Gum Bleeding: Causes, Treatments, and Dental Care Tips - Dentistry

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Gum bleeding


Bleeding gums during brushing or flossing, as well as bad breath, can be indicative of periodontal disease.
Periodontal disease should be treated through a combination of professional dental cleanings, improved oral hygiene practices, and possibly antimicrobial treatments.
It is generally advisable to address any cavities before undergoing a dental cleaning, as this can help ensure a more effective cleaning and overall better oral health.
Thank you.

QQQ, 20~29 year old female. Ask Date: 2009/11/23

Dr. Zeng Guanghui reply Dentistry


Hello, Miss: Thank you for your inquiry.
I would like to address your question and provide the following advice: Bleeding gums during brushing or flossing can be a sign of gingivitis or periodontal disease, indicating that bacteria or infection in the oral cavity is causing inflammation of the gums or damage to the periodontal tissues.
First, you should try to thoroughly clean your teeth and interdental spaces and seek professional dental cleaning from a dentist to remove tartar or plaque.
Additionally, any cavities should be filled to prevent oral bacteria from infecting the nerves in the tooth or the periapical tissues.
It is advisable to consult a dentist for further diagnosis and treatment.
Lastly, I wish you peace and happiness!

Reply Date: 2009/11/23

More Info


Gum bleeding during brushing or flossing, along with bad breath, can indeed be indicative of periodontal disease, commonly known as gum disease. Periodontal disease is an infection of the tissues that hold your teeth in place, and it can range from simple gum inflammation (gingivitis) to more serious disease that can result in major damage to the soft tissue and bone that support your teeth.


Causes of Gum Bleeding
1. Gingivitis: This is the earliest stage of gum disease, characterized by inflammation of the gums due to plaque buildup. Symptoms include redness, swelling, and bleeding during brushing or flossing.

2. Periodontitis: If gingivitis is left untreated, it can progress to periodontitis, where the inflammation extends deeper into the supporting structures of the teeth. This can lead to gum recession, pockets forming between the teeth and gums, and even tooth loss.

3. Poor Oral Hygiene: Inadequate brushing and flossing can lead to plaque accumulation, which hardens into tartar, further aggravating gum tissues.

4. Hormonal Changes: Conditions such as pregnancy, menstruation, or menopause can affect gum health due to hormonal fluctuations.

5. Medical Conditions: Certain diseases, such as diabetes, blood disorders, and autoimmune diseases, can increase the risk of gum disease.

6. Medications: Some medications can cause dry mouth or gum overgrowth, which can contribute to gum disease.

7. Nutritional Deficiencies: A lack of essential nutrients, particularly vitamin C, can lead to gum problems.


Treatment Options
1. Professional Dental Cleaning: The first step in treating gum disease is usually a thorough cleaning by a dental professional. This involves removing plaque and tartar from above and below the gum line.

2. Scaling and Root Planing: For more advanced gum disease, a deeper cleaning procedure called scaling and root planing may be necessary. This involves cleaning the roots of the teeth to remove bacteria and tartar.

3. Antibiotics: In some cases, your dentist may prescribe antibiotics to help control bacterial infection.

4. Surgical Treatments: If the disease has progressed significantly, surgical interventions may be necessary to restore supportive tissues.

5. Improved Oral Hygiene: Regular brushing (at least twice a day) and flossing (daily) are crucial. Using an antibacterial mouthwash can also help reduce plaque and bacteria.


Dental Care Tips
- Regular Dental Visits: Schedule regular check-ups and cleanings every six months or as recommended by your dentist. This helps catch any issues early.

- Flossing Technique: Ensure you are using proper flossing techniques to effectively clean between teeth and under the gum line.

- Diet: Maintain a balanced diet rich in vitamins and minerals. Foods high in vitamin C, such as citrus fruits, can help maintain gum health.

- Avoid Tobacco: Smoking or using tobacco products can significantly increase the risk of gum disease.


Addressing Cavities Before Cleaning
Regarding your question about treating cavities before dental cleaning, it is generally advisable to address any cavities or dental issues before undergoing a deep cleaning. This is because untreated cavities can harbor bacteria that may complicate the cleaning process and lead to further dental issues. Your dentist will typically assess your overall dental health and recommend a treatment plan that may include filling cavities before performing a thorough cleaning.

In summary, if you are experiencing gum bleeding and bad breath, it is essential to consult with a dental professional for a comprehensive evaluation and treatment plan. Early intervention can prevent the progression of gum disease and help maintain your oral health.

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