CRB CLINIC DIGITAL DENTISTRY
Bleeding gums
Treatment by a periodontist
License of the Ministry of Health of Ukraine AD No. 063321 dated 06.09.12.
CRB CLINIC
DIGITAL DENTISTRY
DIGITAL DENTISTRY
Bleeding is a signal of inflammation
Inflammation affects all periodontal tissues (gums, periodontal ligament, bone tissue)
Symptoms we can
help you with:
help you with:
Bleeding is often accompanied by additional symptoms. When treating gums, all symptoms are eliminated in a comprehensive manner.
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Bleeding gums - Purulent discharge
- Unpleasant smell
- Swelling, redness, change in gum contour
- Teeth mobility (wobbliness)
- Reduction of gum height, exposure of tooth necks
Consultations by phone:
044 580 40 04
044 580 40 04
CRB CLINIC
DIGITAL DENTISTRY
DIGITAL DENTISTRY
The main cause of bleeding gums
The main cause for bleeding gums:
Tartar that accumulates in the gum pockets
Tartar is hardened plaque that has not been removed in time during brushing. There are two types of tartar:
1) supragingival - attached to the crown of the tooth above the gum
2) subgingival - attached to the root under the gum, accumulates in the gingival pockets.
Tartar in the gingival pockets is an ideal environment for bacteria to multiply, since this area is inaccessible for brushing or rinsing. Bacteria secrete toxins, which leads to inflammation of the gums and periodontal tissues.
1) supragingival - attached to the crown of the tooth above the gum
2) subgingival - attached to the root under the gum, accumulates in the gingival pockets.
Tartar in the gingival pockets is an ideal environment for bacteria to multiply, since this area is inaccessible for brushing or rinsing. Bacteria secrete toxins, which leads to inflammation of the gums and periodontal tissues.
The main cause for bleeding gums:
Due to chronic inflammation, gum tissue becomes irritated and thinned, and blood vessels become fragile. Therefore, even light pressure when brushing teeth provokes bleeding.
It is impossible to clean tartar with bacteria on your own, it is tightly attached to the rough surface of the root. Therefore, the inflammation becomes chronic. There is a constant infection and micro-wounds in the mouth, which further promotes the proliferation of bacteria and can develop into suppuration.
It is impossible to clean tartar with bacteria on your own, it is tightly attached to the rough surface of the root. Therefore, the inflammation becomes chronic. There is a constant infection and micro-wounds in the mouth, which further promotes the proliferation of bacteria and can develop into suppuration.
Please note! Even if the initial problem is in one tooth, the infection spreads throughout the mouth and affects all gums to varying degrees.
Additional factors
of bleeding gums
Bleeding may be due to an overhanging edge of the filling that irritates or injures the gum. Bleeding after a crown is installed may occur due to an incorrectly selected size or shape of the crown. An ill-fitting crown can press on the gum and injure it. Additionally, an incorrect shape can cause a gap to form in which food accumulates and bacteria multiply.
Smoking impairs blood circulation in the gums, reduces saliva production and changes the microflora of the oral cavity, which together increases the risk of developing inflammatory gum diseases such as gingivitis and periodontitis.
With diabetes, the sugar content in saliva and blood increases. Sugar provides a nutrient medium for bacteria in the oral cavity, as a result, the number of bacteria and plaque increases.
In addition, high blood sugar can weaken the immune system. This makes it difficult to fight bacteria and inflammation.
In addition, diabetes can negatively affect blood circulation in the gums, making them more vulnerable.
In addition, high blood sugar can weaken the immune system. This makes it difficult to fight bacteria and inflammation.
In addition, diabetes can negatively affect blood circulation in the gums, making them more vulnerable.
Hormonal changes lead to a decrease in local immunity in the oral cavity. This can complicate the fight against bacteria and inflammation.
Increased levels of estrogen and progesterone increase blood flow to the gums. The gums swell, become looser and more vulnerable.
Vitamin deficiency, especially A, C, and B, weakens blood vessels and negatively affects the condition of the gums.
Increased levels of estrogen and progesterone increase blood flow to the gums. The gums swell, become looser and more vulnerable.
Vitamin deficiency, especially A, C, and B, weakens blood vessels and negatively affects the condition of the gums.
A lack of vitamin C weakens the walls of blood vessels and gum tissue. As a result, the tendency to bleeding increases. With a severe, long-term deficiency of vitamin C, a disease called scurvy develops, one of the symptoms of which is bleeding gums. A lack of vitamin K causes problems with blood clotting, which can also increase bleeding gums.
Inflammation of the gums can be caused by various infections and diseases of the oral cavity. The cause may be stomatitis (inflammation of the mucous membrane), bacterial infections (staphylococci and streptococci), viruses (herpes) or fungi (Candida), etc. Cuts, burns in the oral cavity create favorable conditions for the development of bacteria. Allergies (to food, toothpaste) can also cause inflammation.
