum recession and eventual tooth loss.
 
gum inflammation

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Why treat gingivitis at Centrodent?

Every case of gum inflammation has an underlying cause. While bleeding can be temporarily stopped, if the root cause isn’t identified, the inflammation will keep returning.
At Centrodent, we don’t just treat the symptoms, we look for the source of the problem and address gingivitis at its root.
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What is gingivitis?

Gingivitis is the early stage of gum inflammation that occurs when bacteria begin to accumulate on the surfaces of the teeth and along the gumline, forming plaque, a sticky bacterial film. Plaque irritates the gums, causing redness, swelling, and occasional bleeding, especially during brushing or flossing. If plaque isn’t regularly removed through proper brushing, it can harden into tartar, which further irritates the gums and increases the risk of inflammation.
 
Inflamed gums are often the first sign that the body is alerting you to a deeper issue within the oral cavity. Although gingivitis affects only the superficial gum tissue and does not yet involve the deeper supporting structures of the teeth, it’s important to understand that it can worsen if left untreated. Without timely intervention, gingivitis can progress into periodontitis, a more serious condition that damages the tooth’s supporting tissues and can eventually lead to tooth looseness and loss.
 
A dentist diagnoses gingivitis through a clinical examination of the teeth and gums. Treatment involves removing bacterial plaque and tartar with professional cleaning and helping the patient adopt proper oral hygiene habits. If you notice signs of gum inflammation, it’s important to seek professional help early to prevent the condition from advancing.
 

Causes of gingivitis

The most common causes of gum inflammation include:
  • Poor oral hygiene: Inadequate brushing and flossing allow bacteria to multiply.
  • Smoking: Smoking reduces blood flow to the gums, increasing the risk of gingivitis.
  • Unbalanced diet: A lack of certain nutrients can weaken the immune response in the gums.
  • Genetics: Some individuals are genetically predisposed to greater sensitivity to gingivitis.
  • Medical conditions: Diabetes and other health issues can increase the risk of gum inflammation.
Many risk factors such as oral hygiene, smoking and nutrition, are within our control, meaning we can actively reduce the risk of developing gingivitis through healthy habits.
 

Diagnosis, treatment, and prevention of gingivitis

Diagnosing gingivitis: Gingivitis is often detected during routine dental check-ups, where the dentist evaluates the condition of your gums, carefully looking for signs of redness, swelling, or bleeding. In some cases, additional tests such as dental X-rays may be recommended to assess the tissues beneath the gumline in more detail.
 
Treatment of gum inflammation:

Professional tartar removal: The dentist will remove plaque and tartar to reduce inflammation.
Improved oral hygiene: Regular brushing, flossing, and the use of antibacterial products can help control gingivitis.
Proper nutrition: A balanced diet rich in vitamins and minerals strengthens the immune system and supports gum health.
Antibacterial mouth rinses: The dentist may recommend special rinses or gels with antibacterial properties.
 
Preventing gingivitis involves regular dental visits for early detection, thorough daily oral hygiene with brushing and flossing, and a healthy lifestyle - avoiding smoking, eating a balanced diet, and keeping blood sugar levels under control.
 

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Bleeding gums

Bleeding gums are often noticed while brushing or flossing, and in more severe cases, they may even bleed during eating. When the bristles of a toothbrush penetrate through the damaged connective tissue of the gums, they can reach the periodontal ligament, which contains delicate blood vessels - causing bleeding. In cases of stronger inflammatory responses, increased blood flow in the periodontal ligament can lead to heavier bleeding.
 
Patients often avoid thoroughly brushing around the gumline out of fear they’ll make the bleeding worse. However, poor oral hygiene allows plaque and tartar to accumulate, which only worsens gum inflammation. It's very important to visit the dentist at least once or twice a year for professional tartar removal, which helps prevent plaque buildup and the progression of gingivitis.
 
Gingivitis can also develop as a side effect of certain medications that promote gum overgrowth. This is most common with drugs like phenytoin (for epilepsy), nifedipine (for blood pressure and heart rhythm), and cyclosporine (used to prevent organ transplant rejection). While the medications themselves don’t cause gingivitis, overgrown gum tissue makes plaque removal around the tooth neck more difficult, leading to increased inflammation and bleeding.
 

Common questions about gum inflammation

The duration of gum inflammation depends on the cause and how quickly you respond to the symptoms.

In mild cases, symptoms may subside within a few days to a week with improved oral hygiene.

However, gingivitis can recur, especially if the underlying cause hasn’t been properly addressed.

