Bleeding gums and chronic swelling?
Hello Doctor: I currently have a tooth with swollen gums (both internally and externally).
I have been observing it for a while (about several months).
Initially, I only noticed bleeding while brushing and a slight swelling, but there was no pain.
So, I started using dental floss and supplementing with vitamin C.
However, I later noticed that the area became increasingly swollen, and there was also swelling inside the tooth (without pain).
I usually brush my teeth twice a day, but I do not consistently use dental floss, although I try to brush the gum area thoroughly.
I would like to ask if the swelling and bleeding of a single gum could be a sign of periodontal disease? Thank you!
Jill, 30~39 year old female. Ask Date: 2016/01/26
Dr. Zeng Guanghui reply Dentistry
Swollen gums that bleed are usually caused by the accumulation of dental plaque or tartar in the oral cavity, leading to an inflammatory response in the gums or periodontal tissues.
If dental plaque or tartar cannot be adequately removed, supplementing with vitamin C or using dental floss will not be effective.
These are early signs of periodontal disease, and it is advisable to consult a dentist for tartar removal treatment.
Reply Date: 2016/01/26
More Info
Gum swelling and bleeding are often indicative of underlying dental issues, particularly periodontal disease. When you notice bleeding while brushing your teeth, it is usually a sign that your gums are inflamed, a condition known as gingivitis. Gingivitis is the earliest stage of gum disease and is primarily caused by the accumulation of plaque—a sticky film of bacteria that forms on your teeth. If left untreated, gingivitis can progress to a more severe form of gum disease known as periodontitis, which can lead to tooth loss and other serious health issues.
In your case, the fact that you have been experiencing gum swelling and bleeding for several months is concerning. Initially, you may have thought that using dental floss and increasing your vitamin C intake would help, but these measures alone might not be sufficient if there is significant plaque or tartar buildup. Vitamin C is essential for gum health, but it cannot replace proper dental hygiene practices.
The progression from gingivitis to periodontitis occurs when the inflammation extends deeper into the supporting structures of the teeth, including the bone. This can result in the formation of pockets between the teeth and gums, which can become infected. Symptoms of periodontitis may include persistent bad breath, receding gums, and loose teeth. In some cases, individuals may not experience pain, which can lead to a false sense of security regarding their oral health.
It is crucial to understand that periodontal disease is not just a localized issue; it has been linked to systemic health problems such as cardiovascular disease, diabetes, and respiratory issues. The bacteria from periodontal infections can enter the bloodstream, potentially affecting other parts of the body. Therefore, addressing gum health is not only important for maintaining your teeth but also for your overall health.
Given your symptoms of persistent swelling and bleeding, it is highly advisable to seek professional dental care as soon as possible. A dentist can perform a thorough examination, including X-rays if necessary, to determine the extent of the gum disease and any potential bone loss. Treatment may involve professional cleaning to remove plaque and tartar, and in more advanced cases, additional procedures such as scaling and root planing may be required.
In the meantime, continue to practice good oral hygiene by brushing at least twice a day and using dental floss daily. If you experience any additional symptoms, such as increased pain, swelling, or changes in the appearance of your gums, do not hesitate to seek immediate dental attention. Your oral health is a vital component of your overall well-being, and early intervention can prevent more serious complications down the line.
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