Gum pain

Introduction Tooth pain refers to the pain caused by various causes. It is one of the common symptoms in oral diseases. It can be seen in Western medicine, dental caries, pulpitis, inflammation around the apex and dentin hypersensitivity. In the case of cold, heat, acid, sweetness, etc., the pain or exacerbation of tooth pain is characterized by bleeding gums, redness, pain, and continued development of invasion of hard tissues, resulting in periodontal inflammation.

Cause

Causes of gingivitis

Gingival pain is usually caused by gingivitis, which is the causative factor of the disease, and the lesion is limited to the gums.

Chinese medicine believes that the hand and foot Yangming meridians are in the lower teeth, the upper teeth, the large intestine, the stomach stagnation heat, or the wind evil attacked the meridians, stagnation in the Yangming and the fire, the fire evils through the inflammation and the teeth pain. The main bone of the kidney, the teeth are the bones, the kidney yin is insufficient, and the inflammation on the virtual fire can also cause tooth pain. There are also many foods that are sweet and sour, and the teeth are unclean, and the scales are erosive and painful. Therefore, tooth pain is mainly related to the hand, foot, Yangming and kidney.

an examination

Related inspection

Oral endoscopic oral X-ray examination for prenatal oral examination

Gingival examination

Because the cause of gingivitis is clear, plaque is the causative factor of the disease, and the lesion is only confined to the gums. Therefore, removing the cause and eliminating the plaque can obtain obvious effects. In mild cases, it is usually used to remove tartar, control plaque, gingival redness, drug treatment or oral antibacterial drugs. In patients with gingival hyperplasia, gingivalplasty is required, that is, part of the gums are removed, and the physiological shape of the gums is restored. After the above treatment, after the inflammation of the gums is removed and the shape of the gums is restored, in order to maintain and consolidate the curative effect, it is necessary to insist on brushing the teeth carefully and reasonably every day to completely remove the plaque. If gingivitis is not treated, gingivitis continues to develop and can invade deep periodontal tissues and develop into periodontitis. Chronic simple gingivitis only invades the gum tissue and does not invade other periodontal tissues. This gingivitis is a chronic inflammation caused by plaque on the tooth surface near the gingival margin. The cause is clear, and it is more common in children and adolescents. The prevalence is around 70%-90%, usually before 4-5 years old. There is no gingivitis, most of them start from the age of 5, with the increase of age, the prevalence and severity of gradual increase, reaching a peak in puberty, after puberty, the prevalence of gingivitis slowly declines with age. The prevalence of gingivitis in adults is low.

Differential diagnosis

Congestive symptoms of gingivitis

Gingival swelling: mainly caused by local inflammation, mechanical damage and vitamin C deficiency, which is the root pain of the teeth, and the surrounding tooth is swollen.

Itching of the gums: Exfoliative gingivitis is a syndrome that is often accompanied by oral moss or pemphigus. Self-diagnosis points The typical symptoms of pulpitis are bleeding gums and gingivitis.

Gum bleeding: Gum bleeding is one of the common symptoms in dentistry. In general, gum bleeding is common in the early stages of periodontitis - gingivitis. Gum bleeding does not only occur in dental diseases, it also occurs in other diseases of the body, which may indicate other system diseases, such as leukemia, exposure to radioactive radiation, autoimmune diseases, etc. In recent years, periodontal disease and The relationship between diabetes is increasingly recognized by the medical community.

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