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Teeth

Watch Video: Top Causes of Bleeding While Brushing and How to Prevent It

by Dr. Shruthi R August 7, 2024

written by Dr. Shruthi R

Brushing : Bleeding from the mouth while brushing can be a sign of serious diseases. This may be a symptom of gingivitis, gingivitis, periodontitis, or other dental problems. These diseases can be prevented by timely diagnosis and treatment.

Bleeding from the mouth while brushing your teeth is a concerning symptom that should not be ignored. It can be a sign of various underlying dental conditions, some of which may require prompt medical attention. Understanding the potential causes of bleeding and the appropriate steps to manage and prevent it can help maintain good oral health and prevent serious complications. This comprehensive guide explores the common causes of bleeding while brushing, diagnostic approaches, and effective treatment options.

Causes of Bleeding While Brushing

Bleeding while brushing can stem from several different conditions affecting the gums and oral tissues. Identifying the exact cause is crucial for effective treatment and management. Below are some common causes of bleeding gums:

1. Gingivitis:

Gingivitis is the earliest stage of gum disease, characterized by inflammation of the gums. It is often caused by the accumulation of plaque—a sticky film of bacteria—on the teeth.

Symptoms: Red, swollen gums that may bleed during brushing or flossing, bad breath, and gum tenderness.
Causes: Poor oral hygiene, plaque buildup, and smoking.

2. Periodontitis:

Periodontitis is a more advanced form of gum disease that results from untreated gingivitis. It involves inflammation and infection of the deeper tissues supporting the teeth, including the bone.

Symptoms: Persistent gum bleeding, gum recession, pockets between teeth and gums, and tooth mobility.
Causes: Progression of gingivitis, poor oral hygiene, genetic factors, and systemic conditions such as diabetes.

3. Gingival Hyperplasia:

Gingival hyperplasia refers to the overgrowth of gum tissue. It can be caused by certain medications or systemic conditions.

Symptoms: Excessive gum tissue that may bleed easily, especially when brushing or flossing.
Causes: Medications like phenytoin (used for epilepsy), hormonal changes, or systemic conditions such as pregnancy.

4. Vitamin Deficiencies:

Deficiencies in certain vitamins, particularly vitamin C, can lead to bleeding gums and other oral health issues.

Symptoms: Bleeding gums, easy bruising, and poor wound healing.
Causes: Inadequate intake of vitamin C, which is essential for healthy gum tissue and collagen production.

5. Oral Infections:

Infections such as oral thrush or herpes simplex can affect the gums and lead to bleeding.

Symptoms: Painful sores or lesions in the mouth, bleeding gums, and discomfort during brushing.
Causes: Fungal infections, viral infections, or poor oral hygiene.

6. Trauma or Injury:

Physical trauma or injury to the gums from aggressive brushing or flossing can cause bleeding.

Symptoms: Bleeding from the affected area, gum pain, and irritation.
Causes: Using a hard-bristled toothbrush, brushing too vigorously, or accidental injury.

7. Systemic Conditions:

Certain systemic conditions, such as blood disorders or autoimmune diseases, can manifest with bleeding gums.

Symptoms: Unexplained bleeding, easy bruising, and general malaise.
Causes: Conditions like leukemia, blood clotting disorders, or autoimmune diseases affecting the gums.

Diagnostic Approach to Bleeding While Brushing

Proper diagnosis is essential for addressing the underlying cause of bleeding gums. The diagnostic approach typically involves the following steps:

1. Medical History:

A detailed medical history helps identify potential risk factors or underlying conditions that may contribute to bleeding gums.

Questions: Frequency and duration of bleeding, recent changes in oral health, medication use, and any underlying medical conditions.

2. Physical Examination:

A thorough examination of the oral cavity allows the dentist to assess the health of the gums, teeth, and surrounding tissues.

Examination: Inspection of the gums for signs of inflammation, plaque buildup, and other abnormalities.

3. Dental X-Rays:

Dental X-rays can provide detailed images of the teeth and bone structures, helping to identify issues such as bone loss or periodontal pockets.

Types: Bitewing X-rays or panoramic X-rays may be used to assess the extent of gum disease and other dental issues.

4. Periodontal Assessment:

A periodontal assessment measures the depth of gum pockets and evaluates the level of gum attachment to the teeth.

