What is the treatment of plaque-associated gum disease?

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If you have gingivitis

The measures described above to prevent gum disease will often clear mild gingivitis. If gingivitis is more severe, in addition your dentist or doctor may advise an antiseptic mouthwash (and/or antiseptic toothpaste, gel, or spray). These help to kill bacteria in the mouth and help to clear up any gum infection.
Chlorhexidine is a commonly used antiseptic mouthwash. You should rinse your mouth well with water between brushing your teeth and using chlorhexidine. This is because some ingredients in toothpaste can inactivate chlorhexidine. Chlorhexidine may also stain teeth brown when used regularly. The stain is not permanent, and can be reduced by:
brushing teeth before (but not after) using the chlorhexidine.
avoiding drinks that contain tannin within 2-3 hours of using chlorhexidine (for example, tea, coffee, and red wine).
using the 1.2% solution instead of higher strength solutions.

If you have periodontitis

You need to be seen by a dentist. In addition to the measures described above to treat gingivitis you may need specialist dental treatment.

Further help and advice

See a dentist if you have a concern about your teeth or gums. The following may also be helpful.

British Dental Health Foundation
Smile House, 2 East Union Street, Rugby, Warwickshire, CV22 6AJ
Helpline: 0845 063 1188
Web: www.dentalhealth.org.uk

A national charity that has 30 years' experience promoting the benefits of good oral health to the public. It runs a free consumer Dental Helpline that is operated by a qualified dental team who provide free independent and impartial advice on all aspects of oral health. They reply in person to the general public's enquiries by phone, email and letter.

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