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What is gingivitis or gum disease?

Gingivitis is inflammation of the gums.

It’s an early and mild form of gum disease.

Gingivitis happens when bacteria in the mouth create a sticky covering called plaque on teeth and around the gumline. These bacteria and the toxins they produce irritate the gums. If you don’t remove the plaque with regular teeth-brushing, it can harden into what’s called tartar. Tartar can attract more bacteria, leading to more gum inflammation.

Gingivitis can occur in children of all ages.

Gingivitis is often called gum disease.

Gingivitis signs and symptoms

Signs of gingivitis include:

  • bleeding gums, especially while brushing or flossing teeth
  • red or purple and swollen or tender gums
  • bad breath.

If your child has signs of gingivitis or symptoms like bleeding gums, they should keep brushing their teeth twice a day, especially along the gumline. Your child can also use waxed dental floss to clean between their teeth once a day. This will help to remove the plaque and deal with gingivitis.

Medical help: when to get it for children and teenagers with gingivitis

Here’s when your child should visit a dentist:

  • Gingivitis signs or symptoms like bleeding gums haven’t stopped within 3-4 days of careful brushing and flossing.
  • Their inflamed gums are painful.

The dentist will tell you and your child how to manage gingivitis and stop it from getting worse.

Your child should see the dentist or GP or go to a hospital emergency department straight away if they have a fever or facial swelling and you think these might be because of dental problems.

Gingivitis management and treatment

You can manage gingivitis at home by carefully brushing teeth and the gumline twice a day. It can also help to use waxed floss to clean between teeth once a day.

If the gingivitis doesn’t go away, your child needs to see a dentist. Dentists can usually treat gingivitis by removing plaque and tartar from around the gums.

Occasionally, your dentist might say your child needs extra treatment.

If left untreated, gingivitis can turn into a more serious form of gum disease called periodontitis. Periodontitis can cause permanent damage to the gums and the bone supporting your teeth. It can cause pain, receding gums, tooth loss and bad breath.

Prevention of gingivitis

There are 2 key ways your child can prevent gingivitis.

1. Good dental care

This includes:

  • brushing teeth twice a day with a soft toothbrush
  • using low-fluoride toothpaste from 18 months to 5 years and regular toothpaste after that
  • using waxed floss to clean between teeth once a day.

2. Regular dental check-ups

Generally your child should start seeing the dentist by the time they’re one year old or when their first tooth comes through, whichever happens first.

These steps also help to prevent other dental problems like tooth decay.

Cleaning and caring for children’s teeth early on sets up good dental habits for life. And good dental health is important for overall health and development during childhood and later in life.

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Raising Children Network is supported by the Australian Government. Member organisations are the Parenting Research Centre and the Murdoch Childrens Research Institute with The Royal Children’s Hospital Centre for Community Child Health.

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  • Murdoch Children's Research Institute

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