Bleeding Gums After Denture Replacement: Seeking Solutions and X-Ray Options

The gums in the area where the dentures are placed have been bleeding continuously?

Hello Doctor: My front tooth is a prosthetic, and it accidentally broke when I bumped into something, so I had a new prosthetic installed.
However, after getting braces, my gums bleed every time I brush my teeth.
I have visited the doctor 3-4 times, and the doctor has adjusted the prosthetic, stating that the bleeding is due to inflammation caused by plaque buildup.
However, even after these adjustments, my gums still bleed whenever I brush my teeth, which has made me fearful of brushing.
I would like to know if it is possible to ask the doctor for an X-ray to find out the cause of this issue.
I am concerned that directly asking for an X-ray might be disrespectful to the doctor, but having bleeding gums is not a solution either.
Sometimes my gums are normal, but then they start bleeding again after 2-3 days.
I want to understand what the problem is.
Currently, my teeth are not fixed.

Xiao Mi, 30~39 year old female. Ask Date: 2015/09/06

Dr. Huang Zhicheng reply Dentistry

Dear Xiaomi,
Hello.
Based on your description, we cannot rule out the possibility of a vertical root fracture.
The teeth that require prosthetics are often those that have undergone root canal treatment, which makes them more susceptible to fractures due to impact.
Additionally, if a post has been placed for reinforcement, the force from the impact can be significant on the root, potentially leading to cracks.
Once a crack develops, bacteria can easily infiltrate through the fissure, resulting in persistent inflammation and bleeding of the gums.
Sometimes, these fractures are not easily visible on X-rays, especially if the fracture plane is perpendicular to the X-ray beam.
A cone beam computed tomography (CBCT) scan may be necessary for a clearer diagnosis.
Please consult your dentist to check for any root fractures.
Wishing you health and safety,
Dr.
Huang Chih-Cheng
Director of Dentistry
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/09/06

More Info

Bleeding gums after denture replacement can be a concerning issue, especially when it occurs consistently during routine activities like brushing your teeth. It’s understandable that you feel anxious about this situation, particularly after having your denture repaired multiple times. Let’s break down the potential causes and solutions for your bleeding gums, as well as the role of X-rays in diagnosing the issue.

Firstly, it’s important to recognize that bleeding gums can be a sign of gum inflammation, also known as gingivitis. This condition can arise from plaque buildup, which can occur even with dentures if they are not cleaned properly. When plaque accumulates, it can irritate the gums, leading to inflammation and bleeding. Since your dentist has mentioned that the bleeding is likely due to plaque accumulation, it’s crucial to ensure that you are maintaining a thorough cleaning routine for your dentures.
Here are some steps you can take to help manage and potentially resolve the bleeding:
1. Denture Care: Make sure you are cleaning your dentures daily. Use a soft-bristled brush specifically designed for dentures, along with a non-abrasive cleaner. Avoid using regular toothpaste, as it can be too harsh and may scratch the surface of the denture.

2. Oral Hygiene: In addition to cleaning your dentures, maintaining good oral hygiene is essential. Brush your gums, tongue, and any remaining natural teeth gently with a soft toothbrush. This can help remove plaque and stimulate blood flow to the gums, which may aid in healing.

3. Rinsing: Consider using an antimicrobial mouthwash to help reduce bacteria in your mouth. This can be particularly beneficial if you are experiencing inflammation.

4. Diet and Hydration: Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly vitamin C, which is crucial for gum health. Staying hydrated is also important for maintaining healthy oral tissues.

5. Regular Dental Visits: Since you have already seen your dentist multiple times, it’s important to continue these visits. If the bleeding persists, it may be necessary to have your dentist conduct a more thorough examination.

Regarding your question about X-rays, it is indeed reasonable to request them if you feel that they could help identify the underlying issue. X-rays can provide valuable information about the health of your jawbone and the positioning of your dentures. They can help detect any underlying problems that may not be visible during a regular examination, such as bone loss or issues with the roots of your teeth if you have any remaining natural teeth.

When discussing this with your dentist, you can express your concerns about the bleeding and your desire to understand the root cause. A good dentist will appreciate your proactive approach to your oral health and will likely agree that taking X-rays could be beneficial in determining the cause of your symptoms.

In summary, while bleeding gums after denture replacement can be distressing, it is often manageable with proper care and hygiene. If the problem persists despite your efforts, don’t hesitate to communicate openly with your dentist about your concerns and the possibility of further diagnostic imaging. Your oral health is important, and addressing these issues promptly can help ensure a more comfortable experience with your dentures moving forward.

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