conditions gingivitis



Other:Inflamed gums, gum disease, periodontal disease
ICD-10 Codes:K05.0

Naturopathic Treatments

• daily brushing and flossing
• regular visits to the dentist

Specific Foods
• tomato juice (lycopene)
• green tea
• pomegranate (Punica granatum)

Topical Applications
• essential oils mouth rinse - inhibits bacterial growth and plaque formation
- menthol
- thymol
- terpin-4-ol
- eucalyptol
• propolis
zinc citrate - antibacterial effect against oral pathogens
black walnut (Juglans nigra) - napthoquinones (juglone) are effective against oral microorganisms
marigold (Calendula officinalis)

• omega-3s
folic acid (mouth rinse)
• probiotics
• coenzyme Q10

Conventional Treatments

• scaling
• root planning
• subgingival curettage
• flap surgery
• bone grafts
• guided tissue regeneration
• restorative procedures
- crown lengthening
- dental implants
• antibiotics
- doxycycline (Periostat)
antiseptic and germicides
- chlorhexedine (Peridex)

Signs & Symptoms

• swollen, tender and/or receding gums
• gums turn from healthy pink to red or purple
• gums bleed while brushing, flossing or eating
• tooth loss
bad breath
• mouth sores


• periodontal disease
• acute necrotizing ulcerative gingivitis (ANUG)
• adrenal insufficiency/adrenal crisis


• inflammatory response to plaque deposits due to poor oral hygiene or underlying systemic condition
• gingival fluid, fibrin deposits and neutrophils proliferate
• destruction of collagen and lesions follow
• pockets develop where gingiva separates from teeth
• lesion and pockets bleed while eating or brushing
• ligaments break down, teeth fall out and alveolar bone is destroyed


• oral exam
• lab tests
• imaging

Diagnostic Tests
• smear may help identify a causative agent
• dental x-rays


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Battino M, Bompadre S, Politi A, Fioroni M, Rubini C, Bullon P. Antioxidant status (CoQ10 and Vit. E levels) and immunohistochemical analysis of soft tissues in periodontal diseases. Biofactors. 2005;25(1-4):213-7. PubMed PMID: 16873949.

Lister RE. Coenzyme Q10 and periodontal disease. Br Dent J. 1995 Sep 23;179(6):200-1. PubMed PMID: 8541149.

Hanioka T, Tanaka M, Ojima M, Shizukuishi S, Folkers K. Effect of topical application of coenzyme Q10 on adult periodontitis. Mol Aspects Med. 1994;15 Suppl:s241-8. PubMed PMID: 7752836.

Chandra RV, Prabhuji ML, Roopa DA, Ravirajan S, Kishore HC. Efficacy of lycopene in the treatment of gingivitis: a randomised, placebo-controlled clinical trial. Oral Health Prev Dent. 2007;5(4):327-36. PMID: 18173095

Didry N, Dubreuil L, Pinkas M. Activity of anthraquinonic and naphthoquinonic compounds on oral bacteria. Pharmazie. 1994 Sep;49(9):681-3. PMID: 7972313

Teughels W, Loozen G, Quirynen M. Do probiotics offer opportunities to manipulate the periodontal oral microbiota? J Clin Periodontol. 2011 Mar;38 Suppl 11:159-77. doi: 10.1111/j.1600-051X.2010.01665.x. PubMed PMID: 21323712.

Krasse P, Carlsson B, Dahl C, Paulsson A, Nilsson A, Sinkiewicz G. Decreased gum bleeding and reduced gingivitis by the probiotic Lactobacillus reuteri. Swed Dent J. 2006;30(2):55-60. PubMed PMID: 16878680.

Harini PM, Anegundi RT. Efficacy of a probiotic and chlorhexidine mouth rinses: a short-term clinical study. J Indian Soc Pedod Prev Dent. 2010 Jul-Sep;28(3):179-82. PubMed PMID: 21157050.

Staab B, Eick S, KnÖfler G, Jentsch H. The influence of a probiotic milk drink on the development of gingivitis: a pilot study. J Clin Periodontol. 2009 Oct;36(10):850-6. Epub 2009 Aug 12. PubMed PMID: 19682173.

DiSilvestro RA, DiSilvestro DJ, DiSilvestro DJ. Pomegranate extract mouth rinsing effects on saliva measures relevant to gingivitis risk. Phytother Res. 2009 Aug;23(8):1123-7. PubMed PMID: 19170139.

Vervelle A, Mouhyi J, Del Corso M, Hippolyte MP, Sammartino G, Dohan Ehrenfest DM. [Mouthwash solutions with microencapsuled natural extracts: Efficiency for dental plaque and gingivitis]. Rev Stomatol Chir Maxillofac. 2010 Jun;111(3):148-51. Epub 2010 Jun 4. French. PubMed PMID: 20605180.

MartÍnez Silveira G, Gou Godoy A, OÑa Torriente R, Palmer Ortiz MC, FalcÓn CuÉllar MA. [Preliminary study of the effects of propolis in the treatment of chronic gingivitis and oral ulceration]. Rev Cubana Estomatol. 1988 Sep-Dec;25(3):36-44. Spanish. PubMed PMID: 3272436.

