For some reason, it is commonly believed that "dental" problems can not be overlooked - they say, as soon as the enamel is damaged or the nerve becomes inflamed, it immediately appears - acute unbearable pain. In reality, everything is not so simple.
The gums, namely they act as the main target of pathogenic microbes, do not get sick at once - the process, as a rule, stretches in time for long weeks or even months. Possessing less severe symptoms, an insidious disease skillfully uses the fact that it is not given due attention, and progresses with increasing speed. When the bleeding and increased sensitivity of the gum tissue seriously complicates life, you have to go to the dentist and spend a lot of time and money on the elimination of the consequences of your own "slowness".Meanwhile, qualitative impact on the "scenario" could be "Holisal" -gel - reviews suggest that its regular use significantly reduces the risk of gingivitis - or any other medication that is aimed at maintaining oral hygiene: whether it is applied "inthe right moment ", the pathogens would certainly refuse their intentions regarding the" colonization "of the mucous membranes.
The main causes of inflammation of the gums
The fight against any disease begins with the identification of primary sources of infection and the localization of negative manifestations of the life of bacteria. In particular, ointment for gums( from inflammation and degradation of the cellular structure, parapharmaceuticals, of course, help, but an experienced specialist should still monitor the recovery dynamics) is shown if:
- can not find the "right" toothpaste;
- have a place to be systematic violations in organizing a balanced diet( micronutrient deficiencies and vitamins in the body - one of the conditions for the dominance of bacilli over natural antibodies);
- is suspected of malfunctioning of the immune system;
- is aware of "bad heredity"( many dental ailments are programmed at the gene level and are transmitted from parents to children);
- a long period of time taken antibiotics or medicines designed to suppress signs of depression;
- in the list of bad habits is smoking;
- there are hormonal failures;
- formed a stone plaque - "provocateur" softening the tissue in the area of contact between the tooth and gums.
How is the disease diagnosed at an early stage?
Ointment for gums( not all drugs with anesthetic effect help inflammation, and this must be constantly remembered and not exacerbated by self-medication) is used not only with pronounced symptoms, but also with the goal of preventing disorders, therefore, a special need for precise formulationThere is no diagnosis before the start of the healing procedure. However, the hypothetical threat of the development of allergic reactions to the active ingredients of the pharmacological product is preserved, and consultation with the dentist is still desirable.
As an agent for the treatment of gums, preparations of this profile group are used when:
- cleaning of teeth is accompanied by the release of blood, but there is no pain syndrome;
- there is a detachment of the fabric at the point of contact with the enamel( in reality there is no rupture, but it seems that the gradual deepening of the furrow still occurs);
- there are long swellings, and as a result, the teeth become mobile inside their canals( it's about loosening the nonmechanical nature of origin);
- inflamed periodontal pockets;
- on the reddened areas are formed purulent ulcers.
Any of the above features may be considered an immediate signal.
Clinical forms of gingivitis
Inflammation of gums - gingivitis - according to different estimates, affects 70% to 90% of the world population. Five basic forms of the disease have been identified, although in reality the number of known clinical pictures is much larger - simply under the influence of "contiguous" infections the symptoms of the disease are prone to transformation( as the changes are caused by "secondary" factors, they are often classified as consequences of the work of "non-core" pathogens).
Each type of gingivitis - catarrhal, hypertrophic, ulcerative, desegamative and atrophic - has a specific resistance to certain components of drugs. But there are also so-called universal antiseptics, the reaction mechanism of which is not tied to a specific subspecies of the pathogen. One of these drugs is the dental gel "Metrogil Denta"( the price fluctuates between 150-250 rubles).Its use is justified also with the easy form of gingivitis, when only the interdental papilla is affected, and with severe( that is, with inflammation of the entire gum).
The localization of the threat at an early stage makes it possible to effectively counter "rebellious" microbes. But until the end, exclude the possibility of total spread of the infection is still impossible: generalized gingivitis is fraught with edema of the alveolar teeth of the upper and lower jaws and is very problematic in terms of eliminating the consequences.
Ointments for the treatment of gums and anti-inflammatory gels. Are there any differences?
It is not always advisable to resort to the use of gels that remove irritation and extinguish the focus of pathogen concentration in the oral cavity - sometimes you can do with the change of toothpaste and brush. But when it comes to targeted prevention or active confrontation with microbes, the ointment for gum healing is "the most": its active ingredients inhibit the synthesis of prostaglandins and thereby prevent their "migration" from the tooth to the tooth.
Many non-steroidal anti-inflammatory drugs of this group are sold in pharmacies without a prescription, and ordinary consumers often have questions about their optimal form of release. Simply put, they are interested in the final effect: will the result from the application of the ointment be as pronounced as with the regular application of the gel, or not?
There is no unequivocal answer, of course, because each drug has an original basis, which determines the rate of adsorption and the quality of fixation on the gums. Be that as it may, most specialists are inclined to consider it as the "product of tomorrow" namely gels: they, in their opinion, penetrate better into the mucous membrane and do not dissolve so quickly with saliva.
