Gum Bleeding and Swelling: Is It Periodontitis? - Dentistry

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Gum bleeding and swelling can be concerning symptoms, and it's essential to understand their potential causes and implications. Based on your description, it seems that you have been experiencing persistent gum issues, including redness, swelling, and bleeding during brushing and flossing. You mentioned that after a dental cleaning, your dentist indicated that your brushing technique might have contributed to the problem. However, despite improving your technique, the symptoms have persisted for over a month, leading you to question whether you might be dealing with periodontitis rather than just mild gingivitis.

Gingivitis is the earliest stage of gum disease and is characterized by inflammation of the gums, which can lead to redness, swelling, and bleeding, especially when brushing or flossing. It is often reversible with improved oral hygiene practices. On the other hand, periodontitis is a more severe form of gum disease that occurs when gingivitis is left untreated. It involves the inflammation of the supporting structures of the teeth, including the bone, and can lead to tooth loss if not addressed.

The fact that you are experiencing ongoing symptoms despite improved oral hygiene suggests that there may be more than just simple gingivitis at play. Periodontitis can develop when plaque and tartar build up on the teeth, leading to deeper infections that affect the bone and connective tissue. Symptoms of periodontitis can include persistent bad breath, gum recession, pockets forming between the teeth and gums, and, in more advanced cases, tooth mobility.

Given your situation, it is crucial to seek further evaluation from a dental professional. A thorough examination, including probing of the gums and possibly X-rays, can help determine the extent of any periodontal disease. Your dentist may assess the depth of the gum pockets around your teeth, which can indicate whether you have periodontitis. If diagnosed, treatment may involve more intensive cleaning procedures, such as scaling and root planing, and possibly antibiotics to help control the infection.

In the meantime, continue to maintain good oral hygiene practices, including brushing twice a day with fluoride toothpaste, flossing daily, and using an antibacterial mouthwash if recommended by your dentist. Regular dental check-ups are also vital for monitoring your gum health and catching any issues early.

If you notice any worsening of your symptoms, such as increased bleeding, pain, or mobility of your teeth, it is essential to seek dental care as soon as possible. Delaying treatment can lead to more severe complications, including tooth loss and systemic health issues, as periodontal disease has been linked to conditions such as heart disease and diabetes.

In summary, while your symptoms may initially suggest gingivitis, the persistence and nature of your symptoms warrant a closer examination for potential periodontitis. Early intervention is key to preventing further complications and maintaining your oral health.