Gingivitis Treatment & Management

Updated: Jan 18, 2018
  • Author: James M Stephen, MD, FAAEM, FACEP; Chief Editor: Jeff Burgess, DDS, MSD  more...
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Emergency Department Care

See the list below:

  • In simple chronic gingivitis, ED intervention is not needed.

  • In ANUG, patients usually only need pain management in the ED.

  • If signs of systemic infection (eg, fever, sepsis) or progression to gangrenous stomatitis (noma) with soft tissue or bone destruction are present, then patients will need intravenous antibiotics, and possibly imaging of the affected areas, but this complication is exceedingly rare.

  • Proper oral hygiene (including brushing and flossing) should be stressed. The patient should be referred to a dentist or periodontist.

  • General measures

    • Remove irritating factors such as plaque, calculus, and faulty dentures.

    • Use a warm saline rinse.



See the list below:

  • Dentist



Regular oral hygiene that includes brushing the teeth with a power brush and flossing or using interdental brushes is the best prevention. Although mouth rinses do reduce bacterial counts in tests subjects, no clear clinical advantages has been demonstrated. [19, 20, 1]