The main cause of gingivitis is a lack of oral hygiene or dental care.
The duration of such inflammation is prolonged as soon as the body is systemically disturbed, i.e. in its entirety, and cannot fight the bacteria. The severity of gum inflammation also plays an important role in the duration of healing.
Slight gingivitis can be treated by improving oral hygiene. In the case of more serious inflammations, however, a dentist must always be consulted.
It is not possible to give a specific time over which a gum inflammation extends. However, there is one exception. During pregnancy, hormones change in such a way that they increase vascular permeability and increase blood flow to the gums. If the hormonal balance changes after birth, the gums can recover.
But even in these cases each body reacts differently. The length of time alone varies as the inflammation is faster in some patients than in others. This depends on how good oral hygiene is and how strong the immune system is. It even depends on how the teeth stand in relation to each other.
Chronic inflammation develops over several years. Acute inflammation occurs suddenly. Accordingly, the healing process is slower or faster.
In addition, some patients respond to an antibiotic, while in others the antibiotic has no effect. The course and duration cannot be predicted in general.
Duration of the treatment
The overall treatment is divided into 3 sections: There is the pre-treatment, the actual treatment and the aftercare.
During the pre-treatment, oral hygiene is determined and a professional dental cleaning is carried out. This often leads to an improvement. The patient must go to the dentist until at least 25% of all teeth are in good condition. If oral hygiene is at some point below 25%, therapy can be started.
Especially for young patients, who may pay a lot of attention to their oral hygiene and still suffer from periodontitis (inflammation of the periodontium), an additional sample is sent to the laboratory. Depending on the severity of the inflammation, i.e. the severity of the periodontitis, the respective form of therapy is chosen. If necessary, tartar below the gums, the so-called calculus, is also removed. The root surface is smoothed with hand instruments or ultrasound equipment to prevent new plaque from adhering.
After 4-6 weeks the patient comes for a follow-up examination. Pockets that previously had a depth of 5-6 mm must be surgically opened and cleaned under direct vision. If necessary, bone replacement material can also be inserted in this operation. Soft tissue can be transplanted to hide exposed tooth necks. Depending on how long the pre-treatment takes, the entire treatment can take from 2 months to one year.
How long a treatment lasts depends on many factors. First, the most important thing is that
the patient improves oral hygiene and changes his or her cleaning habits. No improvement can be expected without the patient’s cooperation.
On the other hand, the duration of the treatment varies depending on how far the inflammation has progressed. A mild acute gingivitis (inflammation of the gums) can be treated within one session. If the gingivitis is advanced, several sessions will be necessary.
Duration of healing
When it comes to healing, a distinction must also be made between simple gingivitis and inflammation of the periodontium (periodontitis). If the inflammation is only acute and has not yet become established, it heals within 1-2 weeks. This corresponds to the ideal case.
Of course, it is necessary to go to the dentist immediately and start the treatment. The consistent oral hygiene of the patient is also important. If the teeth are not cleaned correctly at least twice a day, there is no chance of healing.
Rather, the condition will deteriorate further. This can lead to periodontitis. If this is not treated, the entire healing takes up to 6 months. The prerequisite for this is that oral hygiene is subsequently maintained so that there is no relapse.
Duration of antibiotic intake
The duration of treatment varies depending on the severity of the periodontitis (inflammation of the tooth bed). In addition, the different antibiotics with different active substances differ in their duration of administration.
The most common duration of administration is one week. The dosage varies per day. There are medicines that are taken with food in the morning, at noon or in the evening, as well as tablets that are taken only once a day. Ciproflaxin 250, for example, is taken for 10 days, 2 times a day. Tetracycline 250 is taken for 21 days due to its low active ingredient content.
So it depends on which bacterial strains are fought by which active substance – depending on the duration of intake changes.
Duration of sick leave
You can’t always expect sick leave. Inflammation of the gums is usually not a disease that worsens the general condition to such an extent that one could no longer work. Even periodontitis, i.e. inflammation of the entire periodontium, is not an acute problem.
During the treatment of the inflammation, however, there may be greater pain. If, for example, surgery is performed and the gums are opened, you could ask for a health insurance certificate the following day because the gums are very sensitive due to the many small incisions and sutures.
In addition, it depends on what profession the patient is doing, whether you work as a construction worker and inhale fine particles of dust, which could interfere with wound healing, or whether you sit in the office all day and do hardly any physical activity.
Duration of symptoms
The duration varies depending on the severity of the inflammation. Already with weak inflammations a reddening of the gums occurs. This symptom can easily disappear as soon as the inflammation subsides. Small blisters on the gums are usually present for 9 days. A motto is “3 days come, 3 days stay, 3 days go”. The vesicles are usually sensitive to pressure and hurt when touched.
If the inflammation is more advanced, the gums bleed when touched with the dental probe at the dentist. A further step is that the gums begin to bleed when brushing the teeth. The reason for this is the increased blood flow to the gums. This symptom remains until the vascular permeability has returned to normal. This can only be achieved through careful hygiene.
The symptom bad breath can occur because it is often difficult to clean the painful areas properly.
Other symptoms range from gum recession to bone loss if parodontitis has not been treated. Bone that has already receded does not recover. The result is hypersensitivity to intense heat and extreme cold. If necessary, the tooth will get used to it over time. Otherwise, it is possible to protect the exposed neck of the tooth with a filling. In addition, today there are procedures in which bones can be rebuilt and the gums can cover the tooth necks again.
Duration of pain
The sensation of pain varies from person to person. Sensitive patients feel every small change in the gums, others can mask the pain and do not notice that the condition of the gums worsens. In principle, the pain persists until the healing process is complete.
Of course, the level of pain is not always the same. As soon as there is an improvement, the pain should go back.
The most severe pain probably occurs after an operation to open the gums so that the teeth and roots can be cleaned completely all at once. As soon as the anesthetics wear off, the incisions and sutures hurt. After the operation, it is advisable to take painkillers.