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Bleeding gums

Gums - bleeding

Bleeding gums can be a sign that you have or may develop gum disease. Ongoing gum bleeding may be due to plaque buildup on the teeth. It can also be a sign of a serious medical condition.

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Causes

The main cause of bleeding gums is the buildup 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. This will lead to increased bleeding and a more advanced form of gum and jaw bone disease known as periodontitis.

Other causes of bleeding gums include:

Home Care

Visit the dentist at least once every 6 months for plaque removal. Follow your dentist's home care instructions.

Brush your teeth gently with a soft-bristle toothbrush at least twice a day. It is best if you can brush after every meal. Also, flossing teeth twice a day can prevent plaque from building up.

Your dentist may tell you to rinse with salt water or hydrogen peroxide and water. DO NOT use mouthwashes that contain alcohol, which can make the problem worse.

It can help to follow a balanced, healthy diet. Try to avoid snacking between meals and cut down on the carbohydrates you eat.

Other tips to help with bleeding gums:

When to Contact a Medical Professional

Consult your provider if:

What to Expect at Your Office Visit

Your dentist will examine your teeth and gums and ask you about the problem. Your dentist will also ask about your oral care habits. You may also be asked about your diet and the medicines you take.

Tests that may be performed include:

Related Information

Gingivitis
Periodontitis
Bleeding disorders

References

Appelbaum FR. Acute leukemias in adults. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical Oncology. 5th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 98.

Chow AW. Infections of the oral cavity, neck, and head. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, Updated Edition. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 65.

Hayward CPM. Clinical approach to the patient with bleeding or bruising. In: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Principles and Practice. 7th ed. Philadelphia, PA: Elsevier; 2018:chap 128.

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Review Date: 2/5/2018  

Reviewed By: Ilona Fotek, DMD, MS, Dental Healing Arts, Jupiter, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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