The disgusting phenomenon of blood in saliva and snot is difficult to determine the cause from the surface, but in fact it is most likely caused by bleeding gums. Bleeding gums are a very common phenomenon in life. We can first have a full understanding of the symptoms of bleeding gums and make judgments based on our own situation. If you are not sure, it is best to go to the hospital for examination. Let’s take a look at the phenomenon of bleeding gums. Gingival bleeding is one of the common symptoms in dentistry. It refers to a small amount of bleeding of the gums caused spontaneously or due to slight stimulation. In mild cases, there will be blood in the saliva only when sucking, brushing teeth, and chewing hard food. In severe cases, the gums will bleed more or even spontaneously when they are slightly stimulated. Generally speaking, chronic inflammation of the gums is a common cause of gingival bleeding, so gingival bleeding is more common in patients with periodontitis and gingivitis; but sometimes it can also be an oral manifestation of certain systemic diseases, which should be given sufficient attention. Causes It can be divided into local factors and systemic factors (or diseases). Local factors ① Local irritation caused by plaque and tartar. The accumulation of plaque and tartar can be caused by food impaction, poor restorations, poor oral hygiene habits, etc., causing inflammation of periodontal tissues, such as plaque gingivitis and periodontitis. ② Other local irritants (non-plaque and tartar) and bad habits. Mechanical, chemical, poor restorations, poor fillings, poor orthodontic appliances and mouth breathing stimulation may cause local inflammation, such as hyperplastic gingivitis and periodontitis. ③ Local tissue allergy. When local contact with allergens occurs, an allergic reaction is triggered. When the gums are affected, the gums become red and swollen and are prone to bleeding. Such as plasma cell gingivitis. ④ Gingival trauma and periodontal surgery. Systemic factors ① Endocrine changes. Under the influence of increased sex hormones and progesterone, the gingival tissue is slightly stimulated, causing nonspecific inflammation, leading to gingival bleeding, increased exudation, gingival hyperplasia, etc. Such as adolescent gingivitis, pregnancy gingivitis and gingival tumors. ② Systemic diseases. Such as blood system diseases, diabetes, cardiovascular diseases, abnormal liver and kidney function, tumors, etc. The disease is usually caused by a decrease in the body's immunity, which in turn leads to a decrease in resistance to local stimuli, inducing gingival inflammation; coagulation system disorders; organic changes in blood vessels, changes in blood flow dynamics, etc. ③ Other external factors that act on the whole body. Such as smoking, taking anticoagulants, etc. Disease treatment ① For acute gingival bleeding, emergency hemostasis should be performed first, such as packing, compressing the bleeding area, suturing the gingival papilla, periodontal plugging, etc. If necessary, short-term systemic hemostatic drugs should be used, but the indications should be strictly controlled. ② In view of the fact that gingival bleeding is mostly caused by local factors, a) local irritants should be removed promptly, including supragingival scaling and subgingival scraping to remove plaque, tartar and other pathogenic factors; treat food impaction; remove poor restorations, fillings, and orthodontic appliances; and correct bad oral habits. b) Oral hygiene education, control of plaque, and cultivation of good oral hygiene habits, including correct brushing of teeth in the morning and evening, proper use of dental floss and toothpicks, regular periodontal examinations and periodontal supportive treatment; c) Quitting smoking, increasing the intake of fruits and vegetables, etc. ③ For gingival bleeding suspected to be related to systemic health conditions, sufficient attention should be paid and relevant examinations should be performed in a timely manner, such as blood routine, coagulation phase, liver and kidney function, etc., and treatment measures should be taken for systemic diseases. |
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