Gingivitis is an inflammation of the gums caused by plaque buildup. Professional consensus is that gingivitis can be prevented and reversed with good oral hygiene. If it is not addressed, it can lead to peridontitis and bone destruction.
First-line recommendations:
Fluoride toothpaste: Brush twice daily with stannous fluoride 0.454% (0.15% w/v fluoride ion). Crest Pro-Health Gum Detoxify (FDA M021).
Electric toothbrushes: Particularly those with oscillating-rotating (O-R) technology, have been shown to be more effective than manual toothbrushes in reducing plaque and gingivitis. Oral-B Pro Electric Toothbrush (ADA Approved 2017).
Flossing: Removes plaque between teeth. Perform once daily. GUM Deep Clean Expanding Dental Floss.
Second-line recommendations:
Antimicrobial Mouthwash: Reduces bacterial load. Use after brushing twice daily. Listerine Clinical Solutions Mouthwash.
Water flossing: Can be used to supplement or substitute for traditional flossing. May be equally or more effective than physical floss at reducing gingivitis, depending on rigor of use. Waterpik Portable Water Floss (ADA Accepted).
Professional Cleaning: Scaling and root planing may be needed for plaque and tartar removal.
Citations:
Grender, J., Adam, R., & Zou, Y. (2020). The effects of oscillating-rotating electric toothbrushes on plaque and gingival health: a meta-analysis. Am J Dent, 33(1), 3-11.
Stephens, M. B., Wiedemer, J. P., & Kushner, G. M. (2018). Dental problems in primary care. American family physician, 98(11), 654-660.
