Why do my teeth bleed when I brush them

Whether it is after getting up early or before going to bed, everyone needs to brush their teeth to ensure their dental health and oral health. Under normal circumstances, there will be no abnormal phenomena when brushing your teeth, but many people have the problem of bleeding when brushing their teeth. This may be caused by an infection on the tooth surface, or it may be a symptom of various dental diseases.

1. Bleeding every time I brush my teeth

There are adverse stimuli such as plaque, tartar, and soft scale on the tooth surface. If they are not removed in time, they will irritate the gums and cause gingivitis. When the gums are inflamed, the gingival sulcus epithelium is damaged, the capillaries in the submucosal connective tissue proliferate, dilate, become congested, the tissue becomes edematous, and there is infiltration of inflammatory cells. Therefore, when examining the gums, it can be found that the gums change from the normal light pink to dark red, become swollen in appearance, and have a loose texture. When probing with a probe, there is bleeding in the gums. This is caused by erosion and congestion of the gingival sulcus epithelium. In addition, patients with hypertrophic gingivitis and various periodontitis may experience bleeding gums when brushing their teeth.

2. Differential Diagnosis

Generally speaking, bleeding gums are common in the early stages of periodontitis - gingivitis. Bleeding gums not only occur in oral diseases, but also in other diseases throughout the body. It may indicate diseases of other systems, such as leukemia, exposure to radiation, autoimmune diseases, etc. In recent years, the relationship between periodontal disease and diabetes has been increasingly recognized by the medical community.

The symptoms of periodontitis are mainly red, swollen and bleeding gums. Not only do they bleed when brushing your teeth, but sometimes they also bleed when you talk or bite hard objects. The gums are dark red in color and appear shiny due to edema. In addition, periodontal pockets form. Under normal circumstances, the gingival groove where the gums are attached to the teeth is only zero to two millimeters deep. If it is more than two millimeters, it is a periodontal pocket.

3. Mitigation methods

1. The most important and fundamental thing is to establish correct oral hygiene habits. Without good oral hygiene habits, even if the symptoms are temporarily treated and relieved, they will recur and will not be fundamentally resolved. Therefore, it is imperative to develop a good habit of brushing your teeth carefully and thoroughly for at least 5 minutes in the morning and evening.

2. Eat regularly and eat less snacks, especially desserts, outside of meal times. This is good for your teeth and oral hygiene. The most effective method for treating tartar is to remove the adverse stimuli by teeth cleaning. If there are inflammatory symptoms, oral mucosal anti-inflammatory drugs and gargles can be used locally. For systemic reaction symptoms, systemic treatment can be combined with consultations with departments such as internal medicine and traditional Chinese medicine to complete the treatment together.