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Gingivitis: identify and treat gum inflammation

How to recognize gingivitis

Gingivitis is a gum inflammation associated with the presence of bacteria. It is an extremely common condition: many adults show signs of it, sometimes without even realizing it.

Unlike other dental issues, it does not always cause pain. This is what makes it insidious. However, some signs are very characteristic and should prompt a consultation.

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Redness and swelling

A healthy gum is pale pink, firm, and well attached to the tooth.

In the case of gingivitis, it becomes:

  • more red
  • slightly swollen
  • sometimes shiny or sensitive

This change in appearance indicates an increase in vascularization related to inflammation.

Some people also describe a feeling of discomfort or tension in the gums, along with a persistent bad breath, often linked to the degradation of bacterial debris.

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Gum bleeding

The most frequent sign remains bleeding gums.

It often appears:

  • during tooth brushing
  • when using dental floss
  • sometimes even spontaneously

This bleeding is linked to the weakening of the gum tissues caused by the accumulation of dental plaque. The bacteria it contains trigger a local inflammatory reaction.

Contrary to popular belief, it is not because one brushes too hard that gums bleed. It is generally the opposite: they bleed because they are inflamed.

The main causes of gingivitis

Gingivitis never occurs by chance. It results from an imbalance between the bacteria present in the mouth and the body’s defense mechanisms.

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Dental plaque and tartar

At the heart of the problem, we almost always find dental plaque.

It is a biofilm composed of bacteria that forms continuously on the teeth. When it is not properly removed:

  • it accumulates at the gum margin
  • it organizes into bacterial colonies
  • it triggers an inflammatory reaction

Over time, this plaque mineralizes and turns into dental tartar, which is much more adherent.
Tartar acts as a rough surface that further facilitates bacterial retention. It creates a vicious circle.
At this stage, only a professional scaling can restore a healthy situation.

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Aggravating factors

Certain situations make the gums more sensitive or alter the inflammatory response:

  • Tobacco, which sometimes masks bleeding but worsens lesions
  • Hormonal variations (pregnancy, adolescence)
  • Certain systemic diseases like diabetes
  • Chronic stress
  • Certain medication treatments

These factors do not directly lead to gingivitis, but they facilitate its appearance and persistence.

Solutions for treating gingivitis

Gingivitis has one significant advantage: it is reversible. But this requires prompt and appropriate management.

Oral hygiene

Treatment also relies heavily on what you do every day.

Effective oral hygiene rests on three pillars:

  • Thorough tooth brushing at least twice a day
  • Cleaning between teeth with floss or interdental brushes
  • Optionally, a mouthwash prescribed in a targeted manner

These actions help maintain long-term control over dental plaque.

Professional care

The first step is to eliminate local causes.

At the Madeleine Dental Practice, this typically involves:

  • A meticulous scaling with air polishing
  • Cleaning hard-to-reach areas
  • An evaluation of the gum condition

This care helps eliminate the bacterial deposits responsible for inflammation.

In some cases, specific advice is given to adapt daily habits (brushing technique, choice of tools, etc).

Preventing gingivitis in the long term

Once gingivitis is treated, the aim is to prevent it from reappearing.

Good daily practices

A few adjustments often suffice:

  • Prefer a soft toothbrush
  • Avoid aggressive brushing
  • Adopt a balanced diet
  • Limit tobacco use 

These habits contribute to maintaining a stable oral environment.

Regular follow-up at the Madeleine Dental Practice

Even with good oral hygiene, some deposits can accumulate in hard-to-reach areas. That’s why a regular follow-up with the dentist is essential.

A periodic check, typically every 6 months with the dentist, allows for:

  • Monitoring the condition of the gums
  • Early detection of any gum inflammation
  • Performing a scaling if necessary

Your practitioner can also guide you on the right daily habits to adopt and offer you personalized preventive care, tailored to your situation.

This regular follow-up is essential to sustainably maintain good gum health and to prevent progression to more advanced conditions.

FAQ about gingivitis

It can improve slightly if hygiene improves, but without the removal of tartar, it often persists.

Not necessarily. It’s often an painless inflammation, which delays its management.

Gingivitis only affects the gums. Periodontitis affects the supporting structures of the tooth (bone, ligament).

Yes, because tartar cannot be removed by brushing.

No. They can help, but do not replace mechanical cleaning.

As soon as bleeding, redness, or persistent discomfort appears.