Procedure: The dentist uses a periodontal probe to measure pocket depths and assess gum health.

5. Laboratory Tests:

In some cases, laboratory tests may be required to diagnose underlying conditions that may be contributing to bleeding gums.

Tests: Blood tests to check for vitamin deficiencies, blood disorders, or infections.

Treatment Options for Bleeding While Brushing

Treatment for bleeding gums depends on the underlying cause. Here are common treatment approaches based on the diagnosis:

1. Improved Oral Hygiene:

Enhancing oral hygiene practices can help manage and prevent bleeding gums caused by plaque buildup or gingivitis.

Brushing: Use a soft-bristled toothbrush and brush gently to avoid irritating the gums. Brush at least twice a day with fluoride toothpaste.
Flossing: Floss daily to remove plaque and food particles between teeth and along the gumline.

2. Professional Dental Cleanings:

Regular dental cleanings by a professional can help remove plaque and tartar buildup, addressing gingivitis and periodontitis.

Frequency: Schedule cleanings every six months or as recommended by your dentist.

3. Antimicrobial Treatments:

Antimicrobial treatments can help reduce oral bacteria and manage gum infections.

Rinses: Antiseptic mouthwashes or chlorhexidine rinses may be prescribed to control bacteria and reduce inflammation.

4. Medications:

Medications may be prescribed to manage specific conditions or symptoms associated with bleeding gums.

Antibiotics: For infections or severe cases of periodontitis.
Vitamin Supplements: For deficiencies in vitamins such as vitamin C.

5. Surgical Interventions:

In advanced cases of gum disease or structural issues, surgical procedures may be necessary.

Procedures: Scaling and root planing, gum grafting, or flap surgery to address severe periodontal issues.

6. Lifestyle Modifications:

Making certain lifestyle changes can support overall oral health and prevent bleeding gums.

Diet: Eat a balanced diet rich in vitamins and minerals to support gum health. Avoid excessive sugar and acidic foods.
Smoking Cessation: Quit smoking to improve gum health and reduce the risk of gum disease.

Preventive Measures for Healthy Gums

Preventing bleeding gums involves maintaining good oral hygiene and adopting habits that support overall gum health:

1. Regular Dental Visits:

Regular check-ups with a dentist can help detect and address issues before they become severe.

Frequency: Visit your dentist every six months for routine exams and cleanings.

2. Proper Brushing Technique:

Using the correct brushing technique can help prevent gum irritation and bleeding.

Technique: Brush in gentle, circular motions rather than scrubbing back and forth. Ensure all surfaces of the teeth and gums are cleaned.

3. Use of Fluoride Products:

Fluoride helps strengthen tooth enamel and prevent cavities, which can contribute to gum health.

Products: Use fluoride toothpaste and consider fluoride treatments if recommended by your dentist.

4. Hydration:

Staying well-hydrated supports saliva production and helps maintain oral health.

Hydration Tips: Drink plenty of water throughout the day and limit sugary beverages.

5. Healthy Lifestyle:

Adopt a healthy lifestyle to support overall oral and systemic health.

Diet: Consume a diet rich in fruits, vegetables, and whole grains.
Exercise: Engage in regular physical activity to promote overall well-being.

When to Seek Professional Help

If you experience persistent or severe bleeding from the gums while brushing, it is important to seek professional dental care. Consult a dentist if:

Bleeding is Persistent: If bleeding continues despite improved oral hygiene or lasts for an extended period.
Pain or Discomfort: If you experience significant pain, swelling, or discomfort along with bleeding.
Other Symptoms: If you have additional symptoms such as loose teeth, gum recession, or signs of infection.

Bleeding from the mouth while brushing can be a sign of various underlying dental conditions, from mild gingivitis to more severe periodontitis or systemic issues. Understanding the potential causes of bleeding and taking appropriate steps for diagnosis and treatment are crucial for maintaining oral health and preventing complications.

By adopting effective home care practices, seeking professional dental care, and making necessary lifestyle changes, you can manage and prevent bleeding gums effectively. Regular dental check-ups and attention to oral hygiene are key components of maintaining healthy gums and overall oral health.

August 7, 2024 0 comment

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Your Mouth: The Shocking Gateway to Health (Watch Video to Unlock the Secrets!)

by Dr. Shruthi R July 8, 2024

written by Dr. Shruthi R

If you want to remain healthy and fit then you have to keep your mouth healthy. Because most of the bacteria enter the body through the mouth. In such a situation, if the mouth and teeth remain unhealthy then it is obvious that bacteria will enter the body. For more information watch the video till the end.

