Pediatric dentistry

Gum Disease In Children

The inflammation of the mucous membrane of the gums – gingivitis – the disease is widespread, especially in children. To treat this disease seriously and need to treat it to go to the dentist.

It should be borne in mind that without proper treatment gingivitis in children can become chronic, ulcerative and necrotic stage, and, as a result, lead to the most serious dental problem is inflammation around the tooth root tissue, bone tissue, the alveoli and gums. That is, to periodontal disease, which your child can lose teeth.

Causes of gingivitis in children

Most common cause of gingivitis in children is associated with non-compliance of oral hygiene: irregular and poor quality cleaning of the teeth leaves them the plaque, and over time this leads to the formation of Tartar. Gingivitis can also be caused by an infection that enters the mucous membranes of the gums of a small child who continually pulls in a mouth dirty hands and toys.
In children of preschool and school age the gums can become inflamed because of the defeat of teeth caries (in primary teeth parents often do not treat!), disorders of the teeth, due to injury to the gums when the bite is incorrect, trauma of the mucosa while eating (for example, too hot food). And also because of the stuck food between the teeth or insufficient production of saliva (xerostomia).
However, according to dentists, the key cause of gum disease in children is lack of dental care. But this applies primarily acute gingivitis. The chronic form of this inflammatory disease may be due to various infectious diseases and chronic diseases, which affects children. They include diseases of the gastrointestinal tract, rheumatism, diseases of liver and gallbladder, nephropathy, tuberculosis and diabetes. An important factor in the development of gingivitis in children are deficiency of vitamin C and decreased immunity.

Signs of gingivitis in children and diagnostics

The Most common form of gingivitis in children is acute catarrhal gingivitis. The main symptoms of gingivitis in children is expressed in hyperemia (redness) of the mucous membrane of the gums and swelling. Also often there is swelling of the interdental papillae, which is often accompanied by bleeding. It can feel a bad breath.
The child complains of the sensation of itching in the gums inflamed, and during the meal – the pain in the gums.

Diagnosis of gingivitis in children

Diagnosis of gingivitis in children is carried out by the physician during examination of the oral cavity based on the state of the mucous membrane and soft tissues of the gums. If found demineralizovannaja deposits on the teeth (microbial plaque, soft plaque, food residues) and supragingival calculus, the specialist in the presence of redness, edema and bleeding upon probing in the gum – makes a diagnosis: acute catarrhal gingivitis.
When suspicion of bacterial infection, the dentist may take a scraping from inflamed areas of the gums.

Treatment of gingivitis in children

Treatment of gingivitis in childrenWhen the signs of gingivitis you should consult a dentist that will put correct diagnosis and prescribe effective treatment of inflammation of the gums (gingivitis).
In the treatment of this disease, as a rule, apply local treatment with analgesic, antibacterial and anti-inflammatory effects, as well as contributing to the restoration of the normal state of the mucous of the gums. These drugs are used in the form of rinses, irrigation, and applications of the so-called the mouth baths.
With gingivitis, it is recommended to rinse your mouth with infusions and decoctions of medicinal herbs. For example, a decoction of oak bark, chamomile, sage, calendula, birch buds, yarrow. And hydrogen peroxide (tablespoon 3% solution to a glass of boiled water) or mortar furatsilina (20 mg or 1 tablet / 100 ml of hot water).
When inflammation of the gums of the infant are assigned special gels to relieve itching and pain (e.g., gel kamistad). And to prevent infection, parents should to constantly monitor the condition of the gums of the child and thoroughly clean the cavity of his mouth from food debris.

The medications the topical treatment of gingivitis in children are often prescribed drugs such as kamistad, rotokan, romazulan, sangviritrin.

Gel kamistad (lidocaine hydrochloride, and extract of chamomile flowers) has local analgesic, antimicrobial and anti-inflammatory action. Children from three months to two years, the drug has to be applied with a strip length of 5 mm on painful and inflamed areas and gently RUB into the gums three times a day.

Liquid drug rotokan (contains extracts of calendula, chamomile and yarrow) also has local anti-inflammatory and antiseptic effect, and stimulates the regeneration of damaged mucous membrane of the gums. Method of application: 200 ml of warm water diluted with 5 ml of the drug received and the scope of application (15-20 minutes each) or oral baths (1-2 minutes), 2-3 times a day during 2-5 days. By the way, oral baths differ from ordinary mouthwash having a medicinal solution should at least half a minute to hold in the pipe (between the gum and cheek).

Concentrate for preparation of solution romazulan contains extract of chamomile and essential oil of chamomile. For the treatment of gingivitis in children is applied in form of mouthwash (several times daily) solution of 1 tablespoon of the drug per litre of boiled water.

Antimicrobial drug sangviritrin (0,2% alcohol solution for external and local use) active against gram-negative and gram-positive bacteria and fungal pathogens inflammatory processes. It is used in the form of an aqueous solution (1 teaspoon per 200 ml of warm boiled water). In case of stomatitis of different etiology to the lesions of the mucous membranes of the mouth producing application of a solution of the drug to Children under 5 years mucosa of the oral cavity lubricated with aqueous solution 3 times a day for 2-5 days, and children after 5 years must rinse your mouth.

In rare cases and only when gingival inflammation in children begins to take chronic or more complex form (necrotizing gingivitis), the doctor resorts to more intensive treatment and prescribes antibiotics (usually ampicillin). In addition, antibacterial or antifungal medications are prescribed in the cases where the cause of gingivitis are infectious-inflammatory processes, and the goal of treatment is elimination of the infectious agent.

How to prevent gingivitis in children?

Main event in the prevention of gingivitis in children, twice daily (morning and bedtime) to not only clean the teeth but also the palate and tongue.

Parents must remember that caries must be treated, and malocclusion to correct or at least correct. You must treat the disease, which can cause gingivitis in children.

Teach your child to regularly and properly clean your teeth. And try to strengthen his immune system – using nutrition and vitamins.

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