Gingival pocket treatment

Understanding Periodontal Pockets

Treatment for periodontal pockets varies depending on the severity or depth of the pocket or pockets you have. Only your dentist or periodontist can determine the best treatment for your needs. Options include periodontal pocket reduction procedures and regenerative procedures for building bone and gum tissue A periodontal pocket reduction procedure has been recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place Periodontal pockets are a symptom of periodontitis (gum disease), a serious oral infection. Periodontal pockets can be treated and reversed with good oral hygiene or with dental treatment. But when.. Gingival flap surgery to reduce the depth of periodontal pockets is recommended by periodontists for the treatment of moderate or advanced periodontitis especially if non-surgical treatments (tooth scaling and root planing, antibiotics) have not eliminated the gum infection

Effective Periodontal Pocket Treatment - Use A Waterpik

Treatment Prompt treatment usually reverses symptoms of gingivitis and prevents its progression to more serious gum disease and tooth loss. You have the best chance for successful treatment when you also adopt a daily routine of good oral care and stop tobacco use. Professional gingivitis care includes There are some home remedies that can be implemented for the treatment of gum pockets. What you need to do is mixing half to a three-fourths teaspoon of salt into about 250 ml glass of lukewarm water. Take some water into the mouth, swish it around for nearly 30 seconds and then spit it out One of the best ways to treat gum pockets is to brush on a regular basis. Use a soft-bristled toothbrush and brush your teeth gently, as hard bristles and rough brushing can cause the gums to recede further. However, brushing both morning and night will help remove all of the food and bacteria that gets lodged in the pockets A periodontal pocket is an unusually deep gap in the space between the surrounding gums, called the gingival sulcus. When the sulcular depth exceeds 0.118 inch (3 mm), regular brushing cannot effectively remove debris from the area. At this point, dental intervention is necessary in order to thoroughly clean the area Curing periodontal pockets Healing periodontitis naturally (incl. psychological issues in gum disease) Interestingly, while deep gum pockets are considered incurable without surgical intervention in dentistry lore, I found them the only dental challenge to truly easily self-heal

In a gingival pocket, no destruction of the connective tissue fibers (gingival fibers) or alveolar bone occurs. This early sign of disease in the mouth is completely reversible when the etiology of the edematous reaction is eliminated and frequently occurs without dental surgical therapy If you require more advanced treatment, several types of surgery can remove infection and reduce your gum pockets. These include flap surgery, soft tissue grafts or bone grafts, and guided tissue regeneration. Home Care for Prevention Periodontal disease is very preventable Salt water treatment for gingivitis The results of a 2016 study showed that using a salt water rinse can be very beneficial in healing gums inflamed by gingivitis. Salt is a natural disinfectant..

Treatment may be performed by a periodontist, a dentist or a dental hygienist. The goal of periodontitis treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding bone In the dentist's office, treatment for a gum abscess includes draining the abscess, as well as removing any contaminants from the area between the gums and the teeth. If a person has any signs of.. Gum Pockets Treatment. A periodontal pocket reduction procedure has been recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine. During this procedure, Dr. Maddux folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. In. It is designed to reduce bacteria and pocket depth. The strip is placed between a tooth and infected gum tissue for about 10 days; sometimes multiple threads are placed throughout the mouth. Elyzol®: This unique antibiotic treatment comes in gel and strip form. Equipped with metronidazole, it is able to eliminate both bacteria and parasites

Periodontal Pocket Reduction Procedures Perio

  1. pockets are deep and the supporting bone is lost, surgery may be necessary to help prevent tooth loss. You may be referred to a periodontist, a den-tist who specializes in the treatment of diseases that affect the supporting structures of the teeth—the gum and bone tissue—for treatment. When periodontal pockets do not heal afte
  2. Antibiotics can be given in pill form, but most often are directly applied inside the periodontal pocket. If a pocket is too deep to be treated with non-surgical procedures, surgery may be recommended to reduce the size of the pocket
  3. Gingival flap surgery treats periodontal disease by separating the gums from the teeth to allow the dentist to scrape tartar and plaque from the roots and bone. The average retail price of gum flap disinfection ranges from $4,000-$6,000 but can run higher for patients with extensive damage
  4. To my surprise, I had one pocket that was over 10 millimeters deep! This is a classic case of advanced periodontal disease. The dentist handed me a periodontal disease brochure that outlined their treatment protocol, which involved extensive, expensive, painful root planing and gum surgery
  5. Flap surgery/pocket reduction surgery. During this procedure the gums are lifted back and the tartar is removed. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas.

