THERAPEUTIC MANAGEMENT OF CHILDHOOD GINGIVITIS: MECHANICAL BIOFILM CONTROL PROTOCOLS AND ORAL HYGIENE

Abstract

Biofilm-induced gingivitis is a common inflammatory condition in childhood, characterized by a reversible gingival response to the accumulation of bacterial plaque. Although it presents a local character, recent evidence indicates that childhood oral health may influence future systemic outcomes, reinforcing the importance of early preventive strategies. The present study aimed to discuss the main therapeutic management protocols for childhood gingivitis, with emphasis on mechanical biofilm control, oral hygiene interventions, and modulating factors associated with diet and socioeconomic context. This is a narrative literature review conducted in the PubMed database, including studies published over the last five years. The results demonstrate that interactive educational approaches, especially those mediated by digital tools and playful models, show greater effectiveness in reducing plaque and gingival bleeding indices compared to conventional verbal instructions. It was also observed that periodic professional follow-up and continuous motivation favor rapid clinical responses, with a significant reduction in inflammatory signs. Furthermore, appropriate dietary habits, with lower sugar consumption and higher intake of dairy proteins, contribute to the control of gingival inflammation. Family and socioeconomic factors also exert a relevant influence on adherence to preventive practices. It is concluded that the therapeutic management of childhood gingivitis should be multidimensional, integrating mechanical biofilm control, health education, nutritional guidance, and family involvement in order to promote oral health throughout childhood.