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

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The tissue beneath 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.
A few days later, I noticed a red line, and it hurts when I rinse my mouth.
Now it looks white, and I’m not sure if it’s healing (it’s been about 10 days).
Then, two days ago, I accidentally brushed too hard on the upper left side and it bled again.
Today, I see another red sore there...
I would like to know if I need to see a dentist.
Could this be periodontal disease, or should I just apply some oral ointment? Normally, my mouth sores heal in about a week, but it seems like my gums are taking a bit 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: 2020/03/22

Dr. Zeng Guanghui reply Dentistry


Hello, Bobo: Bleeding after brushing your teeth may be due to gum inflammation or improper brushing technique.
If the bleeding persists after brushing, it is advisable to consult a dentist for further examination.
Dr.
Tseng Guang-Hui, Nantou Hospital.

Reply Date: 2020/03/22

More Info


When it comes to gum issues, particularly bleeding gums, it's essential to understand the underlying causes and when to seek professional dental care. Based on your description, it sounds like you may be experiencing gingival irritation or inflammation, possibly due to aggressive brushing or an underlying periodontal condition.

Bleeding gums can be a sign of several issues, including gingivitis, which is the earliest stage of gum disease. Gingivitis is often caused by plaque buildup on the teeth, leading to inflammation of the gums. If left untreated, it can progress to periodontitis, a more severe form of gum disease that can result in tooth loss and other complications.
In your case, since you've mentioned that you recently changed your toothbrush and may have been brushing too hard, this could indeed be a contributing factor to your gum bleeding. Using a toothbrush with hard bristles or applying excessive pressure while brushing can damage the delicate gum tissue, leading to bleeding and discomfort. It's advisable to use a soft-bristled toothbrush and to brush gently in a circular motion rather than scrubbing back and forth.

You also mentioned experiencing red streaks and pain while rinsing your mouth, which indicates that your gums are inflamed. The presence of white areas could suggest healing tissue, but it's crucial to monitor these symptoms closely. If the bleeding persists, or if you notice swelling, persistent pain, or changes in the color or texture of your gums, it would be wise to consult a dentist. They can perform a thorough examination, possibly including X-rays, to assess the health of your gums and teeth.

As for home remedies, rinsing with warm salt water can be beneficial. Saltwater rinses can help reduce inflammation and promote healing by creating an environment that is less hospitable to bacteria. However, if your symptoms do not improve or worsen, relying solely on home remedies is not advisable.

In summary, while occasional gum bleeding can occur due to minor irritations, persistent bleeding, especially accompanied by pain or swelling, should prompt a visit to your dentist. Early intervention can prevent more severe gum disease and ensure that your oral health is maintained. Remember, maintaining good oral hygiene practices, including regular dental check-ups, is crucial for preventing gum disease and other dental issues.

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