Gum Pockets Treatment If you do have periodontal pockets then you will need a proper evaluation by a periodontist who is a dental specialist in treating gum disease. Periodontists will assess the readings taken using a periodontal probe and they also consider other factors such as bleeding while probing 2. Probe for pocket depth - A Perio probe indicates the depth of the pocket(s) between your gum tissue and the tooth. 3. Laser irradiation of infection - A laser opens the pocket for access and visibility before selectively destroying the diseased tissue. Meanwhile, tiny vibrations alert the doctor of important dental conditions, such as. During periodontal laser treatment, the periodontist addresses the pulsed Nd:YAG laser light within the pockets to kill bad bacteria. Next it's time to remove tartar calculus, dental plaque using ultrasonic and manual tools (scaling and root planning phase) Pseudo-pockets do not require special treatment but should be closely monitored since cleaning them can be difficult, and they can easily progress to a true pocket. Treatment of Periodontal Pockets. All periodontal pockets should be treated as soon as possible. If not, they are likely to become deeper and more difficult if not impossible to treat

Periodontal Pockets: Severity, Risk Factors, Treatment

Pocket Reduction - Gum Flap Surgery - Dental Disease

  1. If pockets are small, sub-gingival scaling and root planning may be the only treatment required. If pockets are deep, sub-gingival scaling and root planning may be an initial procedure done to remove some calculus (tartar) and reduce the periodontal infection temporarily in order to provide healthier gum tissue to allow pocket reduction surgery.
  2. ed you and prescribed treatment, you've already taken the first step to improving your condition
  3. Peridontal pocket. 1. PERIODONTAL POCKET. 2. DEFINITION: The periodontal pocket is defined as a pathologically deepened gingiva sulcus. Deepening of gingiva sulcus may occur by coronal movement of the gingiva margin, apical displacement of gingiva attachment or combination of above. 3

Gingivitis - Diagnosis and treatment - Mayo Clini

  1. Gum pockets that are 5 mm deep or greater likely indicate more advanced gum disease involving the bone (periodontitis). If the height of your gum tissue has changed due to gum recession, a lower probing measurement may not be accurate to show how much bone loss is happening. We would let you know if this was the case
  2. The normal maximum periodontal probing depth is 1mm for a cat and 3 mm or less in a dog. When pocket depth exceeds these numbers, it may be because of tissue destruction (true periodontal pocket) or overgrowth of normal gingival tissue (pseudo-pocket). Whatever the cause, the pocket depth must be reduced or the process will continue
  3. g any procedure, the dentist will perform thorough visual and x-ray exa
  4. Gingivectomy is a type of gum surgery procedure that involves the surgical removal of gum tissue. Gingivectomy was initially used by periodontists as part of gum disease treatment to remove diseased gingival tissue and reduce pockets between the teeth and gums that trap food and bacteria
  5. Classifications of periodontal abscess Classification according to the anatomical location: Gingival abscess: In this case, abscess involves the marginal gingiva or the interdental papilla. Lateral periodontal abscesses/ parietal abscesses: In this case, abscess is present adjacent to the periodontal pocket that may lead to the destruction of periodontal ligaments and alveolar bone
  6. Here is a step-by-step gum pocket sterilization process with laser dental treatment: A laser is used to remove damaged tissue from the infected gum pockets. Once the damaged tissue is removed, it exposes the roots of the affected tooth. All the affected roots are thoroughly cleaned. Laser energy is used to seal and enhance the healing of.
  7. Experts agree gum disease can destroy the bones that support your teeth if left untreated, which can lead to tooth loss. Gum disease is a gum infection that destroys your soft tissue, which is typically preventable. Research suggests that gum disease occurs when tartar builds up below your gum line, which you'll likely need to get cleaned by a dental hygienist

Systemic antibiotics are drugs that, when given, affect the whole body. Normally they are administered in pill form when used in periodontal treatment. Periodontists use systemic antibiotics to treat acute infections, such as a gum abscess (gum boil), and also before treatment when patients have certain medical conditions, such as mitral valve. Treatment. The goal is to control your infection. Your dentist will look at what's affected to figure out where to start. Deep cleaning: The first line of treatment for gum disease is a careful.

