Uncomplicated Gingivitis
ICD-10 codes: K05.0 / K05.1 Description Prophylaxis and General Measures Medicines Treatment DESCRIPTION An inflammation of the gum margin causing the gums to separate from the teeth. Pockets (recesses) form between the gums and the teeth. Pus and bacteria can collect in these pockets, eventually causing periodontitis. See Periodontitis. Characteristics of uncomplicated gingivitis: M
Description
Prophylaxis and General Measures
Medicines Treatment
DESCRIPTION
An inflammation of the gum margin causing the gums to separate from the teeth. Pockets (recesses) form between the gums and the teeth. Pus and bacteria can collect in these pockets, eventually causing periodontitis. See Periodontitis.
Characteristics of uncomplicated gingivitis:
- May be painful.
- Redness.
- Bleeding.
- Swollen gums.
- Gum recession may occur.
PROPHYLAXIS AND GENERAL MEASURES
Oral hygiene is usually adequate to prevent superficial mouth and gum infection:
- Oral hygiene after each meal to remove plaque and food debris.
- Brush teeth twice daily.
- Floss teeth at least once daily.
- Rinse mouth with homemade salt mouthwash for one minute twice daily (i.e. 1/2 medicine measure of table salt in a glass of lukewarm water).
MEDICINES TREATMENT
Brush, floss, rinse mouth with water and then rinse with:
- Chlorhexidine 0.2%, 15 mL as a mouthwash, twice daily, after brushing teeth, for 5 days
- Do not swallow
Note: Do not eat or drink immediately after this
Pain:
Children
- Paracetamol, oral, 10–15 mg/kg/dose 6 hourly when required. See dosing table.
Adults
- Paracetamol, oral, 1 g 4–6 hourly when required
- Maximum dose: 15 mg/kg/dose
- Maximum dose: 4 g in 24 hours
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, Updated for the 2023 Edition