Management of Neuropathy_5 Gingivitis, the How, Why and What To Do


Management of neuropathy_5 deals with more issues on taking care of the mouth. On the last page, we found out how people with diabetes are susceptible to gum disease and what to do to prevent this condition. This time however, we will go through the different stages and problems that could afflict the PWDs, (one at a time to make sure we cover each thoroughly), the symptoms and the treatment for each.

Gingivitis, What It Is

The first stage of the gum disease is gingivitis where the gums are red, swollen and bleeding. The gums are inflamed and they are tender when touched. Management of neuropathy_5 shows that the infection damages the part that supports the teeth and that would be the tissues and gums.

Gingivitis and its Cause

The main cause of gingivitis is the plaque deposits in the teeth. If the plaque which is a sticky material that consists of mucus, bacteria and food fragments is not removed, it becomes hard and the hard deposit is now called tartar. It accumulates around the base of the teeth causing inflammation and infection.

Risks to Develop Gingivitis

Uneven teeth, diabetes that is not under control, pregnancy (hormonal change makes gums more sensitive), poor dental care, some infections and health conditions increase the risk for gingivitis. Ill-fitting dentures and some medications and birth control pills can also raise the risk for gingivitis. Now that you know the risks from the management of neuropathy_5, let’s go to the symptoms

Gingivitis and its Symptoms

Swollen gums
Bleeding gums even with gentle brushing
Sores in the mouth
Purple or bright red gums
Gums that are tender to touch, sometimes painless or painful to touch

Gingivitis and Diagnosis

The dentist or the dental hygienists will inspect for symptoms and check how much plaque is around the teeth. In the same vein, they will check for signs of periodontitis using different diagnostic methods like periodontal probing and x-rays. It is not the intention of the management of neuropathy_5 to scare you but we have to deal with this.

What is periodontal probing? Well, it is checking up on the health of the teeth with the use of a periodontal probe which is generally long and thin and blunted at the end. This is placed with gentle pressure into the part between a tooth and the area surrounding it to find how deep the depression is in the gum. If the instrument goes deeper than 3 mm, then this could mean the weakening of the tooth.

Periodontal probing is the best diagnostic tool to find information to assess the health of the teeth and their surrounding area. It is invasive and uncomfortable but the result will show if the teeth are healthy or not. With the healthy tooth, for example, the probe does not go far under the gum.

It is different with gingivitis. The probe will go further into the pocket. It will indicate that the gums are starting to swell up. They are now showing signs of detaching from the tooth which is caused by bacteria. This in turn leads to inflammation. There is no more need for more testing except dental x-rays may be an option to determine if the condition has spread.

Gingivitis and Treatment

At his point, the treatment is simple. Observe good oral hygiene by regular brushing and flossing, and cleaning the tongue to make sure the teeth and gums are clean every day. The tongue should be cleaned because fungi and bacteria can live there. The dentist should also do regular cleaning at least twice a year or more for severe cases. For this type of condition, this is how to do management of neuropathy_5.

Massaging the gums with the use of tool with rubber tip or with a toothbrush can keep them strong. For people who cannot floss, there is a tool called oral irrigator that makes use of a jet stream of water in cleaning the mouth. This is a great tool because it can reach under the gum line deeper than flossing and brushing.

Other things that help promote healthy tooth and gums are dental chewing gums and antibacterial mouthwash. Needless to say a healthy lifestyle of healthy eating and avoiding smoking, chewing tobacco, drinking alcohol, acidic foods, sodas, vinegar and sugar will go a long way in maintaining healthy teeth. You see management of neuropathy_5 makes it easy.

Gingivitis and Complications

If the condition is not taken cared of, gingivitis could return or worst it could advance to periodontitis. More infection could develop where abscess or pus can occur. Another complication is of course loIss of tooth or tooth decay. Small painful sores or mouth ulcers could develop due to bacterial infection.

Gingivitis and Prevention

The best prevention is to observe good oral hygiene. This means brushing and flossing the teeth after every meal. If you easily get plaque deposit, use special tools like toothpicks, water irrigation in addition to brushing and flossing the teeth.

Gargling equal amounts of water and 3% of hydrogen peroxide has helped some people but make sure you don't consume it. Rinsing the mouth with antimicrobial mouth rinse or swishing a warm saltwater solution (half a glass of warm water and 1/2 teaspoon of salt) for 30 seconds have helped some. The bonus is that all these will help get rid of some bacteria.

But the most effective mouthwash they say is the one that contains chlorhexidine because it gets rid of extra bacteria. Not drinking alcohol and smoking as mentioned above also help. If you want to prevent gingivitis this is how to do the management of neuropathy_5.


Marx J. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 5th ed. St. Louis, Mo: Mosby; 2002:898.

Refresh The Diabetic Companion on Neuropathy Primer - Part 7G Management of Neuropathy_5 - The How and Why and What To Do With Gingivitis

The Diabetic Companion on Neuropathy Primer - Part 7H Management of Neuropathy_6 - Know What To Do With Gum Disease

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