Bleeding gums are your gums asking for attention. Usually plaque has inflamed them, and the early stage can be reversed. Brushing less makes it worse.
- Healthy gums rarely bleed (healthdirect, gum disease).
- Keep brushing gently, twice a day, even if they bleed (healthdirect, gum disease).
- Book a check if bleeding hasn’t eased in a couple of weeks.
What’s the usual cause?
Plaque along the gumline irritates the gums, and they bleed easily. This early stage is called gingivitis. It can be treated and prevented with good mouth care (healthdirect, gum disease).
Use a soft brush at the gumline and clean between your teeth daily. As inflammation eases, bleeding often settles.
What else makes gums bleed?
- Pregnancy. Hormones make gums more sensitive to plaque bacteria (ADA, teeth.org.au, pregnancy).
- Some medicines, including ones that cause a dry mouth (healthdirect, gum disease).
- Diabetes. Gum disease and diabetes affect each other (Sanz et al., 2018).
- Smoking, which raises your risk of gum disease.
- Brushing too hard, which can hurt healthy gums.
When is it more than gingivitis?
Untreated gingivitis can turn into periodontitis. The area around your teeth weakens, gaps form where germs collect, gums can shrink back and the bone that supports teeth can be lost (healthdirect, gum disease).
Gingivitis can be cured without permanent damage. Periodontitis can’t be cured, but it can be controlled (healthdirect, gum disease). That’s why early checks pay off.
What do we do at a visit?
We measure your gums, clean off hardened deposits and show you where plaque is hiding. If a medicine, pregnancy or diabetes is involved, we plan around it.
See us if the bleeding goes on past two weeks, or if you also notice swollen or receding gums, lasting bad breath or teeth that feel loose (healthdirect, gum disease).
For a treatment option, a powered brush may help (Yaacob et al., 2014). A chlorhexidine rinse can help for a short time on your dentist’s advice, but it doesn’t replace cleaning (James et al., 2017).
Sources
- healthdirect (Australian Government). Gum disease
- Australian Dental Association, teeth.org.au. Pregnancy and oral health
- Sanz M, et al. Scientific evidence on the links between periodontal diseases and diabetes: consensus report of the International Diabetes Federation and European Federation of Periodontology. Journal of Clinical Periodontology. 2018. PubMed 29280174
- Yaacob M, et al. Powered versus manual toothbrushing for oral health. Cochrane Database of Systematic Reviews. 2014. PubMed 24934383
- James P, et al. Chlorhexidine mouthrinse as an adjunctive treatment for gingival health. Cochrane Database of Systematic Reviews. 2017. PubMed 28362061
Where To Read Next
Want more on this topic? This page goes further, and it lists questions to bring to your visit.
Gum Health & Your Whole Body
