Posts for tag: bleeding gums
Ninety percent of people have noticed bleeding from their gums when they brush or floss their teeth at some time or other. You may wonder if this is a result of brushing too hard — but that's not usually the case.
If your gums don't hurt — even if they bleed easily — you may think the bleeding is normal, nothing to worry about, or you're brushing too hard.
Bleeding from your gums is not normal!
It is an early warning sign of gum disease. In fact ten percent of those who start with bleeding gums go on to develop serious periodontal disease affecting the support for the teeth leading to tooth loss.
Then why do my gums bleed?
The way you brush your teeth is indeed a factor! Bacteria that normally reside in the mouth (in fact you need them to stay healthy) collect along the gum line in a biofilm. When the biofilm is not removed effectively on a daily basis, over time the gums become inflamed and bleed when touched. Other signs of inflamed gums — gingivitis — are redness and swelling, and even recession.
SO — the problem is not that you are brushing too hard, but that you are not brushing and/or flossing effectively. Both are important.
Three ways to stop bleeding gums before they lead to serious problems
- It all starts with brushing your teeth correctly at the gum line. Use a soft multi-tufted toothbrush. Hold it in the gum line and wiggle it gently until the tooth surfaces feel clean to your tongue — just like when you've had a professional cleaning. It doesn't take force, be gentle.
- It's just as important to remove biofilm from between the teeth where the toothbrush won't reach. If you are having difficulty flossing, we've got some easy demonstrations and instructional tips.
- Remember, as we say, “It's not the brush, it's the hand that holds it.”
Contact us today to schedule an appointment or to discuss your questions about bleeding gums. Bring your toothbrush and floss with you to our office and ask us to demonstrate proper oral hygiene techniques. You can also learn more by reading the Dear Doctor magazine article “Bleeding Gums: A very important warning sign of gum disease.”
If your gums appear reddish, puffy and bleed easily — especially at the margins where they meet your teeth — instead of their normal pink, you have gingivitis (“gingiva” – gums; “itis” – inflammation). Gingivitis is one of the first signs of periodontal disease (“peri” – around; “odont” – tooth) that affects the tissues that attach to the teeth, the gums, periodontal ligament and bone. Other common symptoms of periodontal disease include bad breath and taste.
If periodontal (gum) disease is allowed to progress, one possible consequence is gum recession exposing the root surfaces of the teeth. This can cause sensitivity to temperature and touch. Another sign is that the gum tissues may start to separate from your teeth, causing pocket formation; this is detectable by your dentist or hygienist. As pocket formation progresses the bone supporting the teeth is destroyed leading to loose teeth and/or gum abscesses. Unchecked or untreated it leads to tooth loss.
Inflammation, a primary response to infection is actually your immune (resistance) system's way of mounting a defense against dental plaque, the film of bacteria that concentrates between your teeth and gums every day. If the bacteria are not removed, the inflammation and infection become chronic, which literally means, “frustrated healing.” Smoking is a risk factor for periodontal disease. Smokers collect plaque more quickly and have drier mouths, therefore, cutting down or quitting smoking can reduce the severity of gum disease. Stress has also been shown to affect the immune (resistance) system, so stress reduction practices can help here as well as in other parts of your life. Gum disease can also affect your general health especially if you have diabetes, cardiovascular or other systemic (general) diseases of an inflammatory nature.
Periodontal disease is easily preventable. The best way to stop the process is to remove each day's buildup of plaque by properly brushing and flossing your teeth. Effective daily dental hygiene has been demonstrated to be effective in stopping gingivitis. It sounds simple, but although most people think they're doing a good job, they may not be. Effective brushing and flossing requires demonstration and training. Come and see us for an evaluation of how well you're doing. Regular checkups and cleanings with our office are necessary to help prevent gingivitis and periodontal disease. In addition if you already have periodontal disease you may need a deep cleaning known as root planing or debridement to remove deposits of calcified plaque called calculus or tartar, along with bacterial toxins that have become ingrained into the root surfaces of your teeth.
Gum disease is often known as a silent disease because it doesn't hurt, so see our office for a periodontal exam today.
Contact us today to schedule an appointment or to discuss your questions about gingivitis and periodontal disease. You can also learn more by reading the Dear Doctor magazine article “Understanding Gum (Periodontal) Disease.”
Gum disease, also called periodontal disease (from the roots for “around” and “tooth”) starts with redness and inflammation, progresses to infection, and can lead to progressive loss of attachment between the fibers that connect the bone and gum tissues to your teeth, ultimately causing loss of teeth. Here are some ways to assess your risk for gum disease.
Your risk for developing periodontal disease is higher if:
- You are over 40.
Studies have shown that periodontal disease and tooth loss correlate with aging. The longer plaque (a film of bacteria that collects on your teeth and gums) is allowed to stay in contact with your gums, the more you are at risk for periodontal disease. This means that brushing and flossing to remove plaque is important throughout your lifetime. To make sure you are removing plaque effectively, come into our office for an evaluation of your brushing and flossing techniques.
- You have a family history of gum disease.
If gum disease seems to “run in your family,” you may be genetically predisposed to having this disease. Your vulnerability or resistance to gum disease is influenced by genetics. The problem with this assessment is that if your parents were never treated for gum disease or lacked proper instruction in preventative strategies and care, their susceptibility to the disease is difficult to accurately quantify.
- You smoke or chew tobacco.
Here's more bad news for smokers. If you smoke or chew tobacco you are at much greater risk for the development and progression of periodontal disease. Smokers' teeth tend to have more plaque and tartar while also having them form more quickly.
- You are a woman.
Hormonal fluctuations during a woman's lifetime tend to make her more susceptible to gum disease than men, even if she takes good care of her teeth.
- You have ongoing health conditions such as heart disease, respiratory disease, rheumatoid arthritis, osteoporosis, high stress, or diabetes.
Research has shown a connection between these conditions and periodontal disease. The bacteria can pass into the blood stream and move to other parts of the body. Gum disease has also been connected with premature birth and low birth weight in babies.
- Your gums bleed when you brush or floss.
Healthy gums do not bleed. If yours do, you may already have the beginnings of gum disease.
- You are getting “long in the tooth.”
If your teeth appear longer, you may have advancing gum disease. This means that infection has caused your gum tissue to recede away from your teeth.
- Your teeth have been getting loose.
Advancing gum disease results in greater bone loss that is needed to support and hold your teeth in place. Loose teeth are a sign that you have a serious problem with periodontal disease.
Even with indications of serious periodontal disease, it can still be stopped. Make an appointment with us today to assess your risks. You can also learn more by reading the Dear Doctor magazine article “Assessing Risk for Gum Disease.”