Causes of Bleeding Gums: Common Dental Issues Explained - Dentistry

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Bleeding gums?


Hello, recently when I brush my teeth, my gums bleed, and they also bleed when I floss.
What could be the cause of the bleeding gums?

Xin, 10~19 year old female. Ask Date: 2010/05/12

Dr. Zeng Guanghui reply Dentistry


Hello, sir; thank you for your question.
I would like to address your inquiry and provide the following advice: The cause of bleeding gums is due to inflammation resulting from bacterial infection in the gums or periodontal tissues.
The source of the bacteria is dental plaque or tartar that adheres to the surface of the teeth.
Therefore, it is essential to remove dental plaque or tartar through brushing or professional dental cleaning to improve the condition of gum inflammation and bleeding.
Finally, I wish you peace and happiness!

Reply Date: 2010/05/12

More Info


Bleeding gums during brushing or flossing can be a concerning symptom and is often indicative of underlying dental issues. The most common cause of gum bleeding is gingivitis, an inflammation of the gums typically caused by the accumulation of plaque—a sticky film of bacteria that forms on teeth. When plaque is not adequately removed through regular brushing and flossing, it can harden into tartar, leading to gum disease.
Gingivitis is characterized by red, swollen gums that may bleed easily, especially during oral hygiene practices. If left untreated, gingivitis can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss and other serious health issues. Periodontitis involves the destruction of the supporting structures of the teeth, including the bone, and can result in deeper pockets forming between the teeth and gums, further exacerbating bleeding and inflammation.

In addition to gum disease, other factors can contribute to bleeding gums. These include:
1. Poor Oral Hygiene: Inadequate brushing and flossing can lead to plaque buildup, which irritates the gums and causes bleeding.

2. Hormonal Changes: Fluctuations in hormones, such as during menstruation, pregnancy, or menopause, can make gums more sensitive and prone to bleeding.

3. Nutritional Deficiencies: A lack of essential nutrients, particularly vitamin C (scurvy) and vitamin K, can affect gum health and lead to bleeding.

4. Medical Conditions: Certain systemic conditions, such as diabetes, blood disorders, and autoimmune diseases, can also manifest as gum bleeding. Medications that affect blood clotting, such as anticoagulants, can increase the likelihood of bleeding gums.

5. Smoking and Tobacco Use: Tobacco products can impair gum health and contribute to gum disease, leading to bleeding.

6. Ill-fitting Dental Appliances: Dentures or braces that do not fit properly can irritate the gums and cause bleeding.

To address bleeding gums, it is essential to maintain good oral hygiene practices. This includes brushing at least twice a day with fluoride toothpaste, flossing daily to remove plaque between teeth, and using an antibacterial mouthwash to help reduce plaque buildup. Regular dental check-ups are crucial for professional cleanings and early detection of gum disease.

If you notice persistent bleeding, it is advisable to consult a dentist. They can perform a thorough examination, possibly including X-rays, to assess the health of your gums and teeth. Depending on the diagnosis, treatment may involve professional cleaning, scaling and root planing (a deep cleaning procedure), or more advanced periodontal treatments if necessary.

In summary, bleeding gums are often a sign of gum disease, but they can also result from various factors, including poor oral hygiene, hormonal changes, nutritional deficiencies, and underlying health conditions. Maintaining good oral hygiene and seeking professional dental care are key steps in preventing and treating this issue. If you experience ongoing bleeding, do not hesitate to reach out to a dental professional for guidance and treatment.

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