Uncomplicated gingivitis

K05.0/K05.1

DESCRIPTION

An inflammation of the gum margin causing the gums to separate from the teeth.
Pockets (recesses) form between the gums and the teeth.
Pus and bacteria can collect in these pockets, eventually causing periodontitis. See: Periodontitis.

Characteristics of the uncomplicated gingivitis:

  • may be painful
  • redness
  • bleeding
  • swollen gums
  • gum recession may occur

PROPHYLAXIS AND GENERAL MEASURES

Oral hygiene is usually adequate to prevent superficial mouth and gum infection:

  • Oral hygiene after each meal to remove plaque and food debris.
  • Brush teeth twice daily.
  • Floss teeth at least once daily.
  • Rinse mouth with homemade salt mouthwash for one minute twice daily (i.e. 1/2 medicine measure of table salt in a glass of lukewarm water).

MEDICINE TREATMENT

Brush, floss, rinse mouth with water and then rinse with:

  • Chlorhexidine 0.2%, 15 mL as a mouthwash, twice daily, after brushing teeth, for 5 days
    • Do not swallow
    • Note: Do not eat or drink immediately after this.

Pain:

Children

Adults

  • Paracetamol, oral, 1 g 4–6 hourly when required.
    • Maximum dose: 15 mg/kg/dose.
    • Maximum dose: 4 g in 24 hours.