The diagram at the bottom of the blog explains it better, but here is a little more detail on what measuring the pockets mean: 0 to 3 mm without bleeding: Congratulations! No issues! 1 to 3 mm with bleeding: This is gingivitis which is the mildest form of gum disease. Usually a good cleaning coupled with improved oral self-care is all. INTRODUCTION. Gingival recession or soft tissue recession is defined as the displacement of the gingival margin apical to the cemento-enamel junction (CEJ) of a tooth or the platform of a dental implant. 1, 2 This condition is associated with the loss of periodontal tissues, including gingiva, periodontal ligament, root cementum, and bone at dental sites as well as the loss of mucosa and bone. Worth discussing here are terms related to the surgical treatment of gingival enlargement. The two terms often used are gingivectomy and gingivoplasty. Human textbooks refer to gingivectomy as the excision of gingiva to eliminate periodontal pockets, including reshaping, or -plasty, of the gingiva as part of the process The Nd:YAG laser's benefits are based on its ability to remove the sub-gingival (sub - below; gingival - gum) diseased connective tissue and pocket lining, and to kill bacteria. Because of its precision, the Nd:YAG laser can be used by specially trained dentists to remove diseased tissue close to the margins of where it meets. Studies have shown decreased gingival bleeding, 17, 20 decreased inflammation and pocket depth, 16, 17 as well as decreased tooth mobility and decreased clinical attachment loss. 16 This improvement in gingival health remains more stable than with conventional SRP treatment alone and tends to last longer 21

Gingival flap surgery is used to treat gum disease (periodontitis). It might be advised for individuals with moderate or innovative periodontitis. Typically, a treatment that doesn't involve surgery is done first. This is called scaling and root planing. If this treatment does not remove the gum infection, gingival flap surgery may be used Gum recession can cause problems for your dental health. If you have gum recession, your dentist can help you understand the causes and recommend a treatment. When teeth are healthy, gum tissue fits around each tooth like a cuff. In a tooth with gum recession, the gum tissue has pulled away from the tooth. This can leave the tooth root exposed Standard treatment for periodontitis involves measuring the depth of any periodontal pockets, using a dental probe, around all of the teeth to identify which ones are deeper than 3 mm. All of these deep pockets are carefully cleaned by the dentist or hygienist to remove plaque and calculus deposits Gingival enlargment and its treatment 1. Presented by: Surbhi Kapoor MDS 2nd year 2. Gingival enlargement is the proliferation and intensification of the gingiva which is a prevailing character of the diseased gingival tissues. Thus, increase in size of the gingiva is a common feature of gingival disease. Accepted current terminology for this condition is GINGIVAL ENLARGEMENT OR GINGIVAL.

Further: an improvement in the gingival inflammation caused by a periodontal disease was observed, and periodontal pocket depth was maintained. These results suggest that low-energy laser irradiation may inhibit the incidence of open gingival embrasure space after orthodontic treatment Gum Disease Laser Assisted Periodontal Therapy Minimally Invasive gum disease treatment for moderate to severe cases. Laser Assisted Periodontal Therapy, or LAPT for short, is the latest advancement in Periodontal Infection Removal.The WaterLase MD laser uses a specific wavelength that targets and destroys diseased tissue and bacteria from periodontal pockets

Plaque index, gingival index, bleeding on probing, tooth mobility index, pocket probing depth and clinical attachment loss will be taken for each participant four times; before surgical treatment, 3 months, six months and 12 months after surgical treatment. Radiographic study: will be done using CBCT radiography technique Scaling and root planing are different forms of treatment for periodontitis periodontitis (or pyorrhea or gum disease). In this 3D animation from Clínica Méd.. With timely treatment and good at-home care, you and your dental professional can fight the infection, allowing your gums to heal, get stronger, and hold your teeth more securely. What are pockets? If gum infection is not treated, the gums can begin to pull back, creating pockets of diseased tissue between the teeth and gums In addition to root planing treatment, gum flap surgery may also be necessary, depending on the severity of gum disease. Gum flap surgery, also called periodontal flap surgery, is a popular procedure that treats and repairs periodontal pockets. Periodontal pockets are deep spaces below your gum line that form when gum tissue detaches from your.

