How is gingivitis treated?

Updated: Jan 18, 2018
  • Author: James M Stephen, MD, FAAEM, FACEP; Chief Editor: Jeff Burgess, DDS, MSD  more...
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Answer

See the list below:

  • In simple chronic gingivitis, ED intervention is not needed.

  • In ANUG, patients usually only need pain management in the ED.

  • If signs of systemic infection (eg, fever, sepsis) or progression to gangrenous stomatitis (noma) with soft tissue or bone destruction are present, then patients will need intravenous antibiotics, and possibly imaging of the affected areas, but this complication is exceedingly rare.

  • Proper oral hygiene (including brushing and flossing) should be stressed. The patient should be referred to a dentist or periodontist.

  • General measures

    • Remove irritating factors such as plaque, calculus, and faulty dentures.

    • Use a warm saline rinse.


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