CRB CLINIC DIGITAL DENTISTRY
Bleeding gums?
Consultation with a periodontist
License of the Ministry of Health of Ukraine AD No. 063321 dated 06.09.12.
CRB CLINIC
DIGITAL DENTISTRY
DIGITAL DENTISTRY
Bleeding gums are not normal.
Without treatment, the inflammation can progress to periodontitis
and lead to receding gums, loose teeth, and bad breath.
and lead to receding gums, loose teeth, and bad breath.
Symptoms we can
help you with:
help you with:
Bleeding gums are often accompanied by additional symptoms. Gum treatment addresses all symptoms comprehensively.
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Bleeding gums - Purulent discharge
- Unpleasant smell
- Swelling, redness, change in the contour of the gums
- Teeth mobility (looseness)
- Reduction of gum height, exposure of the necks of the teeth
CRB CLINIC
DIGITAL DENTISTRY
DIGITAL DENTISTRY
The main cause
of bleeding gums
of bleeding gums
The main cause of bleeding gums:
Tartar that accumulates in the gum pockets
Tartar is hardened plaque that isn't removed promptly during brushing. There are two types of tartar:
1) Supragingival tartar – attached to the crown of the tooth above the gumline
2) Subgingival tartar – attached to the root beneath the gumline, accumulating in the gingival pockets.
Tartar in the gingival pockets is an ideal breeding ground for bacteria, as this area is inaccessible to brushing or rinsing. The bacteria release toxins, leading to inflammation of the gums and periodontal tissue.
1) Supragingival tartar – attached to the crown of the tooth above the gumline
2) Subgingival tartar – attached to the root beneath the gumline, accumulating in the gingival pockets.
Tartar in the gingival pockets is an ideal breeding ground for bacteria, as this area is inaccessible to brushing or rinsing. The bacteria release toxins, leading to inflammation of the gums and periodontal tissue.
The main cause of bleeding gums:
Chronic inflammation irritates and thins the gum tissue, and blood vessels become fragile. Therefore, even light pressure when brushing teeth causes bleeding.
It's impossible to clean away tartar and bacteria on your own; it adheres tightly to the rough root surface. Therefore, the inflammation becomes chronic. Infection and micro-wounds are constantly present in the mouth, further promoting bacterial proliferation and potentially leading to suppuration.
It's impossible to clean away tartar and bacteria on your own; it adheres tightly to the rough root surface. Therefore, the inflammation becomes chronic. Infection and micro-wounds are constantly present in the mouth, further promoting bacterial proliferation and potentially leading to suppuration.
Please note! Even if the initial problem is confined to one tooth, the infection can spread throughout the mouth and affect all gums to varying degrees.
Bad breath
Bacterial accumulation causes not only inflammation but also bad breath. Bleeding gums and bad breath may indicate the onset of gingivitis or a more severe form, periodontitis.
Stages of gum disease progression
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Gingivitis
The initial stage of gum inflammation. Occurs due to plaque and tartar accumulation in the gum area. There is no pathological deepening of the pockets yet.
Symptoms: bleeding gums when brushing, swelling, redness, and sometimes an unpleasant odor. -
Mild periodontitis
Inflammation from the cervical area spreads deeper and begins to destroy periodontal tissues: gums, ligaments, and bone. The gingival margin separates from the tooth, creating periodontal pockets up to 3 mm deep. Bone loss begins.
Symptoms: bleeding gums, foul odor, slight tooth mobility (can only be diagnosed by a doctor), and possible discomfort and mild pain when chewing. - Moderate periodontitisA severe form of periodontal disease. Periodontal pockets are deeper, approximately 4-5 mm. Bone loss can reach up to 30%. Periodontal fibers are significantly damaged.
Symptoms: inflammation and swelling of the gums, tenderness and bleeding even with light pressure, increased bad breath, tooth mobility upon palpation, and increased tooth sensitivity due to exposed necks. - Severe periodontitisA severe form of the disease in which the primary structures supporting the tooth are destroyed. Periodontal pockets are deep, more than 6 mm. Bone loss reaches 50% or more. Periodontal fibers are almost or completely destroyed. The gums are severely inflamed, with recession (root exposure).
Symptoms: constant bleeding, strong odor, pain when chewing, tooth mobility, sometimes a sensation of movement, and possible gum abscesses.
Stages of gum disease progression
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Gingivitis
The initial stage of gum inflammation. Occurs due to plaque and tartar accumulation in the gum area. There is no pathological deepening of the pockets yet.
Symptoms: bleeding gums when brushing, swelling, redness, and sometimes an unpleasant odor. -
Mild periodontitis
Inflammation from the cervical area spreads deeper and begins to destroy periodontal tissues: gums, ligaments, and bone. The gingival margin separates from the tooth, creating periodontal pockets up to 3 mm deep. Bone loss begins.
