Gingivitis ("inflammation of the gum tissue") is a non-destructive periodontal disease. The most common form of gingivitis, and the most common form of periodontal disease overall, is in response to bacterial biofilms (also called plaque) adherent to tooth surfaces, termed plaque-induced gingivitis. Gingivitis is reversible with good oral hygiene. However, in the absence of treatment, or if not controlled, gingivitis can progress to periodontitis, where the inflammation results in tissue destruction and alveolar bone resorption, which can ultimately lead to tooth loss.
While in some sites or individuals gingivitis never progresses to periodontitis, data indicate that periodontitis is always preceded by gingivitis. The symptoms of gingivitis are somewhat non-specific and manifest in the gum tissue as the classic signs of inflammation:
Additionally, the stippling that normally exists on the gum tissue of some individuals will often disappear and the gums may appear shiny when the gum tissue becomes swollen and stretched over the inflamed underlying connective tissue. The accumulation may also emit an unpleasant odor. When the gingiva are swollen, the epithelial lining of the gingival crevice becomes ulcerated and the gums will bleed more easily with even gentle brushing, and especially when flossing.
Risk factors associated with gingivitis are:
Prevention - Gingivitis can be prevented through regular oral hygiene that includes daily brushing and flossing. Hydrogen peroxide, saline, alcohol or chlorhexidine mouth washes may also be employed. Rigorous plaque control programs along with periodontal scaling and curettage also have proved to be helpful.