Blood Loss During Brushing: Causes and Dental Care Tips - Dentistry

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Where does blood actually come from?


Hello Doctor: My upper right last tooth has a large cavity, and the doctor assessed that dental implant is recommended, so a temporary filling was placed to support it.
After I started paying attention to my oral hygiene, my teeth cleaning no longer caused bleeding, and the doctor confirmed that my cleaning is very good.
However, that particular tooth occasionally bleeds profusely, leaving my hands covered in bright red blood; after this episode, it stops bleeding, but the next time it can start again unexpectedly.
I would like to ask: Is this inflammation? Where is all this blood coming from? Why does it only bleed when I brush my teeth? How long can the temporary filling last? Thank you, Doctor, for taking the time to respond.

hui, 30~39 year old female. Ask Date: 2023/05/07

Dr. Zeng Guanghui reply Dentistry


If brushing your teeth easily causes bleeding, it may indicate that there is still inflammation in the gums or that you accidentally brushed against the gum tissue.
Temporary materials may not hold up for long, so it is advisable to return to the dentist for further treatment.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/05/07

More Info


When experiencing blood loss during brushing, especially in the context of dental issues such as cavities or temporary fillings, it is essential to understand the underlying causes and appropriate dental care strategies.
Firstly, the presence of blood during brushing can often indicate inflammation of the gums, a condition known as gingivitis. This inflammation can be exacerbated by various factors, including plaque buildup, improper brushing techniques, or the presence of dental work such as temporary fillings. In your case, the large cavity in your upper right molar may be contributing to the gum irritation. When you brush, the bristles can irritate the already inflamed gum tissue, leading to bleeding. The sudden and significant blood loss you describe could be due to the disruption of inflamed blood vessels in the gums, which can be particularly sensitive.

The temporary filling you mentioned is designed to provide a short-term solution while you await a more permanent restoration, such as an implant. Temporary fillings can last anywhere from a few weeks to several months, depending on the material used and how well you care for your teeth. However, if the temporary filling is compromised or if there is ongoing decay or gum disease, it may not hold up as expected. It is crucial to maintain good oral hygiene and avoid hard or sticky foods that could dislodge the filling.

To address the bleeding, consider the following dental care tips:
1. Use a Soft-Bristled Toothbrush: If you are using a toothbrush with hard bristles, switch to a soft-bristled toothbrush. This will be gentler on your gums and can help reduce irritation.

2. Gentle Brushing Technique: Ensure you are using a gentle brushing technique. Avoid aggressive scrubbing, as this can further irritate your gums. Instead, use gentle circular motions and focus on cleaning the surfaces of your teeth without applying excessive pressure.

3. Floss Regularly: Flossing is essential for removing plaque and food particles from between your teeth and along the gum line. Be gentle when flossing, especially around the area with the temporary filling.

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

5. Monitor Your Symptoms: Keep an eye on the bleeding. If it persists or worsens, or if you experience pain, swelling, or any signs of infection, it is crucial to consult your dentist as soon as possible. They may need to evaluate the temporary filling and the surrounding gum tissue to determine if further treatment is necessary.

6. Regular Dental Check-ups: Regular visits to your dentist for cleanings and check-ups are vital, especially when you have existing dental issues. Your dentist can monitor the condition of your gums and teeth and provide professional cleanings that can help prevent further complications.

In summary, the bleeding you are experiencing while brushing is likely related to gum inflammation, possibly exacerbated by the condition of your tooth and the temporary filling. By adopting gentle brushing techniques, using the right tools, and maintaining regular dental visits, you can help manage your oral health and reduce the risk of further bleeding. If the bleeding continues or you have concerns about your dental work, do not hesitate to reach out to your dentist for further evaluation and guidance.

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