Gingivitis is one of the most common oral and dental problems that can affect a person's general health. This disease occurs in different stages and several factors play a role in its occurrence. In this article, from the official website of **Dr. Najmeh Tordari Darnjad**, the different types of gingivitis, causes, symptoms and treatment methods related to each type are discussed. **1. Inflammation of the gums (gingivitis)** Gingivitis or gingivitis is the initial stage of gum disease, which is accompanied by redness, swelling and bleeding of the gums. This condition is usually caused by the accumulation of bacterial plaques on the teeth and gums. Treatment includes oral and dental hygiene, regular brushing, flossing, and visiting **the best orthodontic specialist in Mashhad** for scaling. In more severe cases, the dentist may prescribe anti-inflammatory or antibacterial drugs. Using antibacterial mouthwashes can also be helpful. Timely treatment of gingivitis prevents it from progressing to more serious stages. **2. Periodontitis** Periodontitis is a more advanced stage of gum disease where the inflammation has penetrated deeper tissues and may lead to gum recession and tooth loss. Its symptoms include bleeding gums, loose teeth and bad breath. Treatment includes deep scaling, root planing and, in more severe cases, gum surgery to remove deep pockets and rebuild damaged tissues. The use of antibiotics may also be recommended. Careful oral hygiene is essential to prevent the progression of the disease. **3. Aggressive periodontitis** Aggressive periodontitis is a type of gum disease that progresses at a high speed and severity and is usually seen in younger people with a genetic background. This disease leads to rapid loss of jaw bone and loosening of teeth. Treatment includes deep scaling, antibiotics, and in some cases, gum surgery. Strict adherence to oral and dental hygiene and regular follow-up with the dentist are necessary to control the disease. **read more" ways to strengthen tooth enamel at home** **4. Gum diseases related to systemic diseases** Some systemic diseases such as diabetes, heart disease and immune disorders can affect gum health. In these cases, systemic disease control and oral hygiene are particularly important. Symptoms may include inflammation, bleeding, and gingivitis. Treatment involves collaboration between the general practitioner and the dentist to simultaneously manage systemic disease and gum problems. Adhering to a proper diet and quitting harmful habits such as smoking are also recommended. **5. Gingivitis due to drug use** Certain medications, such as anticonvulsants, immunosuppressants, and calcium channel blockers, can cause overgrown gums. This condition may lead to inflammation, bleeding and discomfort in the gums. Treatment includes consulting a doctor to adjust medications, maintaining good oral hygiene, and in some cases, surgery to remove excess gum tissue. Using antibacterial mouthwashes can also be helpful. **Read more" The main causes of bitterness in the mouth and how to treat it** **6. Gingivitis during pregnancy** Hormonal changes during pregnancy can lead to gum inflammation. Symptoms include swelling, redness, and bleeding gums. Treatment includes maintaining oral and dental hygiene, using alcohol-free antibacterial mouthwashes, and visiting the dentist regularly. In some cases, the dentist may also recommend certain antibiotics that are safe for pregnancy. Dietary changes and the use of vitamin supplements can help improve the condition of the gums. **7. Necrotizing gum disease** This type of gum disease is associated with the death of gum tissue and is usually seen in people with a weak immune system or malnutrition. Symptoms include severe pain, bad breath, and sore gums. The treatment includes antibiotic therapy, professional cleaning of the gums and improving the patient's nutritional status. Pain control and supportive care are also important. In severe cases, surgery may be required to remove the dead tissue. **8. Factors that increase the risk of gum disease** Several factors can increase the risk of gum disease, including: **Read more" The most important causes of dark gums and how to treat them** - Non-observance of oral and dental hygiene - Smoking - Stress - Diabetes - Improper nutrition - Hormonal changes - Taking some medications - Genetic factors For prevention, it is recommended to observe oral and dental hygiene, eat healthy, quit smoking and visit the dentist regularly. #### Final word Knowing the types of gingivitis and the effective factors in its occurrence plays an important role in the prevention and timely treatment of this disease. Compliance with oral and dental hygiene, regular dental examinations and awareness of warning signs can prevent the progression of the disease. If you see symptoms, it is necessary to see a dentist for diagnosis and treatment.