Weakened immunity makes it difficult to fight bacteria in the oral cavity. As a result, gum inflammation and bleeding may develop. This can happen during a long illness or after illnesses, due to stress, fatigue, climate change, etc.
Bad breath
The accumulation of bacteria causes bad breath. Bleeding gums and bad breath may indicate the onset of a disease - gingivitis or a more severe form - periodontitis.
Stages of gum disease development
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Healthy gums
Normally, the bone peaks come close to the crown of the tooth. The gums fit tightly to the tooth, without deep periodontal pockets, protecting the root from the penetration of bacteria and mechanical damage. -
Gingivitis
Initial stage of gum inflammation, occurs due to accumulation of plaque/tartar in the cervical area. There is no pathological deepening of pockets yet.
Symptoms: bleeding gums when brushing, swelling, redness, sometimes an unpleasant odor. -
Periodontitis, stage 1
Inflammation from the cervical area spreads deeper and begins to destroy the tissues that hold the tooth (periodontal tissues - gums, ligaments, bone). The gingival margin separates from the tooth, periodontal pockets appear more than 3 mm deep. The bone level begins to decrease.
Symptoms: bleeding gums, unpleasant odor, slight tooth mobility (can only be detected by a doctor), discomfort and slight pain when chewing are possible. - Periodontitis, stage 2A more severe form of periodontal disease, in which inflammation and tissue destruction have progressed further than in stage 1. Periodontal pockets are deeper, approximately 4-5 mm. Bone loss can be about 30%. Periodontal fibers are significantly damaged.
Symptoms: inflammation and swelling of the gums, sore gums, bleeding even with slight pressure, increased bad breath, tooth mobility upon palpation, increased tooth sensitivity due to exposed necks. - Periodontitis, stages 3-4A severe advanced form of the disease, in which the main structures that hold 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. Gums are severely inflamed, there is recession (root exposure).
Symptoms: constant bleeding, strong unpleasant odor, pain when chewing, tooth mobility, sometimes a feeling of movement, gum abscesses are possible.
Stages of gum disease development
Scroll slides << right - left >>
-
Healthy gums
Normally, the bone peaks come close to the crown of the tooth. The gums fit tightly to the tooth, without deep periodontal pockets, protecting the root from the penetration of bacteria and mechanical damage. -
Gingivitis
Initial stage of gum inflammation, occurs due to accumulation of plaque/tartar in the cervical area. There is no pathological deepening of pockets yet.
Symptoms: bleeding gums when brushing, swelling, redness, sometimes an unpleasant odor. -
Periodontitis, stage 1
Inflammation from the cervical area spreads deeper and begins to destroy the tissues that hold the tooth (periodontal tissues - gums, ligaments, bone). The gingival margin separates from the tooth, periodontal pockets appear more than 3 mm deep. The bone level begins to decrease.
Symptoms: bleeding gums, unpleasant odor, slight tooth mobility (can only be detected by a doctor), discomfort and slight pain when chewing are possible. - Periodontitis, stage 2A more severe form of periodontal disease, in which inflammation and tissue destruction have progressed further than in stage 1. Periodontal pockets are deeper, approximately 4-5 mm. Bone loss can be about 30%. Periodontal fibers are significantly damaged.
Symptoms: inflammation and swelling of the gums, sore gums, bleeding even with slight pressure, increased bad breath, tooth mobility upon palpation, increased tooth sensitivity due to exposed necks. - Periodontitis, stages 3-4A severe advanced form of the disease, in which the main structures that hold 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. Gums are severely inflamed, there is recession (root exposure).
Symptoms: constant bleeding, strong unpleasant odor, pain when chewing, tooth mobility, sometimes a feeling of movement, gum abscesses are possible.
Bleeding gums are often accompanied by other symptoms:
- Purulent discharge
- At the periodontitis stage, inflammation can develop into suppuration. This also often happens with peri-implantitis.
- Deepening of gingival pockets
- Occurs due to the accumulation of tartar and malocclusion.
- Tooth mobility
- Tooth mobility - indicates periodontal tissue atrophy. The ligamentous apparatus weakens and does not hold the teeth, which can lead to their loss.
- Unpleasant smell
- The cause of the odor is microbial plaque and tartar that has accumulated under the gums. Regular brushing of teeth does not help with the odor because the tartar is located deep under the gum.
- Recession
- Recession of the gums is the exposure of the necks of the teeth. Often leads to increased sensitivity of the teeth.
