For some reason, it is generally accepted that "dental" problems cannot be overlooked - they say, as soon as the enamel is damaged or the nerve becomes inflamed, it immediately appears - sharp unbearable pain. In reality, things are not so simple.
Gums, namely, they act as the main target of pathogenic microbes, do not get sick immediately - the process, as a rule, stretches over time for many weeks or even months. With less pronounced symptoms, the insidious disease skillfully takes advantage of the fact that it is not given due attention, and progresses at an increasing speed. When 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 eliminating the consequences of your own "sluggishness". Meanwhile, Cholisal-gel could qualitatively influence the “scenario” - reviews indicate that its regular use significantly reduces the risk of developing gingivitis - or any other medical drug focused onmaintenance of oral hygiene: if it was applied "at the right time", pathogens would certainly abandon their intentions to "colonize" the mucous membranes.
Main causes of gum disease
The fight against any disease begins with the identification of the primary sources of infection and the localization of negative manifestations of the vital activity of bacteria. In particular, an ointment for gums (parapharmaceutical preparations, of course, help against inflammation and degradation of the cellular structure, but an experienced specialist should still control the dynamics of recovery) is indicated for use if:
- can't find the "right" toothpaste;
- there are systematic violations in the organization of a balanced diet (deficiency of microelements and vitamins in the body is one of the conditions for the dominance of bacilli over natural antibodies);
- there are suspicions of malfunctions in the immune system;
- known for "bad heredity" (many dental ailments are programmed at the gene level and passed from parent to child);
- long-term use of antibiotics or drugs designed to suppress signs of depression;
- Smoking is on the list of bad habits;
- hormonal disruptions are observed;
- stone plaque is formed - a “provocateur” of tissue softening at the site of contact between the tooth and gums.
How to diagnose the disease at an early stage?
Ointment for gums (not all drugs help with inflammation,having an analgesic effect, and you need to constantly remember this and not aggravate the situation with self-medication) is used not only for pronounced symptoms, but also for the purpose of preventing disorders, so there is no special need for an accurate diagnosis before starting a wellness procedure. However, the hypothetical threat of developing allergic reactions to the active ingredients of the pharmacological product remains, and consultation with a dentist is still desirable.
As a gum treatment, drugs of this profile group are used when:
- brushing teeth is accompanied by the release of blood, but in fact there is no pain syndrome;
- tissue detachment is felt at the point of contact with the enamel (in reality there is no gap, but it seems that the gradual deepening of the furrow is still happening);
- prolonged swelling occurs, and as a result, the teeth become mobile inside their canals (we are talking about loosening the non-mechanical nature of origin);
- periodontal pockets become inflamed;
- purulent ulcers form on reddened areas.
Any of the above signs can be considered as a signal for immediate action.
Clinical forms of gingivitis
Inflammation of the gums - gingivitis - according to various estimates, affects from 70% to 90% of the world's population. It is customary to distinguish five basic forms of the disease, although in fact the number of known clinical pictures is much larger - just under the influence of "adjacent" infections, the symptoms of the disease are prone to transformation(because the changes are caused by "minor" factors, they are often classified as the result of the work of "non-core" pathogens).
Each type of gingivitis - catarrhal, hypertrophic, ulcerative, descaamative 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 "Metrogyl Denta" (the price ranges from 150-250 rubles). Its use is justified both in a mild form of gingivitis, when only the interdental papillae are affected, and in severe (that is, with inflammation of the entire gum).
Localization of the threat at an early stage allows you to more effectively resist the "rebellious" microbes. But it is still impossible to completely exclude the possibility of a total spread of the infection: generalized gingivitis is fraught with swelling of the alveolar processes of the teeth of the upper and lower jaws and is very problematic in terms of eliminating the consequences.
Gum treatment ointments and anti-inflammatory gels. Are there any differences?
It is not always advisable to resort to the use of gels that relieve irritation and extinguish pockets of pathogen concentration in the oral cavity - sometimes you can get by with changing toothpaste and brush. But when it comes to targeted prevention or active resistance to microbes, then gum healing ointment is “the thing”: its active ingredients inhibit the synthesis of prostaglandins and thusmost prevent their "migration" from tooth to tooth.
Many non-steroidal anti-inflammatory drugs in 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 of applying the ointment be as pronounced as with regular application of the gel, or not?
There is no clear 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 experts tend to consider gels as the “product of tomorrow”: they, in their opinion, penetrate the mucous membrane better and are not so quickly broken down by saliva.
