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Gingivitis
Gingivitis is defined by the ADA as an inflammation of gingival tissue without loss of connective tissue.1 It is the mildest form of periodontal disease, caused by a build-up of bacteria-containing plaque, which irritates and inflames the gums. While gingivitis is commonly caused by inadequate oral hygiene, other factors can include stress, poor nutrition, puberty, pregnancy, HIV infection, diabetes, alcohol abuse, smoking and use of certain medications.2 Approximately 50 percent of the U.S. population has gingivitis on at least six teeth.3

Dental professionals are very likely familiar with the symptoms of gingivitis, which include red, swollen and/or bleeding gums. Yet professionals also know gingivitis can be reversed2 with professional cleaning, patient education in proper oral hygiene regimens, and follow-up care.4

So how can dental professionals guide their patients in proper plaque prevention at home, and help reduce the chance of gingivitis? The ADA recommends that patients eat a balanced diet, brush twice daily with an ADA-accepted fluoride dentrifice, and clean between teeth each day with an interdental cleaner or floss.5

It should also be noted that while recent studies have indicated that using a therapeutic antimicrobial mouthrinse can be an effective way for patients to reduce the plaque build-up that causes gingivitis,6,7 at this time, the ADA does not recommend that patients use such a rinse in place of flossing. Flossing—and brushing with an ADA-approved fluoride toothpaste—remain the recommended approach for patients to maintain good oral hygiene at home.5

There are a number of ADA-approved fluoride toothpastes available that dental professionals can recommend to their patients. One is Aquafresh®, which has been clinically proven to fight cavities, help remove plaque and freshen breath. For more information on Aquafresh, click here.

And for more information on the clinicals and research, continuing education and journal resources associated with gingivitis, click a topic at right.

Sources:

  1. ADA glossary. http://www.ada.org/public/resources/glossary.asp#g
  2. American Academy of Periodontology. What is gingivitis? http://www.perio.org/consumer/gingivitis.htm
  3. Greenstein G. Nonsurgical periodontal therapy in 2000: A literature review. J Am Dent Assoc. 2000. 131:11. 1580-01592. http://jada.ada.org/cgi/content/full/131/11/1580
  4. Slots J, Jorgensen MG. Efficient antimicrobial treatment in periodontal maintenance care. J Am Dent Assoc. 2000. 131: 9. 1293-1304. http://jada.ada.org/cgi/content/full/131/9/1293
  5. American Dental Association. Oral Health Topics: Cleaning Your Teeth and Gums (Oral Hygiene). http://www.ada.org/public/topics/cleaning.asp
  6. Barnett, ML. The role of therapeutic antimicrobial mouthrinses in clinical practice. J Am Dent Assoc. 2003. 134: 6. 699-704. http://jada.ada.org/cgi/content/full/134/6/699
  7. Sharma, N, et al. Adjunctive benefit of an essential oil-containing mouthrinse in reducing plaque and gingivitis in patients who brush and floss regularly. J Am Dent Assoc, Vol 135, No 4, 496-504. http://jada.ada.org/cgi/content/full/135/4/496
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