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Gingivitis is an inflammation of the gums (the tissue that surrounds the tooth). Gums become red and swollen and they bleed when brushing (this is often the first sign of this type of inflammation).

La gingivitis puede afectar a cualquier persona y a cualquier edad y no presenta dolor en un primer momento. Si no se trata, puede evolucionar y ser dolorosa. Para evitarGingivitis can affect any person at any age. It is painless at first but if not treated, it may evolve and become painful. To avoid gingivitis, it is important to maintain daily brushing habits and use mouthwashes. We recommend the use of antiseptic mouthwashes as part of the oral health routine. These products strengthen teeth to combat tooth decay and help prevent gingivitis as they eliminate its main cause, plaque.
la gingivitis es importante mantener hábitos diarios de cepillado y uso de enjuagues bucales. Recomendamos el uso del enjuague antiséptico como parte de esta rutina. Éstos refuerzan los dientes contra la caries y ayudan a evitar la gingivitis al eliminar su causante principal, la placa.

Aggravating factors

In addition to genetic tendencies of each person, there is a series of aggravating factors to consider. Some of them can be controlled, such as smoking or the lack of vitamin C or B3. However, there are other factors that are more difficult to change: hormonal changes during pregnancy (gingivitis during pregnancy), menopause or the use of oral contraceptives are some examples. Also, some immunosuppressive treatments and those treatments used for epilepsy can lead to the appearance of gingival disease as well as poorly made/fitted crowns and fillings, or crowded teeth (it is more complicated to eliminate plaque when brushing if teeth overlap).

Smoking

Tobacco has a very direct impact on oral health. The smoke of tobacco changes the response of the organism to the attacks of the bacteria responsible for gum disease, causing them to weaken.
The risk of developing gingivitis and subsequent periodontitis increases with smoking during the time the patient smokes. Therefore, the longer the patient smokes, the more likely it is for the patient is to develop gum disease or periodontitis. On the contrary, risks decrease as soon as the patient stops smoking.

Phases of gingivitis

PHASE 1. INITIAL INJURY
Gingivitis is mild. Gums might bleed slightly during brushing. The redness of the gums goes practically unnoticed.
PHASE 2. EARLY INJURY
Gingivitis is moderate. Bleeding caused by brushing is more profuse; the gums are red and the first swelling appears.
PHASE 3. ESTABLISHED INJURY
Gingivitis is serious. Bleeding is spontaneous. The connective epithelium that attaches the gum to the tooth is affected. Once the gums stop adhering to the surface of the tooth, the gingival sulcus (that is, the space between the gum and the tooth) becomes bigger.

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