Everything You Should Know About Gum Pockets And Treatment

With gum disease, the gum becomes inflamed and the gingival sulcus becomes more than 4 millimeters in depth because of the destruction of the tissues that support the tooth (alveolar bone and periodontal ligament), causing the formation of a periodontal pocket If the pockets between your gums and teeth are too deep, however, scaling and root planing may be needed. A July 2015 study in the Journal of the American Dental Association finds that scaling and root planing is beneficial to patients with chronic periodontitis (gum disease that has advanced past gingivitis) How laser gums treatment works. When gums pockets are too deep, laser surgery may be needed to better remove infected gum tissues and save your teeth. As the..

4 Easy Ways to Reduce Gum Pockets Naturally - wikiHo

The first use of hydrogen peroxide in dentistry was in 1913, used to decrease plaque formation and to control pyorrhea or gum disease. The now known mechanism of antimicrobial action is the release of oxygen, and pathogenic effects are seen in gram-positive as well as gram-negative organisms.₁ Another mechanism of antimicrobial action is. Methods: A sample of 330 patients undergoing fixed orthodontic treatment for at least 6 months were examined by a single calibrated examiner for plaque and gingival indexes, probing pocket depth, clinical attachment loss and gingival enlargement. Socio-economic background, orthodontic treatment duration and use of dental floss were assessed by. Gingival sculpting, also known as gingival contouring, is the process of reshaping the gum tissue around your teeth. A cosmetic dental treatment that can help reinvent your smile and improve your oral health, gingival sculpting involves a minimally invasive laser procedure to remove and re-sculpt uneven or excessive gum tissue firm and nodular inconsistency gingival enlargement started to appear 6 months prior to the consultation, but the patient was not able to remember the exact date. The plaque was present on nearly all surfaces, and a high gingival bleeding index was observed. Probing pocket depths of +6 mm were found around most of the teeth Different Types of Gum Surgery. If you've developed gum disease severe enough to require surgery, your dentist may discuss some of these types of gum surgery as ways to treat the problem: Pocket reduction (also known as gingival flap surgery) In this procedure, your surgeon folds back the gums and removes bacteria

What is a Periodontal Pocket? (with pictures

  1. Gingival abscess—a localized, purulent infection involves only the soft gum tissue near the marginal gingiva or the interdental papilla. Periodontal abscess—a localized, purulent infection involving a greater dimension of the gum tissue, extending apically and adjacent to a periodontal pocket
  2. With periodontal abscess treatment, the dentist will first carry out a deep cleaning of the gum pocket. He or she can then assess the extent of the infection. Oral x-rays will also reveal how far the infection has spread. The abscess may have caused the tooth to become loose, and in this case an extraction may be the only solution
  3. Before considering treatment of gingival recession defects, it is important to identify aetiological factors. At present, the true aetiology still remains unclear17. Thus, gingival recession defects frequently have multi-factorial causes. Plaque-induced periodontal inflam-mation and mechanical trauma caused by imprope
  4. Further treatment. If you have severe gum disease, you may need further treatment, such as periodontal surgery. In some cases, it's necessary to remove the affected tooth. Your dentist will be able to tell you about the procedure needed and how it's carried out. If necessary, they can refer you to a specialist
  5. GTR has shown to have a greater effect on probing measures of periodontal treatment than open flap debridement alone, including improved attachment gain, reduced pocket depth, less increase in gingival recession, and more gain in hard tissue probing at reentry surgery

