Gingivitis

GASTROINTESTINAL

CARE OF CLIENT WITH GINGIVITS

GINGIVITISWhat is gingivitis? Gingivitis is mild gum disease. It is an infection caused by germs

called bacteria, that hurts your gums. Occurs when buildup of plaque (sticky

film) on teeth and gums. Plaque contains bacteria that can irritate your gums, and cause an infection

What may increase risk of gingivitis?

Not brushing or flossing your teeth every day, or cleaning your teeth well enough to remove plaque

Not visiting your dentist regularly for

exams and cleanings

Pregnancy, diabetes, HIV infection, and diseases that decrease your immune system Your body's immune system fights off infection

Cont’

Smoking or chewing tobacco, poor diet, and stress

Taking certain types of medicines such as steroids, drugs that treat depression, and birth control pills

Cont’

Having dental problems that make it hard to remove plaque. This may include bridges or dentures that do not fit right, and crooked teeth

Getting older, and having a family history of gum disease

Signs and symptoms

Red, swollen gums.

Gums may or may not be painful.

Gums may bleed when brush or floss your teeth.

Halitosis (bad breath) is worse if have gingivitis.

Diagnose of gingivitis

Dentist will check gums for swelling and redness.

Dentist will also use a dental probe (metal tool) to check for bleeding.

X-rays (pictures) may be taken of your mouth and teeth.

Treatment of gingivitis

Dentist may need to remove plaque and calculus (hard plaque) from teeth with special tools.

Dentist may also need to treat any dental problem that make it hard to clean teeth well

Clean teeth very well every day to remove plaque

A battery-powered toothbrush may remove

plaque better than a regular toothbrush.

Cont’ Floss teeth every day.

Use a special dental rinse. These special rinses may help to reduce plaque and decrease swelling of gums.

Stop smoking. Smoking increases risk of getting periodontitis, which can occur if gingivitis gets worse. Smoking also decreases how well treatments for gum disease work.

Prevention of gingivitis

Brush teeth two times a day after meals with fluoride toothpaste

Use dental floss to clean between teeth at least once a day

Ask dentist if should use a dental rinse, and what kind may work best

See dentist regularly for dental cleanings and oral exams. Ask dentist how often should see him for dental cleanings and exams

Complication Recurrence of gingivitis

Tooth loss

Periodontitis

Infection or abscess of the gingiva or the jaw

Bones

Trench mouth (bacterial infection and ulceration of the gums

NURSING CARE PLAN 1

Nursing Care Plans Diagnosis : Impaired Oral mucous membrane Client Outcomes:

a)Maintains intact, moist oral mucous membranes that are free of ulceration and debris

b) Describes or demonstrates measures to regain or maintain intact oral mucous membranes

Nursing Interventions Encourage fluid intake up to 3000 ml per

day if not contraindicated by client's medical condition

Fluids help increase moisture in the mouth, which protects the mucous membranes from damage and helps the healing process.

Keep lips well lubricated using petroleum jelly or a similar product .

NURSING CARE PLAN 2

Nursing diagnosis: Risk of imbalanced nutrition related

disease process Expected outcome: Maintain the nutrition status

Nursing Interventions Assess caregiver’s and client’s knowledge of nutritional

needs.

Offer or provide assistance in menu selection.

Provide privacy when eating habits become an insoluble problem.

Offer small meals and/or snacks of one or two foods

around the clock, as indicated

Anticipate needs, cut foods, and provide soft or finger foods.

Refer to dietitian or nutritionist, as indicated.

NURSING CARE PLAN 3

Nursing diagnosis : fear and anxiety related to decrease in

functional abilities  Expected outcomes : Fear Level Decreases

Demonstrate more appropriate range of feelings and lessened fear

Nursing Interventions

Note change of behavior, suspiciousness, irritability, and defensiveness.

Identify strengths the individual had previously.

Deal with aggressive behavior by imposing calm, firm limits.

Provide clear, honest information about actions and events.

Discuss feelings of SO and caregivers. Acknowledge normalcy of feelings and concerns and provide information as needed.

CONCLUSION The conclusion is very important to

maintain the healthy teeth and beautiful smile

Prevent plaque from appearing at the gums and teeth that will cause gingivitis or periodontitis

Brushing and flushing are very important to prevent any formation of the hard plaque ,infection and inflammation for a good and healthy mouth