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Gingival Diseases

on Şubat 17, 2012 in gingival diseases


Gingival is usually in pink colour, its dull surface is in an appearance of orange peel, firm consistency and no bleedings occurred.

Deformation of the appearance due to various reasons is a telling sign for initiating of gingival diseases.

The most important factor in gingival health is the tooth cleaning. In insufficient cleaning conditions, plaque which is called dental plaque, occurs at the junction of tooth and gingival. Gingival diseases arise from the amassed bacteria on the plaque and tartar which is effective due to decantation of inorganic materials.

The most known symptom of the gingival disease is the gingival bleeding. Gingival bleeding may occur from tooth brushing as well as in advanced cases when eating hard foods or even by itself. Gingival swells in time, reddens, the length of teeth extends, and bad breath occurs, the space between the teeth are widened.

In advanced cases of the disease also in bone tissues surrounding the tooth root start to melt. Tooth that has loosened the bone support starts to dangling and the tooth are loosening by itself.

The in time amassed nicotine stains on the tooth for smokers is causing gingival as a result of retention of food.

In some systemic diseases gingival can be lead to gingival disease. Especially uncontrollable diabetes can cause this disease. Besides, Phenytoin that is used for epilepsy treatment, Cyelosporin as an immunosupresif medicine and some cardiac and blood pressure medications can also lead to gingival disease. The genetic in gingival disease is believed to be effective.

The treatment as a first step is possible with the oral hygiene training provided to the gingival disease patients. Though, in advanced cases the treatment can be carried out by the doctor by cleaning with various equipments the gingival plaque and gingival tartar. The treatment can be made with surgical operations in cases when the bones surrounded to the tooth are involved.



Bad odour formed in the mouth is called halitosis. The halitosis can be divided into two parts.

1-      Physiological Bad Odour:

Amassed gases in the mouth and digestive system cause bad odour when asleep at the night. In addition, oral odours caused by bacteria in the mouth cannot become pathogenic. This odour when waking up in the morning clears it up by itself. In addition, it can be treated by means of tooth brushing or oral rinse. It is not pathological and does not require treatment.

2-      Pathological Bad Odour:

It is bad odour within the mouth or other parts of the body caused by pathological conditions and require treatments.

Reasons for Bad Odours:

Halitosis is composed of a variety of odours reasons. In general it can be occurred due to reasons of inside the mouth as well as some systemic and metabolic diseases.

Intra-oral factors are considered as follows:

-          Carious

-          Infected and bleeding gingival

-          Botched crowns – bridges, fillings and dentures

-          Half retention wisdom teeth that have not been allocated in the mouth correctly

-          Intra-oral inflammations and tumours

-          Plaques on the tongue and metal poisoning

-          Intra-oral aphtous ulcers

General reasons of bad odour

-          Upper respiratory tract, throat and gullet infections and tumours

-          Sinusitis

-          Lung disease

-          Stomach disease

-          Liver failure

-          Kidney disease; and

-          Some  metabolic disease can cause bad breath


Treatments Originating of Vestibule of Mouth

Treatments usually are carried out with the elimination of odour-causing factors.

The factors of intra-oral can be eliminated with correction of botched deterations, treating the gingival, eliminating the consisted pockets of gingival and treating the carious.