Bonifait L, Grenier D. Cranberry polyphenols: potential benefits for dental caries and periodontal disease. J Can Dent Assoc. 2010;76:a130. PubMed PMID: 20943032.

La VD, Howell AB, Grenier D. Anti-Porphyromonas gingivalis and anti-inflammatory activities of A-type cranberry proanthocyanidins. Antimicrob Agents Chemother. 2010 May;54(5):1778-84. Epub 2010 Feb 22. PubMed PMID: 20176905; PubMed Central PMCID: PMC2863644.

Vardar-Sengul S, Buduneli E, Turkoglu O, Buduneli N, Atilla G, Wahlgren J, Sorsa T, Baylas H. The effects of selective COX-2 inhibitor/celecoxib and omega-3 fatty acid on matrix metalloproteinases, TIMP-1, and laminin-5gamma2-chain immunolocalization in experimental periodontitis. J Periodontol. 2008 Oct;79(10):1934-41. PubMed PMID: 18834249.

Raffaelli L, Serini S, Piccioni E, Manicone PF, Berardi D, Perfetti G, Calviello G. N-3 polyunsaturated fatty acid effect in periodontal disease: state of art and possible mechanisms involved. Int J Immunopathol Pharmacol. 2008 Apr-Jun;21(2):261-6. Review. PubMed PMID: 18547469.

Campan P, Planchand PO, Duran D. [Polyunsaturated omega-3 fatty acids in the treatment of experimental human gingivitis]. Bull Group Int Rech Sci Stomatol Odontol. 1996 Feb-Mar;39(1-2):25-31. French. PubMed PMID: 8720373.

Lauten JD, Boyd L, Hanson MB, Lillie D, Gullion C, Madden TE. A clinical study: Melaleuca, Manuka, Calendula and green tea mouth rinse. Phytother Res. 2005 Nov;19(11):951-7. PubMed PMID: 16317652.

Krahwinkel T, Willershausen B. The effect of sugar-free green tea chew candies on the degree of inflammation of the gingiva. Eur J Med Res. 2000 Nov 30;5(11):463-7. PubMed PMID: 11121366.

Chandra RV, Prabhuji ML, Roopa DA, Ravirajan S, Kishore HC. Efficacy of lycopene in the treatment of gingivitis: a randomised, placebo-controlled clinical trial. Oral Health Prev Dent. 2007;5(4):327-36. PubMed PMID: 18173095.

Hasturk H, Nunn M, Warbington M, Van Dyke TE. Efficacy of a fluoridated hydrogen peroxide-based mouthrinse for the treatment of gingivitis: a randomized clinical trial. J Periodontol. 2004 Jan;75(1):57-65. PubMed PMID: 15025217.

Stoeken JE, Paraskevas S, van der Weijden GA. The long-term effect of a mouthrinse containing essential oils on dental plaque and gingivitis: a systematic review. J Periodontol. 2007 Jul;78(7):1218-28. Review. PubMed PMID: 17608576.

Machado MA, Contar CM, Brustolim JA, Candido L, Azevedo-Alanis LR, Gregio AM, Trevilatto PC, Soares de Lima AA. Management of two cases of desquamative gingivitis with clobetasol and calendula officinalis gel. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2010 Dec;154(4):335-8. PubMed PMID: 21293545.

Krazhan IA, Garazha NN. [Treatment of chronic catarrhal gingivitis with polysorb-immobilized calendula]. Stomatologiia (Mosk). 2001;80(5):11-3. Russian. PubMed PMID: 11696943.

Sheng J, Nguyen PT, Marquis RE. Multi-target antimicrobial actions of zinc against oral anaerobes. Arch Oral Biol. 2005 Aug;50(8):747-57. Epub 2005 Feb 17. PubMed PMID: 15958206.

Hu D, Sreenivasan PK, Zhang YP, De Vizio W. The effects of a zinc citrate dentifrice on bacteria found on oral surfaces. Oral Health Prev Dent. 2010;8(1):47-53. PubMed PMID: 20480054.

Saxer UP, StÄuble A, Szabo SH, Menghini G. [Effect of mouthwashing with tea tree oil on plaque and inflammation]. Schweiz Monatsschr Zahnmed. 2003;113(9):985-96. French, German. PubMed PMID: 14567294. 2014. American Dental Association. [online] Available at: [Accessed: 15 Mar 2014]. 2014. Medscape: Medscape Access. [online] Available at: [Accessed: 15 Mar 2014]. 2014. Gingivitis Symptoms - Diseases and Conditions - Mayo Clinic. [online] Available at: [Accessed: 15 Mar 2014]. 2014. Gingivitis: Periodontal Disorders: Merck Manual Professional. [online] Available at: [Accessed: 15 Mar 2014]. 2014. Gingivitis Medication | [online] Available at: [Accessed: 15 Mar 2014].

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