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14.4

Gingivitis

Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 14, Oral and Maxillofacial Conditions.

Clinical Description

Acute or chronic inflammation of the gums caused by infection from the accumulation of bacteria plaque around the necks of the teeth.

Signs and Symptoms

  • Gum is red and swollen or puffy. Bleeds easily when touched. Diagnosis is mainly clinical.

Non-pharmacological

  • Reinforce oral hygiene practices, i.e., tooth brushing at least twice a day to remove plaque; in the morning after breakfast and in the evening before going to beds
  • Conventional therapy: scaling and cleaning to remove all tooth surface adherents

Pharmacological

  • Advice on saline mouth washes or other antiseptic mouth washes twice a day until symptoms resolve
  • Antibiotics are not indicated unless one has Acute Necrotizing Ulcerative

Gingivitis (ANUG)

  • (ANUG) or Linear Gingival Erythema (LGE)

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