Bleeding gums is an important health problem that concerns the majority of the society and occurs as the first symptom of many different diseases. Bleeding in the gums is the first signal that shows that the gums are sick and that there is a fire (inflammation) that needs to be extinguished. Some systemic diseases, some medications used, hormonal disorders, some types of cancer called leukemia, clotting disorders, blood thinners, some tumors in the mouth, first manifest themselves as gingival bleeding.
Healthy Gums. What does it look like?
Healthy gums surround the teeth like a cuff, end like a sharp knife, are rough like orange peel, are dull, pale rose pink in color. Redness, shine, swelling, metallic taste, a feeling of sponge-like softness when pressed, normal brushing, spitting, bleeding when biting hard food such as an apple, and the presence of one or more of these symptoms are signs of the disease. The average temperature of the gums is 35.4 degrees. Wash your hand and place your index finger sideways on your gum. An attentive person can immediately feel the temperature increase in cases of bleeding gums. It is a sign of fire (inflammation) in the gums. The fire must be extinguished before it progresses.
What Causes Gum Bleeding?
If the gums are not cleaned regularly and the microbial plaque accumulated between them is not swept away, this bacterial plaque will form a biofilm. capillary ) dilation and growth occur in the vessels, harmful factors, enzymes and endotoxins of bacteria increase the permeability of the gingival crevice epithelium, thus inflammation and ulcerations occur. Sensitive capillaries eventually rupture at the slightest trauma, causing blood to escape from the epithelium. This is the mechanism of gum bleeding.
What Happens If Gum Bleeding Is Not Treated?
If gingival bleeding is left alone and its treatment is neglected, it progresses to chronic inflammation of the gum, which we call gingivitis, and then progresses to periodontitis, which is called periodontitis. It causes progressive inflammatory disease of the fibers that hold the jawbones together and the edges of the jawbone. In a vicious circle, this disease progresses until the teeth completely move and fall out.
How to Prevent Gum Bleeding?
Bacterial plaques must be removed regularly after each meal. Teeth should be brushed correctly using a soft toothbrush, not a hard one, without wetting the brush and using a non-abrasive toothpaste. If there are gaps between the teeth, interdental brushes called proxabrush should be used. There are many people with gingivitis who avoid brushing their teeth because they bleed when they brush. This thought is wrong, it will only help your disease progress and your teeth to fall out. If the disease has progressed and turned into periodontitis, sometimes bleeding may occur. decrease is seen. Our patients say this; In the past, my gums were bleeding, now my bleeding has decreased, but this time, my teeth are spaced, moving away from each other, and my teeth begin to move, as if my teeth have become loose.
In any case, treatment should not be neglected by consulting a gum disease specialist, periodontist. Some people also have an obsession with excessive cleaning; this time, using a hard brush with excessive pressure causes bleeding gums, tears in the gums, and wear on the teeth.
What are the Systematic Disorders That Cause Gum Bleeding?
1- Gum bleeding may occur in women during menstruation.
2- Birth control pills cause gum bleeding.
3- Using anticoagulant medication for a long time.
4- Prothrombin deficiency. &nb sp;
5- Acute Ulcerative Gingivitis.
6- Thrombocytopenic Purpura.
7- Acute Leukemia.
8- Vitamin C, Folic Acid deficiency.
9- Gingival enlargements and intraoral tumors.
10- Acute Herpetic Gingivostomatitis. ;
11- Overflow fillings, crown edges inserted into the gum.
12- Irritations, traumas, intraoral burns.
How to Treat Bleeding Gums?
The primary rule in all gum treatments is to find and eliminate the cause. Most of the time, the patient is relieved by eliminating local factors. Oral, teeth and gum care, periodic check-ups, removal of bacterial plaque and serious prevention of its recurrence should not be neglected. Many more advanced cases cannot be eliminated with initial treatment. When there is the slightest suspicion of gingival bleeding due to acute leukemia, aplastic anemia, coagulation and bleeding disorders, it is vital to seek hematologist consultation.
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