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Gingivitis, several clear stages
During gingivitis, the gum no longer adheres to the tooth and bacteria take advantage of this to establish themselves in the gingivodental crevice. This latter provides living conditions favourable to the bacteria responsible for causing periodontal disease.
There are 3 levels of gingivitis severity:
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. Light bleeding during brushing
. Redness that is barely visible
clinically
. More abundant bleeding during brushing
. Clear redness
. Initial inflammation
. Spontaneous bleeding
. Possible lesions
Gingivitis may persist for years, with small variations in severity.
If you bleed spontaneously from the gums, you should rapidly consult your dental surgeon as spontaneous bleeding is frequently sign of an increase in the number of bacteria responsible for causing periodontitis.
If gingivitis is treated by adapted hygiene, scale removal and, if necessary, medicinal treatment, it is reversible.
Chronic gingivitis is not painful: pain only appears in cases of acute gingivitis.
References :
Wolf HF, et al. Parodontologie. 3rd Ed. Paris, Masson; 2005. p.79-84.
ANAES. Parodontopathies : diagnostic et traitements. Mai 2002.
Mouton C. Bactériologie et pathogénie des maladies parodontales. In Bercy P, Tenenbaum H. Parodontologie, du diagnostic à la pratique. 1st Ed. Bruxelles, De Boeck Université; 1996. p.37-47.
Tenenbaum H. Classification des maladies parodontales. In Bercy P, Tenenbaum H. Parodontologie, du diagnostic à la pratique. 1st Ed. Bruxelles, De Boeck Université; 1996. p.49-64.
Lézy JP, Princ G. Pathologie maxillo-faciale et stomatologie. Abrégés. 3rd Ed. Paris, Masson; 2004. p.79-94.