Gum Issues: When to See a Dentist for Bleeding Gums - Dentistry

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The tissue underneath the tooth is ulcerated?


Hello doctor, I recently changed my toothbrush and I'm not sure if I've been brushing too hard.
The tissue below my lower teeth, which I believe is called the gums, has been bleeding a little.
After a few days, I noticed a red line and it hurts when I rinse my mouth.
Now it looks white, which I hope means it's healing (it's been about 10 days).
However, two days ago, I accidentally brushed too hard on the upper left side and it bled again, and today I see another red sore.
I would like to ask if I need to see a dentist.
I'm not sure if this is periodontal disease or if I should just apply some oral ointment.
Usually, my mouth sores heal in about a week, but it seems like the gum issue is taking longer, and I'm not sure if that's normal.
Also, is it okay to rinse with salt water?

Bobo, 20~29 year old female. Ask Date: 2020/03/18

Dr. Zeng Guanghui reply Dentistry


Hello, Bobo: It is possible that improper brushing technique is causing your gums to bleed, but it may also be due to plaque accumulation on the gums, leading to gingivitis or even periodontal disease, which makes brushing more likely to cause bleeding.
It is recommended to consult a dentist for further examination and treatment.
Dr.
Tseng Guang-Hui, Nantou Hospital.

Reply Date: 2020/03/18

More Info


Bleeding gums can be a concerning issue, and it’s important to understand the underlying causes and when to seek professional dental care. Based on your description, it seems that you have experienced bleeding from your gums after brushing, which has persisted for about ten days. You also mentioned that you have developed red marks and that your gums seem to be healing slowly.
First and foremost, yes, the tissue you are referring to is indeed called the gums, and they play a crucial role in oral health. Healthy gums are typically pink and firm, while bleeding gums can be a sign of inflammation or infection, commonly associated with gingivitis or periodontal disease.
Gingivitis is the earliest stage of gum disease, characterized by inflammation of the gums due to plaque buildup. If left untreated, it can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss. The fact that you have experienced bleeding after brushing, especially if you have changed your toothbrush or brushing technique, could indicate that you are brushing too hard or using a toothbrush with bristles that are too stiff. It’s essential to use a soft-bristled toothbrush and gentle strokes to avoid damaging the gum tissue.

In your case, since the bleeding has persisted for ten days and you are noticing red marks, it would be advisable to see a dentist. They can perform a thorough examination to determine if you have gingivitis or any other underlying issues. The dentist may also provide professional cleaning to remove plaque and tartar buildup that regular brushing cannot eliminate.
You mentioned using oral gel and saltwater rinses. While these can provide temporary relief, they are not substitutes for professional dental care. Saltwater rinses can help reduce inflammation and promote healing, but they should not replace the need for a dental examination. If you have any open wounds or persistent bleeding, it’s crucial to avoid self-treatment and seek professional advice.

Additionally, if you notice any other symptoms such as persistent bad breath, loose teeth, or changes in your bite, these could indicate more severe gum disease or other dental issues that require immediate attention.
In summary, while minor gum bleeding can sometimes be attributed to brushing technique or minor irritations, persistent bleeding, especially accompanied by redness and pain, warrants a visit to the dentist. Early intervention can prevent more serious complications and help maintain your oral health. Remember, maintaining good oral hygiene practices, including regular dental check-ups, is essential for preventing gum disease and ensuring the health of your teeth and gums.

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