Persistent Bleeding Gums After Dental Cleaning: What to Do Next? - Dentistry

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Bleeding gums?


Hello: I previously experienced bleeding while brushing my teeth, and sometimes I can taste blood in my mouth.
It feels like there is swelling in the gum area behind my front teeth.
I visited the dentist, who performed a cleaning and said it should improve in about 1-2 days, but I am still experiencing bleeding while brushing.
What should I do if I continue to bleed after the cleaning? Should I go back to the dentist for another cleaning?

Xin, 20~29 year old female. Ask Date: 2010/06/17

Dr. Zhuang Suhui reply Dentistry


Hello: Bleeding while brushing is mostly caused by gingival inflammation.
If bleeding persists even after dental cleaning, it is necessary to seek treatment with medications, such as mouthwash or oral medications, or to pursue further periodontal treatment.

Reply Date: 2010/06/17

More Info


Persistent bleeding gums after dental cleaning can be concerning, and it's important to address this issue appropriately. Bleeding gums can be a sign of gum disease, which may range from mild gingivitis to more severe periodontitis. After a dental cleaning, it is not uncommon for some patients to experience slight bleeding, especially if they have not maintained regular oral hygiene or if there is existing gum disease. However, if the bleeding persists beyond a couple of days, it warrants further attention.

First and foremost, it is essential to maintain good oral hygiene practices. This includes brushing your teeth at least twice a day with a soft-bristled toothbrush and fluoride toothpaste, and flossing daily to remove plaque and food particles from between your teeth. When brushing, be gentle around the gum line to avoid further irritation. If you notice that certain areas are particularly sensitive or bleed more, it may be beneficial to focus on those areas while being cautious not to apply too much pressure.

In addition to regular brushing and flossing, consider using an antimicrobial mouthwash. These mouth rinses can help reduce bacteria in the mouth, which may contribute to gum inflammation and bleeding. Look for mouthwashes that contain chlorhexidine or essential oils, as they can be effective in promoting gum health.

If you continue to experience bleeding after dental cleaning, it is advisable to return to your dentist for a follow-up appointment. Your dentist may want to assess your gums and teeth more closely to determine if there is an underlying issue that needs to be addressed. This could include a more thorough cleaning, scaling and root planing if there is significant tartar buildup, or even a referral to a periodontist if gum disease is suspected.

It is also important to consider lifestyle factors that may contribute to gum health. Smoking, for example, is a significant risk factor for gum disease and can hinder healing. If you smoke, consider seeking support to quit. Additionally, a balanced diet rich in vitamins and minerals, particularly vitamin C, can support gum health. Foods such as fruits, vegetables, and whole grains can provide essential nutrients that help maintain healthy gums.

Lastly, if you have any medical conditions such as diabetes or are taking medications that affect your oral health, be sure to discuss these with your dentist. Certain conditions and medications can increase the risk of gum disease and may require special attention.

In summary, if you are experiencing persistent bleeding gums after dental cleaning, maintain good oral hygiene, consider using an antimicrobial mouthwash, and schedule a follow-up appointment with your dentist. Early intervention can help prevent more serious issues and promote better gum health. Remember, your oral health is an essential part of your overall well-being, and addressing these concerns promptly is crucial.

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