Gingivitis Treatment
Mechanical biofilm control + behaviour change. Reassess at 4–6 weeks.
GPDental Hygienist
Hero illustration · Gingivitis Treatment
Reassess at 4–6 weeks. Persistent inflammation despite adequate plaque control may signal early periodontitis — re-evaluate CAL.
Evidence Guidelines & evidence
- EFP S3 R4.1
In patients with gingivitis or periodontitis, we recommend that interventions to control or reduce risk factors be implemented as part of the first step of therapy.
Source ↗ - EFP S3 R4.5
Self-performed mechanical biofilm control is essential to all subsequent steps of therapy.
- EFP S3 R4.7
Professional mechanical plaque removal (PMPR) and supportive education and instruction in oral hygiene measures are recommended in patients with gingivitis to limit progression to periodontitis.
1 Behaviour change & risk-factor control
Individually tailored OH instruction, motivational interviewing, smoking cessation referral if applicable, glycaemic control reinforcement (R4.1–R4.4).
Illustration · Step 1
2 Supragingival professional mechanical plaque removal
Full-mouth supragingival biofilm + calculus removal. Adjunctive chemical agents (mouth rinses) may be considered for short-term plaque control (R4.6, R4.7).
Illustration · Step 2
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3 Re-evaluate at 4–6 weeks
BOP, plaque index, gingival appearance. Resolved → SPT. Persistent inflammation despite adequate plaque control → reassess for early periodontitis.
Illustration · Step 3