Managing Gum Growth and Bleeding: Dental Care Tips - Dentistry

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Gingival hyperplasia


Brushing my teeth causes my gums to bleed, and there is a growth on my gums that bleeds continuously when I press on it, although it doesn't hurt.
I had a dental cleaning three months ago.
What should I do, doctor? Is there a way to handle this on my own?

Awei, 20~29 year old female. Ask Date: 2015/10/06

Dr. Zeng Guanghui reply Dentistry


The above situation indicates that there is a chronic infection or inflammation of the gums, and it is advisable to consult a dentist for further evaluation and treatment.

Reply Date: 2015/10/06

More Info


Managing gum growth and bleeding can be a concerning issue, especially when it involves persistent bleeding without pain. It’s important to understand that bleeding gums can be a sign of various dental conditions, including gingivitis, periodontitis, or even more serious issues like gum disease. Here are some steps and considerations for managing this condition effectively.


Understanding the Causes
1. Gingivitis: This is the earliest stage of gum disease, often caused by plaque buildup on teeth. Symptoms include swollen, red gums that may bleed during brushing or flossing.


2. Periodontitis: If gingivitis is left untreated, it can progress to periodontitis, which can lead to gum recession and tooth loss. This condition is characterized by deeper pockets forming between the teeth and gums, and it may also involve bone loss.

3. Hormonal Changes: In some cases, hormonal changes (such as during pregnancy or menopause) can lead to increased gum sensitivity and bleeding.

4. Medical Conditions: Conditions such as diabetes, blood disorders, or vitamin deficiencies (like Vitamin C deficiency leading to scurvy) can also contribute to gum bleeding.

5. Improper Oral Hygiene: Inadequate brushing and flossing can lead to plaque buildup, which irritates the gums.


Immediate Steps to Take
1. Maintain Oral Hygiene: Ensure you are brushing your teeth at least twice a day with a soft-bristled toothbrush and fluoride toothpaste. Floss daily to remove plaque and food particles between teeth.

2. Gentle Technique: When brushing, use gentle strokes to avoid further irritating the gums. If you notice bleeding, it may be tempting to avoid brushing that area, but it’s crucial to continue to clean it gently to prevent plaque buildup.

3. 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 several times a day.

4. Avoid Irritants: Stay away from tobacco products and limit alcohol consumption, as these can exacerbate gum problems.

5. Dietary Considerations: Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly Vitamin C and calcium, which are essential for gum health.


When to Seek Professional Help
While some minor gum issues can be managed at home, persistent bleeding, especially if it lasts more than a few days or is accompanied by swelling or pain, warrants a visit to a dentist. Here’s why:
1. Professional Cleaning: A dental professional can perform a thorough cleaning to remove tartar and plaque that regular brushing cannot eliminate.

2. Diagnosis: A dentist can diagnose the underlying cause of your gum issues, whether it’s gingivitis, periodontitis, or another condition.

3. Treatment Options: Depending on the diagnosis, treatment may include scaling and root planing, antibiotics, or other interventions to manage gum health.

4. Regular Check-ups: Regular dental visits (at least every six months) are crucial for maintaining oral health and catching any issues early.


Special Considerations for Older Adults
For older adults, managing gum health can be particularly challenging due to factors like medication side effects, dry mouth, and other health conditions. It’s essential for elderly patients to:
- Stay hydrated to combat dry mouth.

- Discuss any medications with their healthcare provider that may affect oral health.

- Consider using mouth rinses specifically designed for dry mouth or gum health.

In conclusion, while some gum issues can be managed at home, it’s essential to maintain good oral hygiene and seek professional help when necessary. Persistent bleeding gums should not be ignored, as they can indicate more serious dental health issues. Regular dental check-ups and a proactive approach to oral care are key to maintaining healthy gums.

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