Catarral ulitis

Description:

The catarral ulitis is the inflammation of a gingiva caused by an adverse effect of local and general factors, proceeding without disturbance of integrity of a dentogingival attachment.

Symptoms of the Catarral ulitis:

Patients complain of unpleasant feelings in gingivas, feeling of an itch, a smell from a mouth, a food faddism, bleeding of gums during meal or toothbrushing, there can be a coloring of oral liquid in pink color. At an acute current or an aggravation of a chronic current pain amplifies during meal as a result of influence of mechanical and chemical irritants.
The general condition of patients suffers a little, however the periods of an aggravation can be followed by an indisposition, subfebrile temperature.
The acute catarral ulitis is characteristic of the period of eruption and change of teeth. It is observed at acute infectious and other somatic diseases.
The chronic catarral ulitis differs in a long sluggish current; complaints are expressed poorly. Inflammatory process can be limited to interdental nipples and a regional gingiva or extends to all alveolar part of a gingiva, happens limited - localized or generalized - diffuse.
At objective inspection note hypostasis, a hyperemia, gingiva cyanosis, its thickening, the limited centers of desquamation, single erosion, it is preferential in the field of tops of interdental nipples; the mechanical irritation is followed by bleeding. Owing to gingiva hypostasis sometimes it is possible to assume existence of parodontalny pockets, however they are absent as the integrity of dentogingival connection remains.
On teeth - the increased maintenance of a soft dental plaque (patients avoid to brush teeth owing to morbidity and bleeding of gums), sometimes a plaque is painted by pigments of blood or dyes of food. Existence of the firm painted (green) plaque on teeth in cervical area is quite often observed.
The general condition of patients is, as a rule, not broken, changes in peripheral blood do not come to light. On the roentgenogram a bone tissue without changes.

Reasons of the Catarral ulitis:

The acute catarral ulitis most often is display of acute infectious diseases (measles, an acute respiratory viral infection, an infectious mononucleosis, scarlet fever, diphtheria). It can also be an initial phase of development of acute herpetic stomatitis, manifestation of allergic reaction, chastoprotekat as a gingivostomatitis.

Treatment of the Catarral ulitis:

Treatment of an acute catarral ulitis  comes down to identification of an etiological factor to an ilecheniye of a basic disease. Local therapy is directed to anesthesia of a mucous membrane of a gingiva, reduction of hypostasis, and prevention of consecutive infection.

At treatment of an acute inflammation of a mucous membrane of a cavity it is reasonable to rta of children to use the means of a plant origin having enveloping (broth of leaves of a mallow, sage, mallow root) and kapillyaroukreplyayushchy properties. As kapillyaroukreplyayushchy means phenolic connections of a plant origin - flavonoids are recommended. Resistance of walls of capillaries generally depends on a condition of cells and fibers of the connecting fabric located around vessels. At acute inflammatory process permeability and durability of capillaries change. The phenolic connections having R-vitamin activity affect permeability and durability of vascular and fabric barriers. Vitamin C has the same effect, but, unlike the R-vitamin phenolic connections having R-vitamin activity does not protect the main substance of connecting fabric from hyaluronidase influence, and stimulates formation of collagen.

Phenolic connections have properties of antagonists of mediators of an inflammation - serotonin, bradikinin, prostaglandins.

It is reasonable to apply vegetable phenolic connections to treatment inflammatory a porazheniyslizisty cover of a cavity of rtarazlichny genesis as they in comparison with steroid antiinflammatory drugs differ in softer action, are non-toxical and even at prolonged use do not exert adverse collateral effect that allows to use widely them at children. Antiinflammatory action is shown mainly during an exudative phase, they affect a proliferative phase of an inflammation much more weakly.

At an acute inflammation of a gingiva widely use the astringents of a plant origin containing tannins. Antiinflammatory effect of tannins is caused by formation of insoluble compounds with proteins - albuminates - at local impact on a mucous membrane. The film of the besieged protein protects nerve terminations from irritation decomposition products that reduces pain.

Besides, these substances cause narrowing patholologically of expanded vessels, condense their wall, reduce permeability and, therefore, sweating of liquid and hypostasis, i.e. they reduce expressiveness of an exudative phase of an inflammation. A consequence of consolidation of biological membranes (walls of lysosomes, cellular covers) is reduction of an exit of mediators of an inflammation - a histamine, proteases, nucleases. Weakening of an inflammation can be connected with impact of these substances on cellular links of an inflammation - immunologic mechanisms, processes of cellular reproduction, etc. Use a leaf of a sage, Romasulonum, camomile flowers, a coil rhizome, Galascorbinum.
Treatment of a chronic catarral ulitis is begun with sanitation of an oral cavity and training of the child in toothbrushing. Delete soft and firm tooth deposits.

Taking into account age of the child make recommendations about selection of a toothbrush, means for hygienic care of an oral cavity. It is important to get acquainted with the mode and character of food of the child and to tell about need of the use of rigid food (vegetables, fruit in the natural form) that will provide a sufficient functional load on the chewing device, clarification of teeth from a soft plaque. Through these actions the inflammation is often liquidated.

If the inflammation of a gingiva remains, then carry in addition out antiinflammatory therapy with use of non-steroidal anti-inflammatory drugs or means of a plant origin, physical therapy, treatment at the orthodontist in the presence of indications.

From physiotherapeutic methods of treatment at a chronic catarral ulitis appoint a hydrotherapy with carbon dioxide of 10 min. daily or every other day, to a course of treatment of 10-15 sessions; an electrophoresis of 1% of solution of Galascorbinum or 5% of solution of ascorbic acid, 4% of solution of niacin for what use intra oral electrodes. Duration of an electrophoresis depends on individual portability of current. Course of treatment of 10 sessions, which naznacha daily or every other day.