https://vrachjournal.ru/en/25877305-2025-05-16

The clinical case of the patient who contacted the dental clinic with complaints of bleeding gums when brushing the teeth and eating, swelling of the gums, unpleasant odor from his mouth, and plaque on the teeth is presented. Based on the initial reception data, a diagnosis was made - chronic catarrhal gingivitis. Additionally, a detailed general and biochemical blood tests were carried out, according to the results of which iron deficiency anemia was revealed. The patient is prescribed treatment: hydrocortisone ointment 1% – 2 times a day, applique on the gum for 10 days, rinsing chamomile infusion 3 times a day, a course – 10 days. From the 11th day-applique of sea buckthorn ointment for gums 2 times a day, the course is 10 days. Complex therapy of iron deficiency anemia, prescribed by related specialists, was also carried out. The presence of blood diseases in the blood disease served as the basis for including glucocorticosteroids in the treatment protocol leading to inhibition of the expression of cyclooxygenase-2 gene expression and a decrease in the synthesis of pro-inflammatory prostaglandins E2 and I2, due to which the anti-inflammatory effect of the gum mucosa has been achieved. Sea buckthorn ointment is recommended as an antioxidant for the regeneration of gum tissue, previously exposed to inflammation. This treatment regimen, along with basic clinical recommendations, made it possible to achieve a positive result in the dynamics of the treatment of chronic catarrhal gingivitis.