Gum bleeding
Hello doctor, I have recently been experiencing swollen and bleeding gums.
I went to the dentist for a cleaning, and they diagnosed me with periodontal disease.
I visited 2 to 3 times until there was no bleeding during the cleanings.
The dentist said I could temporarily stop coming in, but about a month later, the bleeding and swelling started again.
What should I do?
Niming, 10~19 year old female. Ask Date: 2018/04/30
Dr. Zeng Guanghui reply Dentistry
Swollen and bleeding gums improved after dental cleaning, and there was no bleeding during the cleaning.
However, after a month, bleeding has resumed, indicating that the gums have become inflamed again.
It is recommended to thoroughly clean the teeth, and if symptoms persist, a follow-up examination is necessary.
Reply Date: 2018/04/30
More Info
Dealing with recurring gum bleeding can be frustrating and concerning, especially if you've already sought treatment from a dentist. It sounds like you've been diagnosed with periodontal disease, which is a common cause of gum bleeding and swelling. Let's explore the potential causes of your recurring symptoms and discuss some solutions.
Causes of Recurring Gum Bleeding
1. Periodontal Disease: As your dentist mentioned, periodontal disease is an infection of the gums that can lead to inflammation, bleeding, and even tooth loss if not treated properly. It is often caused by the buildup of plaque and tartar on the teeth, which can irritate the gums.
2. Improper Oral Hygiene: Even after professional cleaning, if your home care routine is not adequate, plaque can quickly accumulate again. This can lead to inflammation and bleeding.
3. Hormonal Changes: Hormonal fluctuations, such as those occurring during menstruation, pregnancy, or menopause, can make gums more sensitive and prone to bleeding.
4. Medical Conditions: Certain medical conditions, such as diabetes, blood disorders, or autoimmune diseases, can affect gum health and increase the likelihood of bleeding.
5. Medications: Some medications, particularly blood thinners or those that affect blood clotting, can contribute to gum bleeding.
6. Tobacco Use: Smoking or using other tobacco products can impair gum health and lead to increased bleeding.
Solutions and Recommendations
1. Maintain Good Oral Hygiene: It's crucial to brush your teeth at least twice a day and floss daily. Use a soft-bristled toothbrush to avoid irritating your gums further. Consider using an antibacterial mouthwash to help reduce plaque buildup.
2. Regular Dental Visits: Continue to see your dentist regularly for cleanings and check-ups. If your bleeding persists, inform your dentist so they can assess your gum health and possibly recommend more frequent cleanings or additional treatments.
3. Lifestyle Changes: If you smoke, consider quitting. A healthier diet rich in vitamins and minerals, particularly vitamin C, can support gum health. Staying hydrated is also important.
4. Address Underlying Health Issues: If you have any underlying health conditions, work with your healthcare provider to manage them effectively. This may involve medication adjustments or additional treatments.
5. Consider a Periodontist: If your gum bleeding continues despite regular dental care, you may benefit from seeing a periodontist, a specialist in gum diseases. They can provide more targeted treatments, such as scaling and root planing, or other surgical options if necessary.
6. Monitor Your Symptoms: Keep track of when your gums bleed and any other symptoms you experience. This information can be helpful for your dentist or periodontist in determining the cause of your recurring issues.
7. Avoid Irritants: Be cautious with products that can irritate your gums, such as certain mouthwashes that contain alcohol or abrasive toothpaste.
Conclusion
Recurring gum bleeding is often a sign of underlying issues that need to be addressed. By maintaining good oral hygiene, seeking regular dental care, and possibly consulting a specialist, you can work towards improving your gum health. If your symptoms persist or worsen, don't hesitate to reach out to your dentist for further evaluation and treatment options. Remember, early intervention is key to preventing more serious complications related to periodontal disease.
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