Bleeding while brushing teeth - has seen a doctor?
Hello, doctor! I previously went for treatment because my gums bleed when I brush my teeth.
The doctor gave me a medicated powder to use while brushing at home, as well as a therapeutic mouthwash.
I have seen the dentist twice, but I still experience bleeding when I brush my teeth.
Additionally, sometimes I notice bleeding when eating, and once I found blood on a banana after eating it.
How should I address this, and what kind of symptoms could this indicate?
James, 20~29 year old female. Ask Date: 2000/12/26
Dr. Wu Jinjun reply Dentistry
Response to the physician: Regarding the issue of bleeding while brushing teeth...
Response: As you mentioned, your symptoms suggest that it is not only gingivitis but has progressed to periodontal disease.
You should seek treatment from a specialist for comprehensive care.
Reply Date: 2000/12/26
More Info
Bleeding gums while brushing can be a concerning symptom, and it often indicates underlying dental or health issues. The most common cause of bleeding gums is gingivitis, which is an inflammation of the gums due to plaque buildup. When plaque is not removed through regular brushing and flossing, it can harden into tartar, leading to gum disease. Other potential causes of bleeding gums include more advanced forms of periodontal disease, vitamin deficiencies (especially vitamin C), hormonal changes (such as during pregnancy), certain medications (like blood thinners), and systemic conditions such as diabetes or blood disorders.
Given your situation, it is crucial to address the bleeding gums effectively. Here are some steps you can take:
1. Maintain Good Oral Hygiene: Continue brushing your teeth at least twice a day and flossing daily. Use a soft-bristled toothbrush to avoid further irritation to your gums. Be gentle when brushing, especially around the gum line.
2. Use Antimicrobial Mouthwash: The medicated mouthwash prescribed by your dentist is essential. It helps reduce plaque and bacteria in your mouth, which can alleviate gum inflammation. Ensure you follow the instructions on how to use it effectively.
3. Regular Dental Visits: Since you have already seen your dentist twice, it may be beneficial to schedule a follow-up appointment. If the bleeding persists, your dentist may recommend a professional cleaning to remove tartar buildup or further evaluate your gum health.
4. Dietary Considerations: Ensure you are consuming a balanced diet rich in vitamins and minerals. Vitamin C is particularly important for gum health, so consider incorporating more fruits and vegetables into your diet. If you suspect a deficiency, consult with your healthcare provider about possible supplementation.
5. Avoid Tobacco Products: If you smoke or use tobacco, quitting can significantly improve your gum health and overall oral hygiene.
6. Monitor Other Symptoms: Keep an eye on any additional symptoms, such as persistent bad breath, loose teeth, or changes in the way your teeth fit together. These could indicate more severe gum disease that requires immediate attention.
7. Consider Underlying Health Issues: If you continue to experience bleeding gums despite good oral hygiene practices, it may be worth discussing with your healthcare provider. Conditions like diabetes or blood disorders can contribute to gum problems, and addressing these underlying issues is crucial.
In summary, bleeding gums while brushing can be a sign of gingivitis or other dental issues. Maintaining good oral hygiene, using prescribed mouthwash, and having regular dental check-ups are essential steps in managing this condition. If the bleeding persists or worsens, further evaluation by your dentist or healthcare provider is necessary to rule out any serious underlying health concerns. Taking these proactive measures can help improve your gum health and prevent further complications.
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