If you notice repeated inflammation in the same area, such as above a tooth with a dental crown, it could indicate a problem beneath the crown (such as a root infection or hidden decay), which requires a thorough dental evaluation and appropriate treatment.

In such cases, we recommend visiting your dentist as soon as possible to prevent further complications.
 

Gum inflammation under a dental bridge is a common issue, most often caused by difficulty maintaining proper oral hygiene.

Food and bacteria easily become trapped between the bridge and the gum, leading to irritation, redness, and discomfort.

We recommend using a water flosser regularly to keep the area under the bridge clean. A water flosser effectively removes food debris and helps reduce the risk of inflammation.

If the inflammation persists or keeps coming back, it's important to see your dentist. The cause could be decay beneath the bridge or an infection in the supporting tooth.

Early detection of the problem helps prevent more serious complications.
 

What are the most common causes of gum inflammation?

Poor and insufficient oral hygiene
Plaque builds up along the gumline, triggering inflammation.

Plaque and tartar buildup
If plaque isn't removed, it hardens into tartar, which further irritates the gums.

Smoking
Reduces oxygen flow to the tissues and weakens the gums’ natural defense mechanisms.

Hormonal changes (e.g. pregnancy, puberty, menopause)
Fluctuating hormone levels can increase the gums’ sensitivity to irritation.

Chronic diseases such as diabetes
Increase susceptibility to infections and slow down healing of inflamed tissue.

Poor nutrition and high stress
Weaken the immune system and reduce the body’s ability to fight off inflammation.

Long-term use of certain medications
Some drugs can cause gum overgrowth, making hygiene more difficult and inflammation more likely.
 

Certain medications can affect gum health by causing overgrowth, dry mouth, or reducing the ability to properly clean around the teeth.

The most common groups of medications associated with gum inflammation include:

- Antiepileptics (e.g. phenytoin) - may cause gum overgrowth (hyperplasia)
- Immunosuppressants (e.g. cyclosporine) - used after organ transplants and can also lead to excessive gum tissue growth
- Calcium channel blockers (e.g. amlodipine, nifedipine) - used to treat high blood pressure, known for a similar effect
- Antihistamines, antidepressants, and some anti-anxiety medications - may cause dry mouth, increasing the risk of gum inflammation
- Oral contraceptives and hormone therapy - may heighten gum sensitivity to plaque in certain individuals

It’s important to note that these side effects don’t occur in every person, but if there’s suspicion that a medication is affecting the gums, your dentist should be able to recognize and assess it.

That’s why we take a detailed medical history from all our patients and update it annually, to detect any signs linked to general health conditions or ongoing therapies in a timely manner.
 

The difference between the terms "gums" and "gingiva" mainly comes down to language use, level of expertise, and the context in which they're used.

In everyday conversation among patients, the word “gums” is more commonly used, it’s shorter, familiar, and widely understood. However, in professional communication, especially in dentistry and medicine, the term “gingiva” or “gum tissue” is preferred, as it is more precise and clinically neutral.

It’s important to highlight that the term “gingiva” more clearly describes the tissue in question - it refers to the soft tissue surrounding the teeth and covering the alveolar bone, which plays a vital protective, structural, and immune role.

While the word “gums” may sound informal or a bit vague, using “gum tissue” in communication with patients and in educational materials helps avoid ambiguity and ensures clarity and professionalism.
 

Swollen gums are most often a sign of inflammation in the oral cavity and should not be ignored.

The cause may be the buildup of bacteria due to poor oral hygiene, but it can also indicate deeper problems such as tooth decay, periodontal disease, or a retained tooth root.

Gum swelling can also result from poorly made or incorrectly placed dental restorations.

These conditions require professional evaluation, as untreated gum inflammation can lead to more serious complications, including gum recession and tooth loss.

If you notice swollen gums, pain, redness, or bleeding, it’s important to consult your dentist promptly. Timely treatment is essential for preserving the health of your teeth and supporting tissues.
 

Inflamed gums are most commonly recognized by redness, swelling, and mild to moderate bleeding when brushing or flossing.

Some patients also experience slight discomfort, sensitivity, or a throbbing sensation in the gum area. Persistent bad breath, even after regular brushing, is another common sign.

When gums are inflamed, they may appear shiny, tight, or begin to recede from the tooth surface, making the spaces between teeth appear deeper.

It’s important to know that inflamed gums won’t heal on their own. Even if the symptoms seem mild, this is the early stage of inflammation that, if left untreated, can progress into a more serious condition - periodontitis.

Timely diagnosis and simple treatment at this stage can stop the disease from advancing and help preserve the long-term health of your gums and supporting tooth structures.

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