Case Overview (Image-Based Observation – 100% Zoom)

Based on the provided image, the gums appear erythematous (red), swollen, and shiny, particularly around the cervical (neck) area of multiple teeth. The gingival margins look puffy and inflamed, with a loss of normal stippling (healthy gum texture). Teeth surfaces appear intact, but plaque biofilm accumulation near the gumline is strongly suspected.

 Important note: This is an educational analysis only and not a substitute for an in-person dental examination.

Full Dental & Gum Analysis

1. Visible Gum Condition

• Diffuse gingival inflammation (not localized to one tooth)

• Swollen interdental papillae

• Redness and edema, indicating active inflammation

• Possible bleeding on brushing or probing

• Early signs of gingivitis, not yet advanced periodontitis (based on visible gum height)

2. Probable Diagnosis

Primary Diagnosis:
 Plaque-induced Gingivitis

Differential Considerations (depending on symptoms):

• Hormonal gingivitis (stress, pregnancy, medication-related)

• Early periodontal disease (if bone loss is present, not visible in image)

• Mouth-breathing–associated gingival inflammation

• Systemic-related inflammation (diabetes, immune issues)

Root Causes (Expanded from Source Content + Clinical Insight)

(Adapted and expanded from: casasdental.com.sg)

Main Triggers

• Poor plaque control at the gumline

• Hardened plaque (tartar/calculus)

• Infrequent professional cleaning

• Smoking or vaping

• Stress-related immune suppression

• Nutritional deficiencies (Vitamin C, iron)

Innovative Deep Analysis: What’s Happening Biologically

1. Plaque bacteria release toxins

2. Immune system responds → inflammation

3. Blood vessels dilate → redness & swelling

4. Gum tissue enlarges, forming deeper pockets

5. If untreated → bacteria migrate deeper

 This stage is still reversible

Healing Time Frame (If Managed Properly)

0–3 Days

• Swelling may persist

• Bleeding reduces with improved brushing

4–7 Days

• Redness decreases

• Gum tenderness improves

• Early tissue tightening begins

8–14 Days

• Gums return to pink, firm texture

• Inflammation resolves

• Bleeding stops (if plaque fully controlled)

 Full healing is achievable within 14 days with correct care

14-Day Treatment & Care Process

Professional Care

• Dental scaling and polishing

• Subgingival cleaning if pockets are present

• Assessment for periodontal pockets

At-Home Protocol

Daily Routine:

• Brush twice daily (soft-bristle toothbrush)

• Angle brush 45° to gumline (Modified Bass technique)

• Floss or use interdental brushes daily

• Antibacterial mouthwash (chlorhexidine – short term only)

Supportive Measures:

• Warm saltwater rinses

• Avoid smoking

• Reduce sugar intake

• Stay hydrated

If Untreated: What Will Scale Up

 Inflammation will worsen and progress to:

• Periodontitis

• Gum recession

• Bone loss

• Tooth mobility

• Persistent bad breath

• Eventual tooth loss

 The longer inflammation persists, the faster tissue damage accelerates

Professional Comments

• This condition is common but dangerous if ignored

• Early intervention prevents costly treatments

• Regular dental visits are essential

• Gum health directly affects heart health and diabetes control

Next Step: Visit a Nearby Dental Clinic

For accurate diagnosis, professional cleaning, and treatment:

 Search for a trusted dental clinic near you:
 https://cebudentalimplants.com/map-dental-clinic