Gum Bleeding: Causes and Solutions for Better Oral Health

Gum bleeding issues?

Hello, doctor.
My first question is that I had my teeth cleaned on January 8th of this year.
I have been brushing my teeth and using dental floss after meals, and the bleeding has improved significantly.
However, sometimes a little bit of blood still comes from some gums spontaneously, and occasionally I notice some bleeding while eating, but the amount is small and stops quickly.
I don't experience much bleeding while brushing.
I visited the dentist a few days ago, but the doctor only performed another cleaning on the bleeding teeth and mentioned the possibility of deep tartar.
Could my low fruit intake be a contributing factor? I also have hepatitis B and am currently taking medication for it.
Could hepatitis B be causing the gum bleeding?
My second question is that when I eat or shortly after eating, I feel like my teeth are loose, but when I look, they don't actually appear to be loose, and this sensation goes away after a while.
Is this normal?

Weng Xiansheng, 20~29 year old female. Ask Date: 2018/02/09

Dr. Zeng Guanghui reply Dentistry

1.
The aforementioned condition may be due to the presence of deep dental calculus that cannot be completely removed by ultrasonic scaling.
Additionally, having hepatitis B can affect liver function, potentially leading to coagulation abnormalities, which may result in increased gum bleeding.

2.
When eating, there may be a sensation of movement, but in reality, there is no actual mobility.
This could be caused by the periodontal ligament experiencing greater lateral forces during biting, leading to temporary damage.
As long as hard foods are not bitten into further, the periodontal ligament will gradually return to normal.

Reply Date: 2018/02/09

More Info

Gum bleeding can be a concerning issue, and understanding its causes and solutions is essential for maintaining good oral health. Based on your description, it seems that you have been experiencing intermittent gum bleeding, particularly after eating and occasionally during brushing. While you have made significant improvements since your last dental cleaning, some bleeding persists. Let's explore the potential causes and solutions.

Causes of Gum Bleeding
1. Gingivitis and Periodontal Disease: The most common cause of gum bleeding is gingivitis, an inflammation of the gums caused by plaque buildup. If left untreated, it can progress to periodontal disease, which affects the supporting structures of the teeth. Regular dental cleanings can help manage this condition, but if deep tartar (calculus) is present, it may require more intensive treatment.

2. Dietary Factors: You mentioned that you might not be consuming enough fruits. A diet low in vitamins, particularly Vitamin C, can lead to gum problems. Vitamin C is crucial for collagen synthesis and maintaining healthy gum tissue. A deficiency can lead to scurvy, which manifests as swollen, bleeding gums.

3. Medical Conditions: You noted that you have chronic Hepatitis B and are on medication for it. While there is no direct link between Hepatitis B and gum bleeding, certain medications can affect blood clotting or the health of your gums. It’s essential to discuss your medications with your healthcare provider to rule out any side effects that may contribute to your symptoms.

4. Hormonal Changes: Hormonal fluctuations, whether due to menstrual cycles, pregnancy, or other factors, can also affect gum health. If you are experiencing any hormonal changes, this could be a contributing factor.

5. Stress and Oral Habits: Stress can lead to bruxism (teeth grinding), which may create a sensation of loose teeth. While your teeth may not be physically moving, the pressure can cause discomfort and a feeling of instability.

Solutions for Better Oral Health
1. Regular Dental Visits: Continue to see your dentist regularly for cleanings and check-ups. If bleeding persists, ask about a more comprehensive periodontal evaluation to assess the health of your gums and the presence of any underlying issues.

2. Improving Oral Hygiene: Maintain a rigorous oral hygiene routine. Brush twice a day with fluoride toothpaste and floss daily. Consider using an antibacterial mouthwash to help reduce plaque and bacteria.

3. Dietary Adjustments: Incorporate more fruits and vegetables into your diet, particularly those rich in Vitamin C, such as oranges, strawberries, and bell peppers. A balanced diet supports overall health, including oral health.

4. Hydration: Staying well-hydrated can help maintain saliva production, which is essential for neutralizing acids and washing away food particles.

5. Stress Management: If you suspect that stress is contributing to your symptoms, consider stress-reduction techniques such as mindfulness, yoga, or counseling.

6. Medication Review: Consult with your healthcare provider about your current medications and any potential side effects that may be contributing to gum bleeding.

Addressing the Sensation of Loose Teeth
The feeling of your teeth being loose, especially if it comes and goes, may be related to muscle tension or stress. If you are grinding your teeth, this can create a sensation of instability. It’s crucial to discuss this with your dentist, who may recommend a night guard to protect your teeth from grinding.

Conclusion
In summary, while occasional gum bleeding can be common, persistent issues warrant further investigation. Maintaining good oral hygiene, regular dental visits, and a balanced diet can significantly improve your gum health. If you have concerns about your Hepatitis B treatment or any other medical conditions, it’s essential to communicate with your healthcare provider for tailored advice. Remember, your oral health is a vital part of your overall well-being, and addressing these issues proactively can lead to better outcomes.

Similar Q&A

Understanding Causes of Bleeding Gums: Common Dental Issues Explained

Hello, recently when I brush my teeth, my gums bleed, and they also bleed when I floss. What could be the cause of the bleeding gums?

Dr. Zeng Guanghui reply Dentistry
Hello, sir; thank you for your question. I would like to address your inquiry and provide the following advice: The cause of bleeding gums is due to inflammation resulting from bacterial infection in the gums or periodontal tissues. The source of the bacteria is dental plaque or ...

Understanding Gum Bleeding: Is It a Sign of Blood Cancer?

I’m sorry to hear about your concerns. Bleeding gums can be caused by various factors, including gum disease, poor oral hygiene, or certain medical conditions. While it is true that persistent bleeding gums can sometimes be associated with blood disorders, such as leukemia, it is...

Dr. Yuan Ziming reply Dentistry
Bleeding gums indicate unhealthy periodontal conditions, so the first step is to check for any remaining calculus that hasn't been removed. Additionally, poor oral hygiene, such as inadequate brushing, can easily lead to gingivitis. If the bleeding stops on its own, the issu...

Understanding Bleeding Gums: Causes, Solutions, and When to Seek Surgery

The presence of white areas near the gums and bleeding during brushing, although minimal, may indicate gum disease or gingivitis. Surgery may not be necessary at this stage. It is important to improve oral hygiene practices, such as brushing twice a day with a soft-bristled tooth...

Dr. Lin Jiayong reply Dentistry
Hello: For simple gingivitis, maintaining oral hygiene is sufficient. However, if bleeding persists for more than a week, it is advisable to visit a clinic or hospital for further examination. Thank you!

How to Stop Gum Bleeding: Tips for Healthy Gums After Dental Cleaning

Hello, doctor. I would like to ask, I had a dental cleaning at a nearby clinic about a month ago. Since graduating from college, I have been experiencing ongoing gum issues, including redness, swelling, and bleeding. After visiting the dentist for a cleaning, I was informed that ...

Dr. Zeng Guanghui reply Dentistry
If gum bleeding is caused by misalignment of the upper teeth that easily bites into the lower gums, along with impacted wisdom teeth pressing against other teeth, it can lead to plaque accumulation in the interproximal spaces, making the gums more prone to bleeding. It may be nec...