Is Bleeding Gums Normal After Dental Cleaning? Tips to Stop It

Gum bleeding

I went to the dentist at 2 PM, and they said I had dental plaque.
The dentist used a scaler, and it took until almost 5 PM.
My gums are still bleeding; is this normal? What can I do to stop the bleeding?

Xiansheng, 70~79 year old female. Ask Date: 2023/02/20

Dr. Zeng Guanghui reply Dentistry

If there is bleeding from the gums after dental treatment, it indicates that the gums are still inflamed, or there may be an underlying coagulation disorder, or the patient may be on anticoagulants due to cardiovascular disease affecting coagulation function.
It is recommended to bite down on gauze to control the bleeding.
If the bleeding does not stop, a follow-up appointment for examination is advised.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/02/20

More Info

Bleeding gums after dental cleaning can be a common occurrence, especially if there has been a significant buildup of plaque and tartar (calculus) that has not been adequately removed over time. When a dental professional uses tools to scrape away this buildup, it can irritate the gums, leading to bleeding. However, while some bleeding can be normal, it should not persist for an extended period after the cleaning session.

Understanding Gum Bleeding
1. Causes of Bleeding Gums:
- Gingivitis: This is the earliest stage of gum disease, often caused by plaque buildup. Symptoms include redness, swelling, and bleeding, especially when brushing or flossing.

- Periodontitis: If gingivitis is left untreated, it can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss.

- Mechanical Irritation: The instruments used during dental cleaning can irritate the gums, especially if they are inflamed or sensitive.

2. Normal vs. Abnormal Bleeding:
- Normal: Light bleeding immediately after a cleaning, especially if it has been a while since your last visit, can be expected. This is often due to the removal of plaque and tartar that has been irritating the gums.

- Abnormal: If bleeding continues for more than a day or two, or if it is accompanied by severe pain, swelling, or pus, it may indicate a more serious issue that requires further evaluation by a dentist.

Tips to Stop Bleeding Gums
1. Gentle Oral Hygiene:
- Use a soft-bristled toothbrush and avoid aggressive brushing. Gentle brushing can help reduce irritation to the gums.

- Floss carefully, ensuring you do not snap the floss against the gums, which can cause further bleeding.

2. Rinse with Salt Water:
- A warm saltwater rinse can help soothe irritated gums and promote healing. Mix about half a teaspoon of salt in a cup of warm water and rinse your mouth gently.

3. Avoid Irritants:
- Stay away from tobacco products, as they can exacerbate gum problems and delay healing.

- Limit consumption of alcohol and spicy foods that may irritate the gums.

4. Maintain Regular Dental Visits:
- Regular cleanings (usually every six months) can help prevent the buildup of plaque and tartar, reducing the risk of gum disease and bleeding.

5. Stay Hydrated:
- Drinking plenty of water can help keep your mouth moist and aid in the healing process.

6. Monitor Your Symptoms:
- If bleeding persists beyond a couple of days, or if you notice other symptoms such as swelling, pain, or changes in the color of your gums, it’s essential to contact your dentist for further evaluation.

Conclusion
While some bleeding after a dental cleaning can be normal, it is crucial to monitor the situation closely. Maintaining good oral hygiene practices and following up with your dentist if symptoms persist will help ensure your gums heal properly. Remember, healthy gums are vital for overall oral health, and addressing any issues promptly can prevent more serious dental problems in the future. If you have ongoing concerns, do not hesitate to reach out to your dental care provider for personalized advice and treatment options.

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