- Bone loss
- A decrease in the volume of bone tissue or a deterioration in its quality (density) - visible on CT scans, occurs due to infection or improper loads on the tooth
CRB clinic
Treatment
of bleeding gums
of bleeding gums
Bleeding gums can be a symptom of several diseases (gingivitis, periodontitis, trauma, etc.). Therefore, before starting treatment, it is important to conduct diagnostics, make a diagnosis and identify the causes of the disease.
1) Diagnostics for bleeding gums
The purpose of diagnostics is to identify affected areas, inflammation foci, and also to find out the causes of the disease.
During diagnostics, we evaluate the condition of periodontal tissues, gums and the oral cavity as a whole. Using CT images, we evaluate the condition of the bone, as well as the presence of hidden internal inflammatory processes.
Diagnostics consists of 7 stages
and takes 1 hour
A treatment plan is developed based on the information received.
Attention! Diagnostics are carried out by a periodontist with specialized specialization
During diagnostics, we evaluate the condition of periodontal tissues, gums and the oral cavity as a whole. Using CT images, we evaluate the condition of the bone, as well as the presence of hidden internal inflammatory processes.
Diagnostics consists of 7 stages
and takes 1 hour
A treatment plan is developed based on the information received.
Attention! Diagnostics are carried out by a periodontist with specialized specialization
- Assessment of the oral cavity condition - the presence of inflammation, microtraumas, ulcers, plaque on the tongue. Attention is also paid to visible foci of infection: affected teeth, fillings.
- Assessment of the gum condition - redness, inflammation, swelling, the presence of microtraumas are detected. The height of the gums (for signs of recession), the condition of the papillae are assessed. The degree of bleeding, the presence of pus are determined.
- Assessment of the presence of plaque - the presence of microbial plaque, its quantity, areas of accumulation are assessed. Using an indicator solution - the age of plaque is determined: fresh or old.
- Photo protocol - the condition of the gums at the time of diagnosis is recorded. Photos are stored in the patient's card. After treatment, the "before and after" result can be assessed.
- Assessment of tooth mobility - loose teeth and the degree of their mobility are determined.
- Periodontal screening - using a special probe (rounded, not sharp), the depth of the gingival pockets is measured. Pockets are measured at 4 points around the perimeter of each tooth: front surface, back, side.
- CT scan analysis - the quantity and quality of bone tissue is examined, areas of bone loss are determined. CT also reveals hidden inflammatory processes occurring deep in the tissues.
2) Treatment of bleeding gums
Treatment of bleeding consists of eliminating the cause and treating the underlying disease. The complexity and duration of treatment vary at different stages of the disease.
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Treatment for gingivitis
In case of gingivitis, only professional cleaning of teeth and the cervical area is performed. Plaque and tartar are removed. After cleaning, medicinal treatment of gums and oral cavity is performed. The preparations have anti-inflammatory and healing effect. -
Treatment for periodontitis
Since the stage of the disease is more serious, in addition to cleaning the teeth and the cervical area, cleaning of the gum pockets (scaling) is performed. Using special instruments, the doctor removes tartar from the surface of the root and then polishes the root. Polishing makes the surface of the root smooth and less porous, making it difficult for plaque to "stick" to the surface again.
After the toxic effects of bacteria cease, gum tissue and blood vessels are gradually restored.
The result can be seen already three days after the first cleaning. After the infection is eliminated, gum inflammation, bleeding and discomfort gradually decrease.
In case of periodontitis, SPT (maintenance therapy) helps to achieve a reduction in periodontal pockets and a decrease in tooth mobility after 6 months.
In case of periodontitis, SPT (maintenance therapy) helps to achieve a reduction in periodontal pockets and a decrease in tooth mobility after 6 months.
The doctor gives the patient a home cleaning kit (toothbrush, toothpaste, mouthwash) and teaches proper hygiene.
If necessary, we also give medications to continue gum treatment at home.
Then the patient independently takes care of the cleanliness of the teeth and gums and comes to the doctor for check-ups and professional cleaning. Depending on the severity of the treatment, the frequency of visits is determined individually.
If necessary, we also give medications to continue gum treatment at home.
Then the patient independently takes care of the cleanliness of the teeth and gums and comes to the doctor for check-ups and professional cleaning. Depending on the severity of the treatment, the frequency of visits is determined individually.
Supportiv Periodontal Therapy is a protocol for further treatment of periodontitis. The main goal of supportive therapy is the periodic removal of soft dental deposits before they turn into tartar.
Visits to the clinic are scheduled every 3-6 months. Standard cleaning of teeth and the cervical area, cleaning of gum pockets and repeated medical treatment are carried out.
Due to periodic, timely cleaning, bacteria do not have time to cause significant damage to tissues, the process of periodontitis development stops. And after six months, even a decrease in gum pockets is observed.