You’ve likely heard the saying, “You are what you eat.” But a lesser-known truth is: “You are also what enters your mouth.” Our mouths are the gateway to our bodies, a vital entry point for not just food and drink, but also for millions of bacteria. Just like a strong gatekeeper protects a castle, a healthy mouth acts as the body’s first line of defense against harmful microbes.

While we often associate fitness with physical activity and diet, oral health plays a crucial role in maintaining overall well-being. Here’s a deep dive into the fascinating connection between a healthy mouth and a fit body:

The Mouth: A Teeming Ecosystem

Our mouths are teeming with a diverse population of microorganisms, both beneficial and harmful. This complex ecosystem, known as the oral microbiome, plays a crucial role in digestion, immunity, and even mood regulation. When this balance is disrupted by poor oral hygiene, harmful bacteria can multiply, leading to a variety of oral health problems.

From Gum Disease to Systemic Issues

One of the most common consequences of poor oral hygiene is gum disease, characterized by inflammation and bleeding of the gums. Left untreated, gum disease can progress to periodontitis, a severe infection that damages the bone supporting the teeth. But the impact goes beyond just your smile. Research suggests a link between gum disease and various systemic health issues, including:

Heart disease: Studies have shown that chronic inflammation in the gums can increase the risk of heart attack and stroke. Bacteria from the mouth can enter the bloodstream and contribute to the buildup of plaque in arteries.
Diabetes: Poorly controlled blood sugar can worsen gum disease, and gum disease, in turn, can make it harder to manage diabetes.
Respiratory infections: Gum disease may increase the risk of developing pneumonia and other respiratory problems.
Pregnancy complications: Severe gum disease has been linked to premature birth and low birth weight.

The Fitness-Oral Health Connection: A Two-Way Street

The relationship between oral health and fitness is a two-way street. Here’s how they influence each other:

Impact of Exercise on Oral Health: Regular physical activity strengthens the immune system, making it better equipped to fight off harmful bacteria in the mouth. Exercise can also improve blood flow, which helps deliver essential nutrients to the gums, promoting their health.
Impact of Oral Health on Fitness: Conversely, poor oral health can negatively impact your fitness goals. Painful or loose teeth can make it difficult to chew healthy foods, leading to nutritional deficiencies. Gum disease can also cause fatigue and hinder your ability to perform at your peak during exercise.

Building a Strong Foundation: Essential Oral Care Practices

Maintaining good oral health doesn’t require complicated routines. Here are the cornerstones of a healthy mouth:

Brushing: Brush your teeth twice a day for two minutes at a time, using a soft-bristled toothbrush and fluoride toothpaste. Pay close attention to the gum line and the surfaces between your teeth.
Flossing: Flossing removes plaque and food particles from between your teeth, where brushing can’t reach. Aim to floss once a day before bedtime.
Healthy Diet: Limit sugary and acidic foods that can contribute to tooth decay. Focus on a balanced diet rich in fruits, vegetables, and whole grains to provide your body with the nutrients it needs to maintain oral health.
Regular Dental Checkups: Schedule regular dental checkups and cleanings, typically every six months. These appointments allow your dentist to identify and address potential problems early on before they become more serious.

Beyond the Basics: Habits for a Healthy Mouth

In addition to the core practices mentioned above, here are some additional tips for a healthy mouth:

Drink Plenty of Water: Water helps to flush away food particles and bacteria from your mouth. It also keeps your mouth moist, which can help to prevent bad breath.
Don’t Smoke: Smoking is a major risk factor for gum disease and oral cancer. If you smoke, quitting is one of the best things you can do for your overall health, including your oral health.
Manage Stress: Chronic stress can weaken your immune system, making you more susceptible to oral health problems. Find healthy ways to manage stress, such as exercise, yoga, or meditation.
Consider Mouthwash: While not a substitute for brushing and flossing, a fluoride mouthwash can provide additional protection against cavities and bad breath.

A healthy mouth is not just about a bright smile; it’s a crucial component of overall fitness. By prioritizing good oral hygiene practices and regular dental care, you’re laying the foundation for a strong, healthy body. Remember, a healthy mouth is a gateway to a healthy you!

