Post-Teeth Cleaning Concerns: Gum Swelling and Bleeding Issues - Dentistry

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Post-Scaling Issues


I currently have swollen gums.
Every time I get a dental cleaning, the swelling decreases a bit, but after a few days, it swells up again.
I'm not sure if it's a nutritional issue.
Also, I experience sudden bleeding the day after the cleaning.
Could this be due to insufficient vitamin C intake?

Huang Shifeng, 20~29 year old female. Ask Date: 2016/01/08

Dr. Zeng Guanghui reply Dentistry


The above situation may be caused by residual dental plaque or calculus adhering to the deeper layers of the tooth root, leading to persistent inflammation.
In addition to professional dental cleaning, root planing may be necessary to thoroughly remove the calculus from the root surface.
It is normal to experience bleeding the day after a dental cleaning due to the inflammatory response; however, if the bleeding persists, it is important to consult a dentist for further evaluation to rule out any underlying systemic diseases or coagulation issues.

Reply Date: 2016/01/08

More Info


Post-teeth cleaning concerns, such as gum swelling and bleeding, can be quite common and may arise from various factors. It's essential to understand the underlying causes and how to address them effectively.

Firstly, it's important to recognize that after a dental cleaning, some patients may experience temporary gum swelling or bleeding. This can occur due to the removal of plaque and tartar that have built up over time, which can irritate the gums. If your gums are swollen and bleed after cleaning, it may indicate that they are inflamed, a condition known as gingivitis. Gingivitis is often caused by poor oral hygiene, leading to plaque accumulation. When plaque is not adequately removed, it can harden into tartar, which can only be removed by a dental professional.

Regarding your concern about vitamin C intake, while vitamin C is crucial for maintaining healthy gums and overall oral health, it is not the sole factor contributing to gum swelling and bleeding. A deficiency in vitamin C can lead to scurvy, which is characterized by swollen gums and bleeding, but this is relatively rare in individuals with a balanced diet. If you suspect that your diet may be lacking in essential nutrients, it would be wise to consult with a healthcare provider or a nutritionist to evaluate your dietary habits.

To address your current symptoms, consider the following recommendations:
1. Maintain Good Oral Hygiene: Continue to brush your teeth at least twice a day with fluoride toothpaste and floss daily. This will help remove plaque and food particles that can irritate the gums. Using a soft-bristled toothbrush can also minimize gum irritation.

2. Use Antimicrobial Mouthwash: An antimicrobial mouthwash can help reduce bacteria in the mouth and may aid in reducing gum inflammation. Look for a mouthwash that is alcohol-free to avoid further irritation.

3. Stay Hydrated: Drinking plenty of water can help wash away food particles and bacteria, promoting better oral health.

4. Dietary Considerations: Ensure you are consuming a balanced diet rich in vitamins and minerals. Foods high in vitamin C, such as citrus fruits, strawberries, and leafy greens, can support gum health. Additionally, foods rich in calcium and vitamin D are essential for maintaining strong teeth and bones.

5. Regular Dental Check-ups: Continue to see your dentist regularly for cleanings and check-ups. If your symptoms persist or worsen, it is crucial to consult your dentist. They can assess your gum health and determine if further treatment is necessary, such as a deep cleaning (scaling and root planing) or other periodontal treatments.

6. Monitor Symptoms: Keep track of your symptoms, including when the swelling and bleeding occur. If you notice a pattern or if the symptoms do not improve, inform your dentist, as this could indicate a more serious underlying issue that needs to be addressed.

In summary, while post-cleaning gum swelling and bleeding can be concerning, they are often manageable with proper oral hygiene and dietary practices. If symptoms persist, do not hesitate to seek professional dental advice to ensure your oral health is on the right track.

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