Symptoms: bleeding gums, foul odor, slight tooth mobility (can only be diagnosed by a doctor), and possible discomfort and mild pain when chewing. - Moderate periodontitisA severe form of periodontal disease. Periodontal pockets are deeper, approximately 4-5 mm. Bone loss can reach up to 30%. Periodontal fibers are significantly damaged.
Symptoms: inflammation and swelling of the gums, tenderness and bleeding even with light pressure, increased bad breath, tooth mobility upon palpation, and increased tooth sensitivity due to exposed necks. - Severe periodontitisA severe form of the disease in which the primary structures supporting the tooth are destroyed. Periodontal pockets are deep, more than 6 mm. Bone loss reaches 50% or more. Periodontal fibers are almost or completely destroyed. The gums are severely inflamed, with recession (root exposure).
Symptoms: constant bleeding, strong odor, pain when chewing, tooth mobility, sometimes a sensation of movement, and possible gum abscesses.
Consultation for bleeding gums
A periodontist conducts a consultation.
During the consultation, we assess the general condition of the oral cavity, identify affected areas, and locally measure the depth of periodontal pockets in areas of inflammation.
The consultation includes:
Consultation price: 850 UAH
During the consultation, we assess the general condition of the oral cavity, identify affected areas, and locally measure the depth of periodontal pockets in areas of inflammation.
The consultation includes:
- Oral cavity assessment – check for inflammation, microtrauma, ulcers, and visible foci of infection (affected teeth, fillings).
- Gum condition assessment – check for redness, inflammation, and swelling. Gum height is assessed (for signs of recession) and the condition of the papillae. The degree of bleeding and the presence of pus are determined.
- Plaque assessment – evaluate the presence of plaque, its quantity, and areas of accumulation.
- Consultation, appointments, and recommendations from a periodontist.
Consultation price: 850 UAH
CRB clinic
Treatment
for bleeding gums
for bleeding gums
Bleeding gums can be a symptom of various diseases (gingivitis, periodontitis, trauma, etc.). Your doctor will provide individual recommendations depending on the cause and stage of the disease.
Treatment for bleeding gums
Treatment for bleeding involves eliminating the cause and treating the underlying condition. The complexity and duration of treatment vary at different stages of the disease.
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Treatment for gingivitis
For gingivitis, only professional teeth and gum cleaning are performed. Plaque and tartar are removed.
After the cleaning, the gums and mouth are treated with medication. The medications have anti-inflammatory and healing effects. -
Treatment for periodontitis
Since the disease is more severe, in addition to cleaning the teeth and the cervical area, scaling of the gum pockets is performed. Using special instruments, the dentist removes tartar from the root surface and then polishes the root. Polishing makes the root surface smooth and less porous, making it more difficult for plaque to re-adhere to the surface.
After the toxic effects of bacteria cease, gum tissue and blood vessels gradually recover.
Results can be seen within three days of the first cleaning. Once the infection is eliminated, gum inflammation, bleeding, and discomfort gradually subside.
For periodontitis, SPT (maintenance therapy) helps reduce periodontal pockets and tooth mobility within six months.
For periodontitis, SPT (maintenance therapy) helps reduce periodontal pockets and tooth mobility within six months.
The doctor provides the patient with a home cleaning kit (toothbrush, toothpaste, mouthwash) and teaches them proper hygiene.
If necessary, we also provide medications for continued gum treatment at home.
Then, the patient maintains their own dental and gum hygiene and returns to the doctor for checkups and professional cleanings. The frequency of visits is determined individually, depending on the severity of the treatment.
If necessary, we also provide medications for continued gum treatment at home.
Then, the patient maintains their own dental and gum hygiene and returns to the doctor for checkups and professional cleanings. The frequency of visits is determined individually, depending on the severity of the treatment.
Supportiv Periodontal Therapy – this is a protocol for further treatment of periodontitis. The main goal of maintenance therapy is the periodic removal of soft plaque before it turns into tartar.
Clinic visits are scheduled every 3-6 months. Standard dental and cervical cleanings, gingival pocket cleaning, and repeat medication treatments are performed.
Regular, timely cleanings prevent bacteria from causing significant tissue damage, halting the progression of periodontitis. After six months, a reduction in pocket size is even observed.
Clinic visits are scheduled every 3-6 months. Standard dental and cervical cleanings, gingival pocket cleaning, and repeat medication treatments are performed.
Regular, timely cleanings prevent bacteria from causing significant tissue damage, halting the progression of periodontitis. After six months, a reduction in pocket size is even observed.
Treatment results
The photos show severe cases of periodontitis, already in stages 1-4.
The damage caused by the disease can be assessed.
