Bleeding Gums

If you have healthy gums, your gum tissue with look firm and be pinkish in color. However, unhealthy gums may be red in color, swollen or puffy, tender, or you may be experiencing bleeding gums. When you brush and floss your teeth, healthy gum tissue will not bleed. Approximately 80% of American adults have some form of gum disease, according to the World Health Organization.Dr. Lepore likes to say that “if every time you washed your hands, your fingers bled, how concerned would you be? Why is it then, that when we “wash” our teeth with brushing and flossing that it’s okay? A little blood in the sink is not okay.”

Bleeding gums may be asign of gum disease. In addition to bleeding gums, other signs of gum disease include bad breath (halitosis), receding gums, or even loose teeth.

The most common causes of bleeding gums:

Inflammation caused by harmful bacterial plaque which accumulates around teeth and at/below the gum-line. This inflammation is your body trying to defend itself against bacterial invasion. These bacteria also release toxins which accelerate the inflammatory process. Bleeding gums, at a minimum is gingivitis. When this process continues, the chronic inflammation can irreversibly erode the bone surrounding the teeth. This process is called periodontitis.

  • Hormonal changes (such as pregnancy and menopause)
  • Vitamin K deficiency
  • Blood thinners

Why is it so important?

The link between the health of your mouth and overall health is known as the oral systemic connection. Certain forms of bacteria in your mouth can result in chronic inflammation, which in turn is linked to heart disease, diabetes, pregnancy complications, and more.

Ways to prevent or reduce bleeding gums:

  • Brush your teeth at least twice daily.
  • Floss your teeth at least once daily.
  • Visit your dentist a minimum of twice a year.
  • Establish baseline with tests (Salivary Diagnostics – see below) with follow-up testing to see improvement
  • Low level hydrogen peroxide delivery via customized trays (PerioProtect – see below)
  • Changing the oral flora bacterial flora composition by use of oral probiotics (ProBiora Pro – see below)

Gingivitis: The do’s and don’ts with Dr. Lepore

Gingivitis: The do’s and don’ts
Bleeding gums are a common occurrence but should not be taken lightly. Dr. Lepore goes into detail and explains the implications and effects of gingivitis on your oral cavity. He even speaks from personal experience and denotes the importance of hygiene appointments and the insight the hygiene team provides in situations where you could lose tissue or bone mass if left neglected.

Hey, guys, Dr. Lepore back with another frequently asked question video. This time we are going to talk about “why do my gums bleed?” Is it really normal, is it really common? We’ll address that right now. So is a little blood in the sink really that big of a deal? And the answer is yes. I love this analogy, “if you wash your hands every single day and you scrubbed them together, and you looked, and every time you looked, they bled? You’d probably be concerned, and you’d probably go to a doctor about it. Now is it really that different when you’re scrubbing your gums or brushing your teeth? And the answer is no. Bleeding is a sign of inflammation, so we call that Gingivitis. I’m sure you’ve heard it on every toothpaste and toothbrush commercial since the beginning of time. But what does it mean really? It’s when the food you eat mixes with the minerals in your saliva and makes something called plaque. Plaque then gets hardened by the same minerals in your saliva into something that we called tartar and calculus. When that is there for a period of time, your body treats that as a war and wants to attack, attack, attack until it goes away. But just like barnacles on the side of a sea wall, unless you go and physically scrub that away, it stays there, and the problem is when it stays there. Gums that bleed for a very long period of time will start to cause bone loss around the teeth. It’s the same thing as when you get a splinter in your finger, and you left it there. Left untreated, if you looked down and it was taking away the finger or the bone in the finger, you’d be scared out of your mind. But in our mouth it doesn’t hurt, so we don’t see it, so we don’t think anything about it. But this is a number one cause of tooth loss; it’s not taking care of our gums and our teeth. It’s not the cavities; it’s the gums. So, embarrassingly enough, I’m one of those patients that have to get cleanings more often because I’m at a higher risk. What makes me a higher risk is that my gums notoriously have bled since I was a little boy. I thought it was just me, but even since becoming a dentist and brushing and flossing two to three times a day, I felt a little defeated when I wasn’t getting the results I was after. And that’s when believe it or not, I had to humble myself before our hygienist team, and they gave me some tips and tricks like a different toothpaste and even as simple as a different type of floss or insider trading secret; I had to learn how to floss better. A little embarrassing for a dentist, but they still were able to teach me these things, and I know that they can teach you these things as well. If for a long period of time, let’s say you are a patient that has a history of gum disease or periodontal disease. In our office, we can fabricate for you a custom set of trays that are made in a laboratory that help deliver medication. So let’s talk about that medication; it’s actually hydrogen peroxide, which your body produces naturally, so it’s a very natural ingredient that kills the bacteria that causes this inflammation, that causes the gums to bleed, that causes the bone to be lost around them. And then it’s something that I wear for 20 minutes every day once a day, and voila, things have been notoriously better since. So a lot of times, it’s just one or two simple tricks or tips that we can give you to get you over the hump to help take away that feeling of feeling defeated, that every time you brush or floss, there is always a little bleeding spot. We can help you, and we look forward to doing so.


How to treat gum disease:

Here at Lepore Comprehensive Dentistry, we can effectively treat your gum inflammation, or if applicable, gum disease through a variety of methods:

  • Salivary Diagnostics is a simple test completed in our office to detect oral pathogens that cause decay or gum disease, and can threaten your oral and systemic health. This test can help determine if you are at an increased risk of periodontal disease, decay, heart disease, stroke and more. Click here to learn more
  • Prophylaxis Cleaning (Basic Cleaning) – A prophylaxis, or basic cleaning is otherwise known as a healthy mouth cleaning, and is the removal of dental plaque. During your prophylaxis, Dr. Lepore and his team will do a thorough examination of your teeth and gums.
  • Periodontal SRP Therapy (Periodontal Therapy Cleaning) – SRP is the removal of harmful dental plaque and tartar from the surfaces of the roots.
  • Periodontal Maintenance (Maintenance for Perio Patients) – Type of dental cleaning following periodontal therapy that includes the removal of plaque and calculus from above and below the gumline. The difference between periodontal maintenance and a prophylaxis, is periodontal maintenance treats active gum disease, whereas a prophy is preventive.
  • Oral Probiotics: Support gum and tooth health by binding to the teeth and flourishing below the gum tissue. Oral probiotics also promote whiter teeth, fresher breath and greater overall oral health.
Dr. Ryan Lepore - ProBiora Health – Consumer Product Overview

PerioProtect: Custom trays are fabricated to correspond to your individualized pocket probing depths, and may be recommended for those who have chronic gingivitis, those undergoing periodontal maintenance, or those with periodontal disease.

Dr. Ryan Lepore - What is Perio Protect

The only way to treat gum disease and stop your gums from bleeding is by seeking professional treatment. Call us today to schedule your dental cleaning.

Review by Laurel Booth Suarez

Although extremely professional and skilled, the staff manages to create a relaxed comfortable atmosphere. They also take the time to do things properly, and do a good job of conveying that they care.

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