Strength of Holysala
As an ointment for gums( from inflammation the drug is recommended not only in Russia, but also in a number of European countries) HOLISAL has proved itself from the best side.
On the rate of onset of therapeutic effect, it surpasses many tablets: salicylate and cetalkonium chloride contribute to the fact that the pain recedes within two to three minutes after application. In passing, the ingredients remove puffiness and reduce bleeding. The low cost of the drug( about 300 rubles) makes it one of the best solutions available in the pharmaceutical market.
Why is Metrogil Denta so popular?
Base base is chlorhexidine and metronidazole: the first is a bright representative of a group of antiseptics, the second is a "hereditary" antibiotic. The action of the reagents is particularly noticeable in the upper layers of the mucous gum, that is, at the first stages of infectious progress the gel is very effective.
But, as the doctors note, the share of the antibiotic is clearly underestimated( if compared with analogues), therefore Metrogil Denta, whose price is about 170 rubles, often does not justify the hopes for the treatment of advanced forms of the disease. Nevertheless, the level of demand for medication among ordinary consumers( the reagent is dispensed without a prescription) is indicative of the opposite: many patients are betting on the "magic" properties of the gel even with relapses.
"Kamistad": contact mechanism at the point of inflammation
The above ointment for gums - "Denta" - on the level of anti-inflammatory effect is very close to "Kamistad" - gel containing lidocaine hydrochloride and chamomile extract. With the manifestations of gingivitis, both of these drugs are struggling to the best of their ability and, I must say, very successfully. However, the peripheral effect of the "Kamistad"( the approximate cost of one tube is 160-200 rubles) is uncharacteristic - the treated gum areas are numb for 3-5 minutes. Given the length of the therapeutic course - 7-10 days - a similar "anomaly" can be safely attributed to the shortcomings of the medicine.
Gel and balm "Asepta"
Non-steroidal anti-inflammatory drug under the trade name "Asepta" is presented on the market in the form of gel and balm. Being a parapharmaceutical based on propolis, chlorhexine and metronidazole, it has antimicrobial properties. But the result stated by the manufacturer during the practical application of the drug is often not confirmed. What is characteristic, the balm for the gums in this particular case is not intended for rinsing the oral cavity - it, like the gel, is applied to the affected areas with a thin layer, after which they wait for the prescribed time, without taking any additional actions.
Ointment for gums for inflammation: a guide to the use of
For a faster recovery of the degenerated / inflamed areas of the gum tissue, one should adhere to the basic rules for the use of gels and ointments:
- apply preparations only after cleaning the teeth;
- if the process of eating food is associated with pain - use products containing lidocaine( or its analog) half an hour before a meal;
- without fail to resort to protection for the period of sleep;
- does not attempt to wash away components in cases where it is not specified by the original instructions( as a rule, the reagents are absorbed within the first 30 minutes and no additional rinsing of the mouth is required).
In the absence of positive changes, it is necessary to seek qualified medical care.
Parallel non-drug treatment of gingivitis
Along with the use of such preparations as "Kholisal" -gel( reviews about it are predominantly positive, which indicates a high activity of the ingredients for pathogens), it is sometimes advisable to resort to "parallel" therapy:
- do a light massageatrophied gums( in compliance with all hygiene standards);
- load the chewing apparatus at the first opportunity( emphasis on fruit);
- apply a dental floss and in every possible way prevent the formation of plaque.
Gum disease: the role of parapharmaceuticals
There are a lot of drugs aimed at healing the gums. Some drugs are prescribed following the results of the examinations and are released strictly according to the prescription. But there are also those who belong to the group of parapharmaceutical means - they are available for purchase in almost any pharmacy. And ointment for gums( the price of most gels varies within the limits of 100-350 rubles) is not the only popular form of production.
For example, the same "Forest Balsam" is presented as a special liquid for mouth rinsing. Having in its composition extracts from five medicinal plants, it excellently copes with the functions of the "tool for prevention", that is, it does not allow the development of catarrhal gingivitis by inhibiting pathogenic microbes.
But with the fibrous growth of the gum tissue, another "parapharmaceutics" - "Malavit" - is very effective. The main "weapon" here is already formic alcohol: cauterizing the mucous, the active ingredient localizes the site of damage( however, with standard inflammatory processes, "Malavite" is best not to use).
Gingivitis: prevention and healing
If it is a question of using parapharmaceuticals-balms, gargling for gums is certainly a useful procedure, and it can be regarded as an integral part of complex prevention of the disease. According to the WHO instruction, there are three types of "preemptive" measures:
- primary actions involve the elimination of bad habits and the optimization of the diet;
- secondary - elimination of foci of caries and their derivatives;
- tertiary are aimed at restoring the full functionality of the chewing system( prosthetics, etc.).
When all these items are performed, the healing of the patient with gingivitis is a decided issue.