After treatment, results are noticeable: removal of tartar and inflammation, improvement in gum color and shape, increased gum volume, and closure of recession.
Patients are in the SPT (maintenance therapy) stage, and recovery continues.
The damage caused by the disease can be assessed.
After treatment, results are noticeable: removal of tartar and inflammation, improvement in gum color and shape, increased gum volume, and closure of recession.
Patients are in the SPT (maintenance therapy) stage, and recovery continues.
Periodontist
Patients often ask similar questions.
Bleeding gums are a common problem that causes a lot of concern and questions. Below, I've collected the most frequently asked questions from patients and briefly answered them.
Elena Koval, a leading periodontist and therapist, specializes in the treatment of gingivitis, severe forms of periodontitis, bone regeneration, comprehensive prevention and maintenance therapy, plasma lifting, and injection treatments. She has extensive experience with microinvasive technologies and functional gingival aesthetics. She has over 12 years of experience.
Elena Koval, a leading periodontist and therapist, specializes in the treatment of gingivitis, severe forms of periodontitis, bone regeneration, comprehensive prevention and maintenance therapy, plasma lifting, and injection treatments. She has extensive experience with microinvasive technologies and functional gingival aesthetics. She has over 12 years of experience.
A professional cleaning at the dentist's is a beneficial procedure, but it only covers the surface of the teeth and a maximum of 1-2 mm of gum pockets. Gum pockets can reach 3-6 mm.
If, despite regular professional cleaning, bleeding persists, it's important to undergo diagnostics and determine the cause. You may have periodontitis and require a deeper cleaning.
If, despite regular professional cleaning, bleeding persists, it's important to undergo diagnostics and determine the cause. You may have periodontitis and require a deeper cleaning.
It's important to treat the underlying condition—gingivitis, periodontitis, peri-implantitis, traumatic bite, etc.—not just the symptom of bleeding gums.
Therefore, home "treatment" only wastes time and worsens symptoms. It's best to consult a periodontist to determine the cause of the bleeding. The specialist will then prescribe treatment for the underlying condition and the bleeding symptom.
Therefore, home "treatment" only wastes time and worsens symptoms. It's best to consult a periodontist to determine the cause of the bleeding. The specialist will then prescribe treatment for the underlying condition and the bleeding symptom.
Bleeding is a sign of inflammation. If ignored for a long time, this symptom can lead to gum disease (gingivitis).
This disease leads to gum recession (recession), deepening of periodontal pockets, and bad breath.
This disease leads to gum recession (recession), deepening of periodontal pockets, and bad breath.
A lack of vitamin C weakens blood vessel walls and gum tissue.
A lack of vitamin K causes problems with blood clotting, which can also increase bleeding gums.
This condition is common in pregnant women, adolescents, people with diabetes, and those who have had an illness.
In the remaining 95% of cases, bleeding gums are caused by inflammation due to bacterial growth.
A lack of vitamin K causes problems with blood clotting, which can also increase bleeding gums.
This condition is common in pregnant women, adolescents, people with diabetes, and those who have had an illness.
In the remaining 95% of cases, bleeding gums are caused by inflammation due to bacterial growth.
If your teeth and gums are healthy, this is sufficient. If you already have a condition or are experiencing symptoms (bleeding, odor, gum recession), this is not enough. You should undergo a diagnosis and, possibly, treatment by a periodontist. After this, the doctor will determine the optimal frequency of cleanings for you.
Both specialists focus on oral health, but a periodontist is a more highly qualified specialist.
A hygienist is a mid-level medical professional (junior specialist, junior bachelor's degree). They are qualified to perform routine professional dental hygiene, educate patients about dental hygiene, and perform simple procedures (e.g., fluoridation). They can detect signs of inflammation but are not authorized to diagnose or treat.
A periodontist is a physician with a higher education (master's degree), completed an internship, and specialization in periodontology. A periodontist has a thorough understanding of anatomy, diseases, and treatment protocols. They are authorized to diagnose, prescribe and administer treatment, write prescriptions, and perform surgical procedures (gum plastic surgery, curettage, scaling, flap surgeries, etc.).
A hygienist is a mid-level medical professional (junior specialist, junior bachelor's degree). They are qualified to perform routine professional dental hygiene, educate patients about dental hygiene, and perform simple procedures (e.g., fluoridation). They can detect signs of inflammation but are not authorized to diagnose or treat.
A periodontist is a physician with a higher education (master's degree), completed an internship, and specialization in periodontology. A periodontist has a thorough understanding of anatomy, diseases, and treatment protocols. They are authorized to diagnose, prescribe and administer treatment, write prescriptions, and perform surgical procedures (gum plastic surgery, curettage, scaling, flap surgeries, etc.).