National Board Dental Hygiene Examination (NBDHE) Dental Hygienist Practice Test

Which of the following is NOT a common symptom of gingivitis?

1. Red, swollen gums

2. Pain when chewing

3. Bleeding gums

4. Bad breath

The correct answer is: Pain when chewing

Gingivitis is primarily characterized by inflammation of the gums due to the accumulation of plaque, and its common symptoms include red, swollen gums; bleeding gums, especially during brushing or flossing; and bad breath resulting from bacterial activity in the mouth. The presence of these symptoms indicates that the gum tissue is irritated and inflamed. Pain when chewing, however, is not typically associated with gingivitis. While advanced periodontal disease can lead to discomfort or pain due to more severe gum and bone involvement, gingivitis itself is usually devoid of significant pain. Patients may feel mild sensitivity, but pronounced pain when chewing is more characteristic of other dental issues, such as cavities, tooth abscesses, or periodontal disease. Recognizing the distinction between these conditions is crucial for proper diagnosis and treatment in dental practice.