Inflammation of the gums is also known as gingivitis. It is a very common inflammation that is mostly harmless. However, the onset of periodontal disease can also hide behind a seemingly harmless gum problem. Therefore, you should consult the dentist if a gum inflammation does not heal within a few days.
Our oral cavity is normally populated by around 500 different bacterial strains, which our immune system can easily keep in check in small concentrations. If oral hygiene is neglected, sticky plaques form in which the bacteria can multiply in large numbers. Bacterial toxins then lead to inflammation of the gums (gingivitis), which is usually noticeable by an increased tendency of the gums to bleed when brushing the teeth.
The main signs of gingivitis
- Gums bleed when you brush your teeth or when you bite an apple, for example
- Reddened, pain-sensitive edge of the gums
- Slight swelling at the gum line
- Bad breath
Factors that favor gingivitis (inflammation of the gums) are
- Inadequate oral hygiene, bacterial deposits (plaques) and tartar
- Badly adapted, protruding crown or filling margins
- Hiding places due to crooked or narrow teeth
- Hormonal changes: pregnancy, puberty, menopause
- General diseases such as diabetes, leukemia, disorders of the immune system
- Mucosal diseases such as lichen planus of the oral mucosa
- Certain medications, such as nifedipine (antihypertensive drugs)
- Hydantoin (anti-epileptic)
Cyclosporin (Sandimmun, immunosuppressant, suppresses the normal immune system and must be taken for life, e.g. after kidney transplantation or other organ transplants.)
A special form of gingivitis is gingival hyperplasia, which is characterized by gum growths. Gingival hyperplasia is often triggered by the above drugs, but most of the time the problem is exacerbated by poor oral hygiene and sometimes a genetic predisposition.