Concerns After Dental Cleaning: Gum Pain and Bleeding Explained - Dentistry

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Dental cleaning, gum injury?


Hello, doctor.
The day before yesterday, I went to a dental clinic in Chiayi for a teeth cleaning.
During the procedure, the dentist asked me if I was in pain or if the pressure was too much.
I said I was fine, but then the pressure increased.
After the cleaning, my gums on the top, bottom, and sides are all hurting! When I got home and brushed my teeth, I noticed blood in the toothpaste.
I'm really worried about what might be wrong with my gums.
What could be happening?

Zhen, 20~29 year old female. Ask Date: 2017/08/23

Dr. Zeng Guanghui reply Dentistry


If there is severe inflammation of the gums or significant accumulation of dental calculus, there may be bleeding or mild sensitivity and pain after a dental cleaning.
This typically improves gradually over the course of 3-4 days.
During this period, it is important to maintain oral hygiene; in addition to regular brushing, using a mouthwash may be considered.

Reply Date: 2017/08/23

More Info


After a dental cleaning, experiencing gum pain and bleeding can be concerning, and it's important to understand the potential causes and what steps to take next.
Firstly, it’s not uncommon for patients to experience some discomfort after a dental cleaning, especially if it has been a while since their last visit. Dental cleanings can sometimes irritate the gums, particularly if there is existing gum disease or inflammation. The process of scaling, which involves removing plaque and tartar from the teeth and below the gum line, can lead to temporary soreness and bleeding, especially if the gums are already sensitive or inflamed.

In your case, the fact that you experienced increased pain during the cleaning process suggests that the dental hygienist may have applied more pressure than necessary, which can exacerbate any underlying gum issues. If your gums were already inflamed or if there was significant tartar buildup, the cleaning could have caused them to bleed more than usual.
Bleeding gums after brushing, especially if you notice blood in your toothpaste, can be a sign of gingivitis, which is the earliest stage of gum disease. Gingivitis is characterized by inflammation of the gums, often caused by plaque buildup. If left untreated, it can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss.
Here are some steps you can take to address your concerns:
1. Gentle Oral Hygiene: Continue to brush your teeth but do so gently. Use a soft-bristled toothbrush and avoid aggressive brushing, which can further irritate your gums. Floss carefully to remove plaque between your teeth, but be gentle around the gum line.

2. Rinse with Salt Water: A warm saltwater rinse can help soothe your gums and reduce inflammation. Mix about half a teaspoon of salt in a glass of warm water and rinse your mouth several times a day.

3. Monitor Symptoms: Keep an eye on your symptoms. If the bleeding continues for more than a few days or if the pain worsens, it’s important to contact your dentist. Persistent bleeding can indicate a more serious issue that may require professional intervention.

4. Follow-Up Appointment: If your symptoms do not improve or if you have concerns about the cleaning itself, consider scheduling a follow-up appointment with your dentist. They can assess your gums and determine if further treatment is necessary. It’s also a good opportunity to discuss your experience during the cleaning and express any concerns you have about the technique used.

5. Consider a Second Opinion: If you feel that your concerns are not being addressed adequately, seeking a second opinion from another dental professional can provide you with peace of mind and additional options for treatment.

In summary, while some discomfort and bleeding can be normal after a dental cleaning, it’s crucial to monitor your symptoms and maintain good oral hygiene practices. If the bleeding persists or if you experience increased pain, do not hesitate to reach out to your dentist for further evaluation and care. Your oral health is important, and addressing these issues early can help prevent more serious complications down the road.

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