LANAP is a U.S. Food and Drug Administration-approved patented protocol for the treatment of periodontitis, or gum disease. LANAP Surgery In LANAP surgery, a variable pulsed neodymium:yttrium-aluminum-garnet (Nd:YAG at 1064nm) dental laser is used by a trained and certified dentist or periodontist to treat the periodontal pocket Ball on working end helps to prevent tissue trauma and detect sub-gingival calculus The coloured bands are for measuring the depth of periodontal pockets The measurements recorded will indicate to the operator the level of periodontal treatment needed Calibrated in millimetres ; False friend. Periodontal probe. Figure 17. Treatment by means of systematic subgingival scaling can now proceed. A gingivoplasty may be indicated subsequently in the normal course of treatment. 464 Emergency Situation—Localized Acute Pocket Tooth 31 is vital and should be maintained despite the 10 mm pocket. Very little pus has formed; drainage via the gingival margin appears possible periodontal gum pockets treatment January 05, 2021, Manhattan Periodontics and Implant Dentistry One of the main signs of gum disease is the development of pockets or spaces around teeth as the gums lose their firm attachment to teeth

deep pockets remain following treatment with deep cleaning and medications. A dentist or periodontist may perform flap surgery to remove tartar deposits in deep pockets or to reduce the periodontal pocket and make it easier for the patient, dentist, and hygienist to keep the area clean. This common surgery involves lifting back th Alternative Gum Disease Treatment Options for Deep Gum Pockets This post will define the available professional alternative gum disease treatment options for deep gum pockets. When traditional therapies such as root planing (deep cleaning) with antibiotics, or basic laser periodontal therapy are exhausted, the next indicated step for a more definitive treatment to stop infection in. Periodontal Pocket Treatment. Treatment for periodontal pockets varies depending on the severity or depth of the pocket or pockets you have. Only your dentist or periodontist can determine the best treatment for your needs. Options include periodontal pocket reduction procedures and regenerative procedures for building bone and gum tissue Gum disease treatment is a continual effort to prevent the disintegration of oral tissues and keep your smile healthy and whole for the long-term. In addition to scaling & root planing and improved oral hygiene practices at home, pocket irrigation in Fairfax, VA is one effective method of treating gum disease — but it can also be used as a.

Patient Treatment Videos: Gingivectomy - YouTube18: Gingival Disease in Childhood | Pocket DentistryCommon Dental Problem And Solution: Gingival swelling

On self-healing gum pockets & psychological issues in gum

Laser Gum Treatment. An innovative technology that can assist non-surgical treatments for gum disease, laser dentistry involves treating the gingival pocket with a narrow, intense beam of light energy at a wavelength that is ideally suited for soft tissue procedures Generally speaking any pockets above 3mm are considered 'unhealthy' by most dental professionals. Therefore, generally speaking, you want all of your pockets to be 3mm and below. Shrinking Them. Shrinking these pockets basically means making the gum tissue healthy again. So, more brushing and flossing can certainly help and should be done Surgical Treatment - This includes procedures such as soft tissue grafting to prevent gum recession and improve the aesthetics of your gum line. Gum pocket reduction surgery to encourage natural bone regeneration and tartar removal from below the gum line. If you are concerned that you have receding gums, call us right away. Our dentists in.

Gingival and periodontal pocket - Wikipedi

Treat your gums nicely. This gentle application of medicine shields your body from infection at a key entry point into your bloodstream—your mouth. And it does all of this while freshening your breath and whitening your teeth. If the results weren't so conclusive, we wouldn't blame you for being skeptical. But go ahead, dig a little deeper The gum pockets start to shrink, and your gum tissue becomes healthy. Gum Regrowth Treatment Options. Receding gums, or gingival recession, is a retraction of the gums from the crown of the. TYPES OF SURGICAL TREATMENT INCLUDE: Resective Pocket Reduction Procedures Periodontal pockets are the result of the separation of the gum from the affected tooth. A space will develop where bacteria will colonize and infect the underlying supporting bone Your gum pockets will then be exposed to the non-heat laser for one minute. This time is essential to the process. For particularly infected areas, your periodontist may repeat treatment before ending the procedure. Contraindications & Side Effects. There are no known side effects or contraindications for photodisinfection therapy. It is safe.

