**4. What is the purpose of the dentist, to cure or control gingival diseases?**

Actually, it depends on the type of inflammation, whether it is localized and induced by bacterial invasion, or correlated with a special systemic condition. Interestingly, this is the first standard of treatment plan when investigating far away from the oral cavity in order for any hidden reason of gingival diseases to subside. Therefore, the long-term healing success will depend on eliminating the exacerbating factors, eradicating the possible causes and motivating the patient to maintain a high level of oral hygiene, in addition to regular dental visits to avoid relapse. One of the recurrent and challenging oral diseases is gingival enlargement which strongly affects the esthetic appearance and has a great impact on most dental treatment. Recently, many herbal medicines have been used to enhance the therapy of gingivitis or periodontitis, out of which are the very effective antioxidants.

The dentist had better refer the patient with recurrent gingivitis, periodontitis, or complex medical history to a periodontal specialist in order to provide a professional gingival treatment with the most advanced periodontal therapy [28]. However, the aim of the periodontist in a few complicated cases correlated to chronic systemic diseases is to relieve the symptoms, control the inflammatory process, and extend the life span of the teeth in the case of periodontitis. Otherwise, extraction of the involved teeth with severe infection and attachment loss in order to improve the health situation of a deteriorating patient will sometimes become inevitable. This will depend on the judicious decision of both the periodontist and the physician along with the consent of the patient.