The Power of Holisala
As an ointment for gums (a medicine for inflammation is recommended not only in Russia, but also in a number of European countries), Holisal has proven itself from the best side.
In terms of the speed of onset of the therapeutic effect, it surpasses many tablets: salicylate and cetalkonium chloride contribute to the fact that the pain recedes after only two to three minutes after application. Along the way, the ingredients relieve puffiness and reduce bleeding. The low cost of the drug (about 300 rubles) makes it one of the best solutions available on the pharmaceutical market.
Why is Metrogil Denta so popular?
The basic basis is chlorhexidine and metronidazole: the first is a bright representative of the antiseptic group, the second is “hereditary”antibiotic. The action of the reagents is especially noticeable in the upper layers of the gingival mucosa, that is, at the first stages of the infectious progress, the gel is very effective.
But, as doctors note, the proportion of the antibiotic is clearly underestimated (when compared with analogues), so "Metrogyl Denta", the price of which is about 170 rubles, often does not live up to expectations in the treatment of advanced forms of the disease. Nevertheless, the level of demand for the drug among ordinary consumers (the reagent is sold without a prescription) indicates the opposite - many patients rely on the "magic" properties of the gel even with relapses.
Kamistad: contact mechanism at the point of inflammation
The gum ointment mentioned above - "Denta" - in terms of anti-inflammatory effect is very close to "Kamistad" - a gel containing lidocaine hydrochloride and chamomile extract. With the manifestations of gingivitis, both of these drugs fight to the best of their ability and, I must say, very successfully. However, the peripheral action of "Kamistad" (the estimated cost of one tube is 160-200 rubles) is uncharacteristic - the treated areas of the gums become numb for 3-5 minutes. Given the length of the therapeutic course - 7-10 days - such an "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 a gel and balm. Being a pharmaceutical based on propolis, chlorhexine and metronidazole, it has antimicrobial properties. Butthe result declared by the manufacturer during the practical use of the drug is often not confirmed. Tellingly, the gum balm in this particular case is not intended for rinsing the mouth - it, like the gel, is applied in a thin layer to the affected areas, after which they wait for the allotted time without taking any additional action.
Ointment for gum inflammation: instructions for use
For faster recovery of degraded/inflamed areas of gum tissue, you should follow the basic rules for using gels and ointments:
- apply drugs only after brushing your teeth;
- if the process of eating is associated with pain - use products containing lidocaine (or its equivalent) half an hour before a meal;
- mandatory resort to sleep protection;
- Do not attempt to rinse off components unless instructed to do so (usually the reagents are absorbed within the first 30 minutes and no additional mouth rinse is required).
In the absence of positive changes, it is necessary to seek qualified medical help.
Parallel non-drug treatment of gingivitis
Along with the use of drugs such as "Cholisal"-gel (reviews about it are mostly positive, which indicates the high activity of the ingredients against pathogens), it is sometimes advisable to resort to "parallel" therapy:
- make a light massage of atrophied gums (in compliance with all hygiene standards);
- load the masticatory apparatus as soon as possible (emphasis on fruit);
- use dental floss and do everything possible to prevent the formation of plaque.
Gum disease: the role of parapharmaceuticals
There are a lot of medicines focused on healing the gums. Some drugs are prescribed based on the results of examinations and are released strictly by prescription. But there are those that belong to the group of pharmaceuticals - they are available for purchase in almost any pharmacy. Moreover, gum ointment (the price of most gels varies between 100-350 rubles) is not the only popular form of production.
For example, the same "Forest Balsam" is presented in the form of a special liquid for rinsing the mouth. Having in its composition extracts from five medicinal plants, it perfectly copes with the functions of a “tool for prevention”, that is, it does not allow the development of catarrhal gingivitis by inhibiting pathogenic microbes.
But with fibrous growth of gum tissue, another "parapharmaceutical" - "Malavit" is very effective. The main "weapon" here is already formic alcohol: by cauterizing the mucous membrane, the active ingredient localizes the site of damage (however, it is better not to use Malavit for standard inflammatory processes).
Gingivitis: prevention and cure
If we are talking about the use of parapharmaceutical balms, then rinsing for gums is a procedure thatcertainly useful, and it can be considered as an integral part of the comprehensive prevention of the disease. According to WHO guidance, there are three types of “preemptive” measures:
- primary actions involve eliminating bad habits and optimizing the diet;
- secondary – elimination of foci of caries and their derivatives;
- tertiary are aimed at restoring the full functionality of the masticatory system (prosthetics, etc.).
When all these points are fulfilled, the healing of a patient with gingivitis is a settled issue.
