Therapy for bleeding gums

introduction

There can be a variety of causes for bleeding gums to occur. By far the most common reason for such bleeding in the gum area is the presence of inflammation of the gums.Gingivitis). Gingivitis usually occurs due to poor or carelessly performed oral hygiene.
Pathogens living in the oral cavity, especially bacteria, can penetrate the deepest gaps between the tooth and the gum if the teeth are not properly cared for.
Below the gum line, these pathogens secrete metabolic products and thereby increasingly provoke the tissue, which reacts with local inflammation.

The organism reacts to this stimulus by releasing specific inflammatory mediators and increasing blood flow to the tissue. As a result, there is an increased immigration of blood cells (especially Leukocytes).

Over a longer period of time, this process favors the formation of deep gum pockets into which pathogens can now migrate even more easily.
Gingivitis, the first and most important symptom of which is bleeding gums, is one of the most common diseases. From the age of around 40, on average, every third patient suffers from gingivitis.

Causes of Bleeding Gums

Although gingivitis is the main cause of bleeding gums, there are a number of other factors that can be causative.

This might interest you: Symptoms of gingivitis

Bleeding in the area of ​​the gums can also be triggered by mechanical irritation.
Too much pressure when brushing your teeth or a brush that is too strong damages the gums and, in addition to triggering bleeding gums, can even lead to receding gums. This is why many patients often notice this bleeding after brushing their teeth. When choosing the ideal toothbrush to protect the gums, care should be taken to purchase a medium-strength brush if possible.

In addition, various infections (for example, bleeding gums as a sign of HIV infection) can contribute to the development of bleeding gums.

The hormonal changes during pregnancy can also affect the gums (the Ginigiva) react through strong inflammatory processes. In these cases, too, bleeding gums can occur.

Read about it too: Bleeding gums during pregnancy

Therapy for bleeding gums

Before starting the actual treatment of bleeding gums, the focus is on looking for the cause. Only with the knowledge of the reason for the development of the bleeding gums can a recurrence of the symptom be prevented after successful therapy (targeted prophylaxis).
For this reason, an extensive screening is usually carried out first.
In this case, screening means that both the Condition of teeth, as well as that of the Gums accurately assessed become. On the one hand, the depth and extent of possible gingival pockets are measured, and on the other hand, the remaining sections of the tooth-holding apparatus (for example the jawbone) must also be examined.

The exact depth of the pockets is determined by inserting a narrow, graduated probe between the tooth substance and the gums. This is usually painless for the patient and the function of the teeth holding apparatus is not impaired during the measurement.

Furthermore, a microbial test can be carried out in the course of the preliminary examinations to determine the exact germs. In this test, absorbent paper pens are briefly placed in the gingival pockets and then checked for germs in the laboratory. In severe cases, it is also advisable to take an X-ray image (OPG), which shows the teeth in the jaw and the bony jaw. Based on this X-ray, the condition of the skeleton can be assessed and the extent to which the inflammatory processes have already spread.

The therapy for bleeding gums can be carried out by any resident dentist.However, in particularly pronounced cases or when the inflammatory processes penetrate the jawbone, it is advisable to consult a special specialist in periodontology (periodontist).


During the therapy itself, a so-called professional tooth cleaning (short: PZR) is usually carried out. Every single tooth is cleaned from all sides during this tooth cleaning.
The treating dentist uses special instruments (curettes) for this. Due to their individual cut, the curettes are able to remove both soft (plaque) and hard (tartar) plaque from the tooth surface. Some dentists carry out professional teeth cleaning using a "sandblaster" (Air flow) by.

The costs of professional teeth cleaning are usually not covered by the statutory health insurance. Most supplementary dental insurance plans, however, bear the costs associated with this procedure. These are on average between 70 and 150 euros.

homeopathy

Globules from homeopathy can counteract frequent bleeding gums. The decisive factor is which cause preceded the symptoms in order to prescribe the individually suitable preparation. With unspecific bleeding gums it is usually Mercurius solubilis and Kalium bichromicum Taken in the potency D12 three times a day a 5 globules. Mercurius solubilis is also a preparation that is taken in the case of frequent inflammation of the gums and bleeding due to hormonal changes during pregnancy. In the elderly, whose immune systems are weakened and who are therefore more prone to bleeding too heavily Potassium phosphoricum suitable. Kalium phosphoricum not only reduces bleeding gums, but also strengthens the immune system. Massive forms of bleeding gums and inflammation of the gums, however, are with Barium carbonicum treated.

In order to find out the cause of the bleeding tendency and then to determine the appropriate homeopathic preparation, it is essential to visit the dentist, since globules alone do not lead to the goal and dental therapy is necessary. To the effectiveness of the globules there is no scientific evidence whatsoever. In the event of complaints that last longer than two weeks, the dentist must be consulted immediately.

Home remedies for bleeding gums

Home remedies can help reduce bleeding gums by relieving symptoms. It is important that the person concerned practices intensive oral hygiene with cleaning the interdental spaces, even if unpleasant pain occurs, because if plaque, i.e. soft plaque, remains on the teeth, the bacteria can continue to multiply there and secrete their metabolic products between the tooth and the gum line, which there can lead to inflammation. Bleeding symptoms therefore persist.

Oral hygiene should be thorough, but still be careful so as not to cause mechanical injuries with the toothbrush. It is therefore important to brush with as little pressure as possible. Electric toothbrushes with pressure sensors are therefore recommended. Rinses with myrrh, chamomile and sage can also develop an antibacterial effect and soothe the gums by using them several times a day.

Gargling with tea tree oil or oil pulling with coconut oil or olive oil can also fight bacteria in the oral cavity and thus provide symptom relief. The oil should remain in the oral cavity for about five to ten minutes in order to develop its optimal effect.

Furthermore, particularly hot or spicy foods should be avoided in order not to create additional irritations. If the home remedies do not bring about permanent improvement, the dentist must be visited in order to treat the increased bleeding gums with medication if necessary.

Find out more at: Home remedies for bleeding gums

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