Treatment for Bleeding Gum by Dr Somrita
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Transcript of Treatment for Bleeding Gum by Dr Somrita
TOPICS FOR DISCUSSION
Introduction to Bleeding Gums
Major Causes
Gingivitis
Periodontitis
Other Generic Causes
Systemic Causes
Symptoms of Bleeding Gums
Diagnosing Bleeding Gums
Treatment
BLEEDING GUM
More than 80% of adults have some form of
periodontal disease
99% of those have no signs to indicate they
have a problem. patient's mouth is a portal to
patient's body.
More than 90% of all systemic diseases have
oral manifestations!
INCEDENCE
Bleeding gums is more commonly seen in
adults.
In case of children, it is mostly due to injury due
to improper brushing.
In case of adults or the aged, it is often found
to be related with disease.
Females have higher incidences than males.
Marginal gingivitis is most common
CAUSES
The main cause of bleeding gum is the build up
of plaque at the gum line. This will lead to a
condition called gingivitis, or inflamed gums.
Plaque that is not removed will harden into
tartar or more specifically calculus. This will
lead to increased bleeding and a more
advanced form of gum and alveolar bone
disease known as periodontitis.
GINGIVITIS..
Inflammation of the gums tissues is called gingivitis.
Bacteria in plaque (bacterial biofilms) around the
teeth release enzymes (collagenases) that can
damage and erode the gum tissues leading to
inflammation
The symptoms of gingivitis are:
Swollen gums
Bright red or purple gums
Gums that are tender or painful to the touch
Bleeding gums or bleeding after brushing and/or
flossing
Bad breath (halitosis)
Periodontitis Gingivitis is reversible with good oral hygiene. However in the
absence of treatment, or if not controlled, gingivitis can progress to periodontitis.
Periodontitis is a set of inflammatory diseases affecting the periodontium, the tissues that surround and support the teeth. It involves progressive loss of the alveolar bone around the teeth, and if left untreated, can lead to the loosening and subsequent loss of teeth.
Periodontitis is caused by microorganisms that adhere to and grow on the tooth's surfaces, along with an aggressive immune response against these microorganisms.
A diagnosis of periodontitis is established by inspecting the soft gum tissues around the teeth with a probe (clinical examination) and by evaluating the patient's X-ray films (radiographic examination), to determine the amount of bone loss around the teeth.
Symptoms may include:
Redness or bleeding of gums while brushing teeth,
using dental floss or biting into hard food.
Gum swelling that recurs.
Spitting out blood after brushing teeth, gum bleeding.
Halitosis, or bad breath, and a persistent metallic taste
in the mouth
Gingival recession, resulting in apparent lengthening of
teeth.
Deep pockets between the teeth and the gums
Loose teeth, in the later stages.
Other causes of bleeding gums
include:
Brushing too hard
Ill-fitting dentures or other dental appliances
Improper flossing
Infection, which can be either tooth- or gum-related
Periodontal disease Dental caries Injury / trauma which may be caused by a blow,
insertion of foreign substances, tooth picking, improper flossing, etc.
It may also get injured from irritation of chemicals/acids in foods, drinks, mouth fresheners, tooth whiteners and medicines.
Mouth sores can also spread infection to gums to cause bleeding.
Systemic causes includes:
Leukaemia
Scurvy
Use of blood thinners
Vitamin K deficiency
Hormonal changes during
pregnancy
Idiopathic
thrombocytopenic purpura.
Diabetes
Dry mouth
Certain medications
Infection :◦ Bacterial infection
◦ Viral infection
Blood dyscrasias
Aplastic anemia
Neoplastic infiltration
Thrombocytopenia
Hemophilia
Symptoms• Bleeding on slightest injury or even touch.
• Red, tender or swollen gums.
• Blood with bloody taste in mouth.
• Sometimes, due to bleeding gums, pus can be
squeezed from the gums.
• Bad breath or halitosis.
• Recession of gums from the teeth.
• Sensitive teeth.
• Loose and mobile teeth.
• Food lodgment
• Difficulty and discomfort in mastication and food intake
occasionally due to pain and sensitiveness
For persistent bleeding gums, there are some essential tests:
Oral examination of teeth and gums
X-rays of teeth (IOPAR) and jaw (OPG)Blood analysis
Tc, Dc, Esr, Hb%, sugar (F,PP), calcium, urea, and creatinine
Coagulation factors and serum prothrombintime
Bleeding and clotting time.
To keep healthy, it is essential to
keep the gums healthy.
The first and best treatment is maintaining oral and dental hygiene.
Do it with proper brushing techniques.
Patients are prescribed antibiotics and varieties of paste to control infection
For complete cure, treatment should be started at the early stage.
Usually, pain is always preferable to numbness, where some people go for the gum with gum gel for pain relief and arresting the bleeding.
Maintaining oral and dental hygiene.
Thank You!!!
Follow best Dental practices and
Keep Smiling forever!
For Any queries , pls mail at :
