Bleeding gums


Bleeding gums is generally one of the most common symptoms in the field of dentistry. On average, every third patient over 40 suffers from occasional gum bleeding.
Since bleeding, regardless of its extent, type and location, is widely regarded as a warning signal, a dentist should urgently be consulted for frequent bleeding. While bleeding gums can have a variety of causes, the therapy is quite similar for almost all reasons.

Causes of bleeding gums

Occurs when brushing a reddish discoloration of the toothpaste foam, it is usually due to an inflamed gums, a gingivitis, or even to a periodontitis with pocket formation.

The causes of such gingivitis can be manifold. In the majority of affected patients, however, it is triggered by bacterial plaque and thus, by irregular or poorly performed oral hygiene. Plaque is a tough organic film made up mostly of waste products from bacterial metabolism and food debris.

This plaque sticks to the surface of the tooth and, in the absence of removal, can even penetrate long-term below the gingival margin. Once there, the deposits in the area of ​​the tooth root settle, causing inflammatory processes and deep gum pockets.

Vitamin C deficiency in the course of malnutrition can also lead to bleeding gums.

The first symptom of gingivitis is the characteristic gingival bleeding. In contrast to periodontal disease, gingivitis is an isolated condition that does not involve any other structures within the oral cavity and heals after treatment without permanent damage.

However, if proper treatment is not taken, pure gum disease with gingival bleeding may result in periodontitis. Inflammations in the gum area are generally fast to recognize.

The gums are red in color as opposed to the normal pink color. In such cases, a small irritation of the gums with the toothbrush is enough to trigger a bleeding. Neglecting the oral hygiene to avoid bleeding, it sets a vicious circle in motion, because then multiply the bacterial plaque; the actual cause of gingivitis and inflammation and bleeding tendency is increasing.

But even with the awkward use of the dental floss or the dental wood may cause injuries of the gums in the interdental space, which then lead to bleeding. Excessive calculus also leads to inflammation of the gums, as it promotes the growth of dental plaque thanks to its rough surface.

Bleeding gums as an indication of HIV disease?

The HIV virus triggers a number of typical symptoms, many of which are initially flu-like. Fever, muscle and headache, lethargy and lunatic fun are in the foreground here.
Only later, when the immune system is already weakened, also in the oral cavity changes occur. These are often fungal colonies or gum disease. These can also be associated with bleeding gums.
On the other hand, it does not represent a truly meaningful symptom that can definitively pinpoint HIV infection. More often, bleeding gums is just a simple complication of gingivitis, or gingivitis.

Bleeding gums in pregnancy

Many people know the problem of bleeding gums. It is particularly common to affect young women undergoing hormone changes due to pregnancy. The gums swell up first, it forms a gestational gingivitis, which begins to bleed after some time by a light touch. Straight floss and interdental brushes trigger bleeding.

In no case should one however stop brushing his teeth, because: the right technique is important. Circular movements can do more harm than good. Much better should be wiped from red to white, so starting from the gums in proper tooth. For this, a toothbrush with soft bristles can be used as it irritates the gum less.

The dentist can and should be consulted if the bleeding does not disappear or if additional pain occurs. Otherwise serious consequences such as periodontitis are inevitable. It is important to inform the dentist about the pregnancy so that unnecessary X-rays are avoided.

Can gingival bleeding be an indication of pregnancy?

As already described, pregnancy-induced hormonal changes can lead to tissue loosening and thus trigger gingivitis. Since this hormone change takes place at the beginning of pregnancy, bleeding gums is a complication of the first three months. If no other typical symptoms occur and the bleeding occurs suddenly without any other recognizable cause, it may well be that the pregnancy is discovered. Gingival bleeding, among other things, is one of the typical first signs, but is not necessarily associated with pregnancy.

Which deficiencies can cause bleeding gums?

If there is a lack of trace elements or vitamins, the body can often not adequately compensate for them. Missing but necessary building blocks trigger a wide range of diseases. The known by the name scurvy vitamin C deficiency triggers very often gum bleeding. This, however, rather with a very strong deficiency, which occurs by the today's diet extremely rare.

Also, the vitamin D deficiency promotes the risk of periodontal disease and thus increases the likelihood of gum bleeding. Finally, the iron deficiency should be called. It triggers oral mucosal changes and bleeding gums.

evaluating bleed gums (December 2019).

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