Managing Bleeding Gums and Toothbrush Safety: Expert Dental Advice - Dentistry

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Bleeding gums


Hello, Doctor.
It seems that I have a wisdom tooth at the back of my lower left side, and I don't know why food keeps getting stuck there.
Whenever I try to push the food out with my tongue, it starts to bleed.
This happens quite often.
How should I handle this? Additionally, I have an unopened toothbrush at home that has a ten-year shelf life, but it has been stored for four years.
Is it okay to use it? I just rinsed it with clean water before using it.

Yang, 20~29 year old female. Ask Date: 2022/02/02

Dr. Lin Jiayong reply Dentistry


Hello: 1.
If you frequently experience bleeding and pain, it indicates that inflammation is present.
It is advisable to visit a medical facility to investigate the cause of the inflammation and receive appropriate treatment.
2.
Yes, as long as it is not expired, it can still be used normally.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/02/02

More Info


Managing bleeding gums, especially around wisdom teeth, can be a common concern for many individuals. The bleeding you are experiencing when trying to dislodge food with your tongue may indicate that your gums are inflamed or irritated, possibly due to food particles getting trapped around the wisdom tooth. Here are some steps you can take to manage this situation effectively:
1. Gentle Cleaning: It’s crucial to maintain good oral hygiene, especially around the area where food gets trapped. Use a soft-bristled toothbrush to gently clean the area around the wisdom tooth. Avoid aggressive brushing, as this can further irritate the gums and lead to more bleeding.

2. Rinsing: Rinse your mouth with warm salt water several times a day. This can help reduce inflammation and promote healing. Mix about half a teaspoon of salt in a cup of warm water and swish it around your mouth, especially around the affected area.

3. Avoid Irritants: Try to avoid hard, crunchy, or sticky foods that can exacerbate the irritation around your wisdom tooth. Soft foods are easier to manage and less likely to get stuck.

4. Dental Visit: If the bleeding persists or worsens, it’s essential to consult with a dentist. They can evaluate the wisdom tooth and surrounding gums for any signs of infection or other issues that may require treatment, such as a possible extraction if the tooth is impacted.

5. Antiseptic Mouthwash: Consider using an antiseptic mouthwash to help keep the area clean and reduce the risk of infection. However, avoid alcohol-based mouthwashes, as they can further irritate sensitive gums.

Regarding the toothbrush you mentioned, while it may have a long shelf life, there are a few considerations:
1. Condition of the Toothbrush: If the toothbrush has been stored properly and is free from visible damage or mold, it may be safe to use. However, the bristles may have degraded over time, which can affect their cleaning ability.

2. Bristle Hardness: Ensure that the bristles are still soft and not frayed. A worn-out toothbrush can be less effective and may irritate your gums more.

3. Replacement Recommendation: The American Dental Association recommends replacing your toothbrush every three to four months or sooner if the bristles are frayed. Since your toothbrush has been stored for four years, it might be best to purchase a new one to ensure optimal cleaning and gum safety.

4. Cleaning Before Use: While rinsing the toothbrush with water is a good first step, consider using a mild soap or antibacterial solution to clean it before use, especially if it has been stored for an extended period.

In summary, managing bleeding gums requires a combination of gentle oral hygiene practices, dietary adjustments, and professional dental care when necessary. Always prioritize your oral health by using appropriate tools and seeking help from dental professionals when issues arise.

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