What is usually the first stage in the development of chronic gingivitis?

The first stage in the development of chronic gingivitis is the production of toxins. During the early phase of gingival inflammation, bacteria present in dental plaque produce various toxins that irritate the gingival tissues. These toxins play a crucial role in the body’s inflammatory response, leading to the characteristic signs of gingivitis, such as redness, swelling, and bleeding of the gums.

Understanding that the early microbial activity in plaque contributes to gingival inflammation is essential for recognizing how gingivitis progresses. This initial toxic effect sets the stage for further changes in the periodontal tissues, which may include the development of false pockets, subgingival calculus, and mineralization of plaque as the condition progresses. Being aware of this progression helps in early detection and management of periodontal disease.