Periodontics · single question
What is the APPROPRIATE initial treatment for this patient with generalized gingivitis?
Show answer and explanation
Correct answer: A. Thorough supragingival scaling and oral hygiene instructions
- A. CORRECT. Gingivitis (reversible gingival inflammation without attachment loss) is treated by eliminating the etiological factor — dental plaque. SUPRAGINGIVAL SCALING to remove calculus and plaque deposits, combined with comprehensive oral hygiene instructions, is the first-line, definitive treatment. Gingivitis is fully reversible with proper cause-related therapy.
- B. Systemic antibiotics are not indicated for uncomplicated plaque-induced gingivitis. Antibiotics are reserved for specific types of periodontitis.
- C. Full-mouth debridement with local anesthesia is indicated for periodontitis with subgingival deposits and deeper pockets — it is more intensive than required for gingivitis.
- D. Periodontal surgery is only indicated after cause-related therapy fails to resolve periodontitis — it is never the initial treatment for gingivitis.