3210 Gingivitis: Calcium Channel Blockers (Drugs Used To Treat High Blood Pressure) Can Also Induce Gingivitis

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Reviewed on 2006-10-06 Copyright Reserved Page 1 of 2

3210

Gingivitis

Gingivitis is an inflammation of the gums that can cause redness, discomfort, swelling,
watery discharge and bleeding. Gingivitis causes the gums to become deformed, with the
crevice between the gums and teeth deepening and forming pockets. This common condition
is classified as acute, chronic or recurrent. If the condition has lasted only a week or more, it
is called acute gingivitis. Otherwise, it is called chronic gingivitis.

The most common cause of gingivitis is poor dental hygiene; allowing bacterial plaque to
accumulate on the surfaces of the teeth is the primary cause of this condition. Tartar
(calcified plaque) formation, crooked teeth (malocclusion), food stuck between teeth, mouth
breathing due to a chronic blocked nose, and improperly fitting dentures and dental
appliances are also thought to play a role in the development of gingivitis.

The incidence of gingivitis is quite high among all age groups; about 80% of those over 45
years of age have this condition. Many people develop gingivitis during puberty, pregnancy
or menopause. Those with diabetes or leukaemia are also particularly prone to suffer from
gingivitis. Cyclosporine (an immunosuppressive drug), Dilantin, (an anti-epileptic drug) and
calcium channel blockers (drugs used to treat high blood pressure) can also induce gingivitis
in some individuals.

Symptoms of gingivitis include inflammation and swelling of the gums, and a tendency for
the gums to bleed when you brush your teeth or chew. Gingivitis is usually not painful in the
early stages. In latter stages the pain that develops usually prompts a visit to the dentist. By
this time, however, the disease will be more painful and difficult to treat than if it had been
detected early.

Practicing proper dental hygiene can help prevent gingivitis or its recurrence.
Brush your teeth thoroughly at least twice a day and after eating, when possible.
Use a soft-bristled brush, and replace it every three to four months.
Use a fluoride toothpaste.
Floss daily.
Avoid sweets.

Regular dental check-ups can provide early detection of gingivitis, and are very important in
the diagnosis of this infection. Failure to have regular dental check-ups may allow gingivitis
to reach an advanced stage.

Have your teeth cleaned professionally every six to 12 months. If you have a condition that
makes you a likely candidate for gingivitis (such as diabetes or leukaemia), or if you have a
tendency to develop plaque and tartar build-up, more frequent cleaning may be advisable.

If you do develop gingivitis, your dentist will begin treatment by cleaning your teeth and
removing plaque and tartar. The process of damage repair may include scaling, replacing
damaged fillings, correcting poorly fitting dentures and straightening crooked teeth. In cases
where infection or abscess is found, antibiotic therapy may be necessary. In advanced cases,

surgical removal of excess gum tissue may be required. Gingivitis usually responds well to
treatment, and practicing good dental hygiene can help prevent recurrence.
Reviewed on 2006-10-06 Copyright Reserved Page 2 of 2


Call your dentist if . . .
You have symptoms suggestive of gingivitis such as bleeding gums, swollen gums or a bad
breath. Untreated gingivitis can lead to pyorrhoea (periodontitis), a condition that is much
more serious than gingivitis. Pyorrhoea affects structures that support the teeth, and can result
in tooth loss.

If you experience signs and symptoms of an abscess, such as pain, difficulty chewing,
foul-tasting discharge, fever or swollen lymph nodes, call your dentist right away.

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