An adolescent has localized bleeding of the gums when brushing the teeth. An exam of the mouth reveals the presence of plaque and calculus on the teeth, which are not loose. What will the primary care pediatric nurse practitioner recommend?

Question

Quizplus · Accepted Answer

Localized bleeding of the gums in an adolescent with the presence of plaque and calculus can indicate gingivitis. The first line of treatment for mild gingivitis is consistently brushing and flossing the teeth twice daily to remove the build-up of plaque and calculus. Referral to an oral surgeon or rinsing with chlorhexidine gluconate would not be necessary at this time. Using xylitol-containing gum after meals may also be helpful, but it should not be the primary recommendation for treating gingivitis.

An Adolescent Has Localized Bleeding of the Gums When Brushing