gingivitis

1. GASTROINTESTINAL
CARE OF CLIENT WITH GINGIVITS

2. What 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

4.  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

5.  Smoking or chewing tobacco, poor diet, and
stress
 Taking certain types of medicines such as
steroids, drugs that treat depression, and birth
control pills

6.  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

7.  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.

8.  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.

9.  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.

10.  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.

11.  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

12.  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

13.  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

14.  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 .

15.  Nursing diagnosis:
Risk of imbalanced nutrition related disease
process
 Expected outcome:
Maintain the nutrition status

16.  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.

17.  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

18.  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.

19.  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