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Bleeding gums – a common disease

Bleeding gums

There are very few adults with non-bleeding gums: according to statistics, 90% of the adult population has gum bleeding problems in at least a small area and at least 20% suffer from severe periodontal disease, including bone destruction and tooth decay.
Bleeding gums is a sign that the oral hygiene of a human is not 100 percent in order. This may indicate that bacteria have settled somewhere and the body is resisting it with inflammation. In these cases, the blood vessels dilate the white blood cells penetrate into the gums and protect the body from pathogens. If oral hygiene is inadequate, so-called gingivitis develops.
Although most cases of gum bleeding are due to poor oral hygiene, there are other serious causes. This may be, for example, the lack of vitamin C or K or other diseases associated with bleeding, e.g. Blood clotting or diabetes. A higher sugar value slows down the recovery process. Leukaemia can also cause very severe bleeding gums. Gingivitis with severe pain can also cause such a complaint; the first symptom is spontaneous bleeding gums. If there are other symptoms in addition to the bleeding gums, such as severe weight loss, weakness or slow wound healing, one should definitely be thoroughly examined.
Due to poor oral hygiene, bleeding usually occurs only when brushing or chewing. The incidence varies, some people have bleeding gums if they have not used dental floss for two days, while others only have it if their oral hygiene is periodically neglected. Bleeding mainly occurs when someone rinses their mouth after brushing their teeth, and in severe cases or during pregnancy spontaneous bleeding can also occur.
Basically, the change in hormone balance can lead to dental bleeding, such as during puberty or during pregnancy or menopause.
In severe haematological diseases, bleeding gums are not the same as poor oral hygiene, but they are much more serious: the gum’s blood literally begins to flow. In such conditions, patients first turn to a dentist whose job it is to use the symptoms to determine what type of disease it is, and further laboratory testing may be necessary.


The most important thing is to pay more attention to thorough dental hygiene. It is especially important that those affected do not think that they do not use the toothbrush at the bleeding site to protect the affected area, as it is of utmost importance to clean properly especially at the site of the inflammation. Only then the plaque can be eliminated, in which bacteria have multiplied and that leads to inflammation and to bleeding gums. If that does not happen, the situation gets worse.
In addition to regular brushing, mouthwashes can be of great benefit. In addition, it is important to use toothbrushes and other teeth cleaning tools and to have tartar removed on a regular basis, preferably every six months. In severe caries, this should always be the first step in the treatment of bleeding gums. Anti-gingivitis drugs are only needed if justified, especially for patients having a weaker immune system.
There are some toothpastes that can squeeze the gum capillaries so they do not bleed. However, it only obscures the symptoms and does not eliminate gingivitis.
One must be aware that untreated periodontal disease can lead to the loss of teeth. Also, one should know that the problem can most likely be remedied by dealing with it at an early stage. For this you should use a soft toothbrush. It is also very important to care for tooth gaps with intraoral toothbrush or floss.
Sugar is definitely one of the main causes of these symptoms you should clean your teeth at least 30 minutes after eating sugar products, or at least use mouthwash with natural ingredients.


When the oral hygiene is being restored in time, bleeding gums can be completely eliminated.
Proper oral hygiene can also prevent bleeding gums. Therefore, it is important to clean the teeth and gaps regularly.
If the problem persists after sufficient oral hygiene, a specialist should be consulted. Also in the following cases you should see a doctor:
– If the bleeding does not stop despite sufficient oral hygiene
– If you feel chronic pain at the same time
– If the gums are swollen or have unhealthy coverings on top of them
– In case of bad breath despite proper care
– In case of other concomitant symptoms, such as fever
An antibiotic cure could also be needed to eliminate the inflammation, which is also prescribed by the dentist.


If the remedies described above do not help, periodontal treatment may be necessary. In such cases, the problem is usually so great that in addition to the bleeding the teeth reach an unnatural mobility. In such cases you should definitely visit a periodontal specialist to save the teeth, if possible.
Every periodontal treatment begins with a thorough cleaning of the teeth. The next step is the so-called periodontal deep cleaning, the specialist inserts a very thin brush between the tooth and the gum to also be able to clean that otherwise inaccessible area and eliminate the bacteria there. This procedure is also called closed curettage. In the open curettage even cuts on the palate are made in order to reach the affected areas better. That is already a periodontal surgery. If the teeth are at this stage, the outcome is very questionable, often these operations must be repeated several times and even then the life prognosis of the teeth is uncertain and the patient must expect to lose these teeth sooner or later. In any case, the specialist can give an honest assessment of the extent to which it makes sense to treat the teeth periodontally and what life expectancy can be thought of. It’s best not to let it go that far, so thoroughly brush your teeth, at least twice a day, including flossing, after each meal, when you consume sugar, and go twice a year for professional teeth cleaning.


You should act quickly if the problems described apply to you. Contact us without any obligation or come to a non-binding dental check for an accurate and detailed expert opinion on the condition of your teeth.


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