What Are Periodontal Pockets? - Colgat

The prevalence of gingival and periodontal disease is manifold and has not been highlighted much due to its asymptomatic and milder symptoms. It is usually given its due importance when the gingival disease progresses to advanced periodontal disease, displays symptoms of dull pain and tooth mobility, and is associated with pus discharge. The starting point of periodontal disease is usually. You will need a clinical exam and xrays to give you a complete answer. If you still have pockets >4 mms with bleeding, this indicates that you have active periodontal disease and will likely need further treatment than periodontal maintenance and deep cleanings alone. There are many different treatment options available

14: Periodontal Surgery | Pocket Dentistry

Anywhere are harmful bacteria grow in the pockets of the gums, it's possible for an abscess to develop. For most people, the issue with bacteria growing is going to be present long before they experience any pain and serious gum disease or tooth decay. The best way to deal with an abscess is to prevent it from forming in the first place The Perio Protect Method ® is a minimally invasive, comprehensive gum disease treatment. It is backed by technology, and the results are proven through research. Where Other Methods Fall Short. Brushing, rinsing and flossing are important. But these efforts fail to reach deep below the gum line where bacteria thrive—in the periodontal pockets A periodontal pocket with an abscess is labelled number 2 in the graphic. Label 1 refers to a periapical abscess. The causes of periodontal disease (which can lead to abscesses) include: Poor oral hygiene and neglect of one's teeth. Smoking cigarettes. Some medical conditions such as uncontrolled diabetes

10 Gingivitis Home Remedies: What Works

Periodontitis - Diagnosis and treatment - Mayo Clini

This treatment may be done over more than one visit, depending on your personal needs. Scaling: Your dentist or hygienist removes plaque and tartar down to the bottom of each periodontal pocket. Root Planing: Then, the root surfaces of your teeth are smoothed, or planed, to allow the gum tissue to heal and reattach to the teeth While grouped with gum disease, periodontitis is essentially a more extreme case. Gingivitis begins as gum inflammation. If gingivitis goes without treatment, it develops into periodontitis, or gum disease. Eventually, the inner layers of the gum begin to pull away from the teeth. This forms pockets on either side of the teeth

4 The dentoalveolar gingival unit | Pocket DentistryPeriodontal Surgery - Westerly, RI - New London, CTDental health assessed after interproximal enamel

Curettage. The periodontist scoops out the infected gum tissue. This promotes healing. Flap surgery. After making an incision in the side of the pocket, the periodontist folds back a flap of gum tissue. This procedure exposes the interior of the pocket, the tooth root, and the alveolar bone for cleaning Gingival Hyperplasia Treatment. There are a few different treatment options available for gingival overgrowth. These include, but are not limited to, periodontal flap surgery, a gingivectomy, and laser gum treatment. Depending on the severity of gingival enlargement, your dentist may recommend one or more of the following treatments Local Antibiotic Therapy. While systemic antibiotics have a very limited use in treating typical periodontal disease, there has been much interest in local antibiotic delivery. If an antibiotic can be delivered directly to the pocket, without the patient having to take systemic doses, there are far fewer side effects, and fewer chances of resistant bacteria forming Discover the root cause of your gum problems, then learn how to treat severe periodontal disease. Periodontitis treatment is essential to eradicate bacteria from the oral cavity and it is done to simulate the healing of the affected area, or areas in most cases.If you have gingivitis, periodontitis or ANUG (Acute Necrotizing Ulcerative Gingivitis), you are not alone

gum pockets, alternative treatment for periodontal disease, alternative treatment for gum pockets, alternative treatment for gingivitis, alternative treatment for dental issues. Categories: Dental Issues, Health & Hygiene, Testimonials By Homeopathic Associates April 5, 2016 2 Comments Some form of surgical treatment may be necessary for periodontal gum pockets greater than 4mm that persist after an initial cleaning, for the purpose of removing plaque and calculus that could not effectively be cleaned out during deep cleanings Gum bleeding when probing or brushing. Pocket depth up to 4-6mm. Infection reaches bone - Slight bone loss. Unpleasant breath or taste. Subgingival accumulation of plaque and calculus. Treatment of early periodontitis includes tooth scaling and root planing accompanied by improved oral hygiene These pockets readily collect plaque and bacteria. Because these pockets are very difficult to keep clean, more bone loss occurs. As periodontal disease progresses into later stages (early, moderate, and advanced) and more bone tissue is lost, the gum pockets are deeper and the teeth may eventually become loose and fall out

Gum abscess: Treatment, home remedies, symptoms, and mor

Periodontal Gum Pockets Treatment in Birmingham, AL

Antibiotic Treatment for Periodontal Disease - Grateful

Gingivitis: Causes, symptoms, and treatment