Visits to the clinic are scheduled every 3-6 months. Standard cleaning of teeth and the cervical area, cleaning of gum pockets and repeated medical treatment are carried out.
Due to periodic, timely cleaning, bacteria do not have time to cause significant damage to tissues, the process of periodontitis development stops. And after six months, even a decrease in gum pockets is observed.
Consultations by phone:
044 580 40 04
044 580 40 04
Our doctors
Periodontist
Patients often ask similar questions
I have collected the most popular questions and answered them below.
Elena Koval, periodontist at CRB clinic
Elena Koval, periodontist at CRB clinic
It is correct to treat not the symptom of "bleeding gums", but the underlying disease - gingivitis, periodontitis, peri-implantitis, traumatic bite, etc. Diagnostics is needed to determine the cause of bleeding and then eliminate it. In addition, during diagnostics we examine not only the gums, but also the adjacent tissues. Treatment after diagnostics is always more effective, and the results are more stable.
Professional cleaning at the dentist is a useful procedure, but it is aimed only at cleaning 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 hygiene, bleeding does not stop, it is necessary to undergo diagnostics and identify the cause. Perhaps you have periodontitis and need a deeper cleaning.
Vector therapy is a hardware method for removing tartar. The procedure is easier to perform than manual curettage and does not require a high level of skills from the specialist. Therefore, vector therapy is popular among dental clinics.
However, Vector therapy has a number of disadvantages:
When cutting tartar with a device, particles that have grown into the pores of the root remain. It is extremely difficult to remove them after polishing. At the same time, bacteria remain there and multiply, and tartar accumulates again very quickly;
There is no evidence of the long-term effectiveness of the method;
It is ineffective in deep pockets and with severe inflammation.
We do not use Vector therapy and choose manual scaling:
When using manual scaling, the doctor removes tartar completely, cleaning out the pores of the root, and then polishes the surface. It is the manual technique that allows the doctor to feel all the irregularities of the tooth and remove them during polishing. Thus, the effect of the procedure is better and longer lasting.
However, Vector therapy has a number of disadvantages:
When cutting tartar with a device, particles that have grown into the pores of the root remain. It is extremely difficult to remove them after polishing. At the same time, bacteria remain there and multiply, and tartar accumulates again very quickly;
There is no evidence of the long-term effectiveness of the method;
It is ineffective in deep pockets and with severe inflammation.
We do not use Vector therapy and choose manual scaling:
When using manual scaling, the doctor removes tartar completely, cleaning out the pores of the root, and then polishes the surface. It is the manual technique that allows the doctor to feel all the irregularities of the tooth and remove them during polishing. Thus, the effect of the procedure is better and longer lasting.
Both specialists deal with oral health, but a periodontist is a more highly qualified specialist.
A hygienist is a mid-level medical professional (junior specialist, junior bachelor). Has permission to perform routine professional dental hygiene, teach patients hygiene, and perform simple procedures (for example, fluoridation of teeth). Can detect signs of inflammation, but does not have the right to perform diagnostics (diagnosis) and treatment.
A periodontist is a doctor with a higher education (master's degree), completed internship, and specialization in periodontology. A periodontist has a deep understanding of anatomy, diseases, and treatment protocols. Has the right to perform diagnostics, prescribe and administer treatment, write prescriptions, and perform surgical interventions (gum plastic surgery, curettage, scaling, flap surgeries, etc.).
A hygienist is a mid-level medical professional (junior specialist, junior bachelor). Has permission to perform routine professional dental hygiene, teach patients hygiene, and perform simple procedures (for example, fluoridation of teeth). Can detect signs of inflammation, but does not have the right to perform diagnostics (diagnosis) and treatment.
A periodontist is a doctor with a higher education (master's degree), completed internship, and specialization in periodontology. A periodontist has a deep understanding of anatomy, diseases, and treatment protocols. Has the right to perform diagnostics, prescribe and administer treatment, write prescriptions, and perform surgical interventions (gum plastic surgery, curettage, scaling, flap surgeries, etc.).
If your teeth and gums are healthy, this is enough. If you already have a disease or symptoms have appeared (bleeding, odor, gum recession), this is not enough. You need to undergo diagnostics with a periodontist, and possibly treatment. After that, the doctor will determine the optimal frequency of cleanings for you.
No. It is not nature's intention for teeth to fall out with age. This does not happen with healthy gums.
Reduction of gum height and tooth mobility are signs of a disease (periodontitis or periodontosis). If you undergo treatment in time, the process can be stopped and tooth mobility can be reduced.
Reduction of gum height and tooth mobility are signs of a disease (periodontitis or periodontosis). If you undergo treatment in time, the process can be stopped and tooth mobility can be reduced.
Consultations by phone:
044 580 40 04
044 580 40 04
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