July 8, 2024 0 comment

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Heart infection from mouth bacteria can be prevented by good dental health

by Medically Speaking Team April 18, 2021

written by Medically Speaking Team

The most important ways to reduce risk of a heart infection called infective endocarditis caused by bacteria in the mouth, can be prevented by good oral hygiene and regular dental care. There are four categories of heart patients considered to be at highest risk for adverse outcomes from infective endocarditis, and only these patients are recommended to receive preventive antibiotic treatment prior to scientific procedures.

Taking care of oral health is more important than use of antibiotics in dental procedures for some heart patients to prevent a heart infection caused by bacteria around the teeth according to a new American Heart Association (AHA).
Infective endocarditis (IE), also called bacterial endocarditis, is a heart infection caused by bacteria that enter the bloodstream and settle in the heart lining, a heart valve or a blood vessel. It is uncommon, but people with heart valve disease or previous valve surgery, congenital heart disease or recurrent infective endocarditis have a greater risk of complications if they develop IE. Intravenous drug use also increases risk for IE. Viridans group streptococcal infective endocarditis (VGS IE) is caused by bacteria that collect in plaque on the tooth surface and cause inflammation and swelling of the gums. There’s been concern that certain dental procedures may increase the risk of developing VGS IE in vulnerable patients.

The new guidance affirms previous recommendations that only four categories of heart patients should be prescribed antibiotics prior to certain dental procedures to prevent VGS IE due to their higher risk for complications from the infection:
Those with prosthetic heart valves or prosthetic material used for valve repair;
Those who have had a previous case of infective endocarditis;
Adults and children with congenital heart disease; or
People who have undergone a heart transplant.
“Scientific data since the 2007 AHA guidelines support the view that limited use of preventive antibiotics for dental procedures hasn’t increased cases of endocarditis and is an important step at combating antibiotic overuse in the population,” said Walter R. Wilson, M.D., chair of the statement writing group and a consultant for the Division of Infectious Diseases, Department of Internal Medicine at Mayo Clinic in Rochester, Minn.

It has been over a decade since recommendations for preventing infective endocarditis were updated amid concerns of antibiotic resistance due to overprescribing. The American Heart Association’s 2007 guidelines, which presented the biggest shift in recommendations from the Association on the prevention of infective endocarditis in more than 50 years, more tightly defined which patients should receive preventive antibiotics before certain dental procedures to the four high-risk categories. This change resulted in about 90% fewer patients requiring antibiotics.

The scientific statement writing group reviewed data on VGS IE since the 2007 guidelines to determine if the guidelines had been accepted and followed, whether cases of and mortality due to VGS IE have increased or decreased, and if the guidance might need to be adjusted.

The writing committee reports their extensive review of related research found:

There was good general awareness of the changes in the 2007 guidelines, however, adherence to the guidelines was variable. There was about a 20% overall reduction in prescribing preventive antibiotics among high-risk patients, a 64% decrease among moderate-risk patients, and a 52% decrease in those patients at low- or unknown-risk.
In a survey of 5,500 dentists in the U.S., 70% reported prescribing preventive antibiotics to patients even though the guidelines no longer recommend it, and this was most often for patients with mitral valve prolapse and five other cardiac conditions. The dentists reported that about 60% of the time the antibiotic regimen was recommended by the patient’s physician, and 1/3 of the time was according to patient preference.
Since the stricter 2007 antibiotic guidelines, there is no convincing evidence of an increase in cases of VGS IE or increased mortality due to VGS IE.

The writing group supports the 2007 recommendation that only the highest risk groups of patients receive antibiotics prior to certain dental procedures to help prevent VGS IE.

In the presence of poor oral hygiene and gingival disease, VGS IE is far more likely to develop from bacteria attributable to routine daily activities such as toothbrushing than from a dental procedure.

Maintenance of good oral hygiene and regular access to dental care are considered as important in preventing VGS IE as taking antibiotics before certain dental procedures.

It is important to connect patients with services to facilitate access to dental care and assistance with insurance for dental coverage, especially in those patients at high risk for VGS IE.

It is still appropriate to follow the recommendation to use preventive antibiotics with high-risk patients undergoing dental procedures that involve manipulation of the gum tissue or infected areas of the teeth, or perforation of the membrane lining the mouth.

