During childhood a variety of biological changes occur in the process of natural removal of primary dentition and the development of permanent dentition and this can be the main cause for the occurrence of Gingivitis. The main cause for the occurrence of gingivitis can be the alteration that takes place in the micro flora of oral cavity during this process and also the hormonal changes.
There occur lots of gingival diseases in the children and these are as follows:
1. Simple Gingivitis
In simple Gingivitis the marked and early visible conditions are that there occurs alteration in the colour of free and marginal gingival and the colour changes are from the pink to red colour and red is the sign of having inflammation. In simple Gingivitis there can be seen easy bleeding from the gums and this occurs even on brushing the teeth.
The cause for the occurrence of simple Gingivitis is the plaque accumulation around the dentition in large amounts and this can be seen progressing with the increasing age as there occurs lots of hormonal changes in this time period.
2. Puberty Gingivitis
Exacerbation of Gingivitis by hormonal changes in the female adolescents is called Puberty Gingivitis. The marked features that can be seen are the enlargements of interdental areas and incident bleeding from the gums. This condition usually subsides with the end of hormonal changes that occur in the age of 18 and the main things to prevent the teeth from the harmful effects of Puberty Gingivitis is to go for regular scaling, home care and the hygiene measures.
3. Acute Necrotising Ulcerative Gingivitis
This is also known by the names like ulcerative Gingivitis, Acute Necrotising Gingivitis, Vincent’s infection and this is the most painful condition of the gums having peak onset at the age of 6-12 years. This is the disease that occurs in many episodes and each episode having the time of 3-12 days. The gums can be seen swollen and at the margins ulceration can be seen. The patient comes to the specialist with the complaint of having gum soreness, spontaneous bleeding from the gums, halitosis and excess salivation.
This is the painful condition as the ulcers are covered by the pseudo membrane and in some severe conditions patient may suffer from slight fever, loss of appetite, malaise and marked lymphadenopathy.
The management of Acute Necrotising Ulcerative Gingivitis includes ultrasonic scaling, sub gingival curettage and use of mild oxygenating agents. There also requires some antibiotic coverage and the effects can be seen from 24-48 hours.
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