The scientific statement was prepared by the volunteer writing committee on behalf of the American Heart Association’s Young Hearts Rheumatic Fever, Endocarditis and Kawasaki Disease Committee; the Council on Lifelong Congenital Heart Disease and Heart Health in the Young; the Council on Cardiovascular and Stroke Nursing; and the Council on Quality of Care and Outcomes Research.

April 18, 2021 0 comment

Kids Uncategorized

Importance of MILK TEETH & DECIDUOUS TEETH

by Medically Speaking Team March 11, 2021

written by Medically Speaking Team

by Dr Shweta Verma senior Dentist

Milk teeth starts erupting when the baby is around 6 months old . All the Deciduous teeth (milk teeth) erupts completely till 2 ½-3 years of age. Many people assumes that cavities or hygiene of milk teeth is not much importance as they will shed off eventually but milk teeth are really important for the overall health of the child .

loss of milk teeth or painful carious teeth discourages the child to eat or chew food properly, that leads to malnutrition in kids.
Smiling face is a confidence booster. Kids with carious teeth or broken milk teeth sometimes doesn’t interact confidently .
Milk teeth guides the eruption of permanent teeth. Permanent teeth may erupts in open space either outward or inward the arch, if milk teeth is lost due to caries or trauma.

Here are some common problems associated with milk teeth :

Nursing bottle caries: This is also called baby bottle tooth decay. It is caused when a child goes to bed with a bottle filled with milk or juice. It usually affects children between the ages of one and two years. Breastfed infants who fall asleep while breastfeeding are also at risk. Usually upper and lower front teeth are involved. Light or brown color spots leads to further decaying of teeth.

Precautions and treatment;

Do not allow your child to take bottle while sleeping or lying down.
Take good care of gums and teeth.
In case or light brown and brown spots, visit a dentist and get the carious teeth restored (filling) done. This will prevent the teeth from further damage.

Dislocation of teeth due to trauma

In many cases, a loose tooth will heal without treatment. Injured teeth that are very loose may need to be removed. Dentist will further guide about space maintainers ,if necessary, for the proper positional eruption of permanent teeth.

Fracture of teeth

Children with broken teeth should see a dentist promptly. The dentist will determine if the tooth’s nerves or blood vessels could be damaged. Treatment may include smoothing the rough edges of the tooth, repairing it with a tooth-colored resin material, leaving the tooth in place, or removing it.

Thumb sucking

If the child is still sucking their thumb even when their permanent teeth begin to come in, the habit can cause a wide range of other problems , affecting teeth alignment and the shape of roof of the mouth. In that case, dentist can provide a habit breaking appliances depending on the severity of habit and its effects.

Grinding of teeth (Bruxisim)

Teeth grinding is a common condition among school-aged children. It develops because their top teeth aren’t aligned with their bottom teeth. Another reason could be in response to pain — just as you rub a sore muscle, like teething or an earache. It can also be a sign that a kid is experiencing stress or hyperactivity. Night guards can help keep your child from grinding their teeth as they sleep.

Over retained deciduous teeth

Delaying in shedding of milk teeth / delayed eruption of permanent teeth/ presence of both milk and permanent teeth at the same site. In these cases, visit your dentist to rule out the possible cause and treatment related to that.

When is the right time for orthodontic braces or wiring of teeth ,in cases of crowding or mal-aligned teeth in children?

The best age for an orthodontic assessment of children is around 8-10 year of age, it helps to avoid progressive dental issues, helps in keeping better oral hygiene and accordingly braces can be planned after 1-5 years.

For adults , orthodontic treatment can be done at any age.

Oral hygiene tips for children

Baby teeth start to break through the gums around 6 months but it is important to start good oral care for infants even before the first tooth comes in.
Wipe your baby’s gums with a soft washcloth after feeding. This helps remove the bacteria that can cause tooth decay.
Once they begin to erupt, brush teeth twice a day for at least two minutes with a fluoride toothpaste.
Use a pea-sized amount of fluoride toothpaste and make sure your child spits it out after brushing.
Use a small or medium size brush ,according to the kids age and change the brush after every 3 months.
Help your child brush and floss, and remind him or her to pay attention to the back teeth.
Visit the dentist every 6 months.

The writer is Dr Shweta Verma, Senior Dentist, AIIMS.

March 11, 2021 0 comment