Every time I brush my teeth with the toothbrush I just bought, I will have gum bleeding. What's going on here?

Gum bleeding is one of the common symptoms of oral diseases, and it is also a symptom of some medical diseases of gums. Gum bleeding is often accompanied by bad breath, which hinders patients' work and social activities, and some will also bring mental burden to patients.

Gingival bleeding is mostly due to the common symptoms of periodontal tissue diseases, and some are the manifestations of some systemic diseases in the mouth. The local causes of gingival bleeding are:

1. Gingivitis, periodontitis and proliferative gingivitis. Often due to poor oral hygiene, the accumulation of soft dirt, dental plaque and tartar on the tooth surface, or due to local stimulation such as uneven tooth arrangement, occlusal trauma, food impaction and poor repair, inflammation, edema and congestion of the gingival papilla and gums are caused, and the rupture of blood vessel wall causes gingival bleeding, especially when brushing teeth or biting hard objects.

2. Necrotizing gingivitis. It is characterized by acute inflammatory symptoms, acute onset, obvious gingival papilla necrosis, painful bleeding, often spontaneous gingival bleeding, and a large amount. At night, patients often have bloody saliva flowing out of the mouth to pollute the mouth and pillow, with obvious gingival papilla necrosis and painful bleeding, often spontaneous gingival bleeding, with a large amount. When patients sleep at night, bloody saliva often flows out of their mouths and pillows, causing their families or themselves to panic and rush to see a doctor.

3. Capillary hemangioma of gingiva, gingival cancer. When brushing teeth, mechanical stimulation such as chewing can cause severe gingival bleeding or spontaneous bleeding.

The systemic factors of gingival bleeding, such as hematological diseases: leukemia, hemophilia, pernicious anemia, aplastic anemia, thrombocytopenic purpura and other systemic symptoms, can all cause gingival bleeding, mostly extensive automatic bleeding, which is large and difficult to stop. Liver cirrhosis, hypersplenism, advanced nephritis, some febrile diseases, etc. , gum bleeding will also occur. Vitamin C deficiency can also lead to bleeding gums.

In addition, due to endocrine reasons, such as menstrual period, pregnancy, etc., gingival congestion and swelling may occur; During pregnancy, the gingival papilla can appear tumor-like hyperplasia, which is called "pregnancy gingival tumor" and it is very easy to bleed. Generally speaking, symptoms of gum tumors and bleeding can disappear during menstruation and after delivery.

There are many diseases that cause gum bleeding. According to the etiology of gingival bleeding, symptomatic treatment. If there are local stimulating factors such as dental calculus, occlusal trauma and poor restoration, periodontal scaling should be carried out to remove dental calculus, adjust occlusal relationship, correct food impaction, and modify or update dentures and other restorations. Topically take 2% iodine glycerin, orally take metronidazole 0.2, 1 three times a day, or acetylspiramycin 0.2g, 1 four times a day for 4-5 days. Patients with necrotizing gingivitis should strengthen oral care, gargle with 1% hydrogen peroxide, apply 2.5% chlortetracycline glycerin 1 day to the affected area, and use penicillin and anti-anaerobic drugs all over the body. If you have a gum tumor, you should use surgery. For gums caused by blood diseases, gelatin sponge can be used to temporarily stop bleeding, and periodontal tampon can also be used to stop bleeding. Systemic treatment is mainly carried out by hematologists, and all periodontal surgery is prohibited.

Early treatment of gingival bleeding caused by oral diseases has a good effect. Developing good oral hygiene habits can prevent gingivitis and periodontitis. Sticking to brushing your teeth in the morning and evening, gargling after meals, and removing dirt and food residues can prevent the formation of tartar and calculus.

There are many reasons for gingival bleeding, which is one of the common symptoms of oral diseases. Generally divided into local type and systemic type: gingival bleeding caused by local causes is common in patients with gingivitis and periodontitis. Because these patients don't brush their teeth often, or the brushing method is incorrect, tartar is produced at the gingival margin. Dental calculus is a kind of hard lime-like substance, which can stimulate the gums and make them inflamed, swollen and congested, ranging from bleeding when brushing teeth, sucking, biting hard objects or picking teeth to bleeding when slightly stimulated or not. If inflammation and high fever change the vascular structure of gingival tissue, it will also cause bleeding. Gum bleeding caused by oral diseases is more common in gingivitis and periodontitis. In addition, improper dentures, food impaction, periodontal injury, etc. can all cause gingival bleeding. Some will leave bleeding marks on the toothbrush. People don't have to worry about this situation, because the bleeding will stop soon after brushing their teeth. In addition, if dental caries has destroyed the crown (medically called residual crown), there is sharp enamel tissue on the surface of the residual crown, which cuts the gums like a knife, causing gingival bleeding; Some people accidentally eat bones and cause gum bleeding, but this bleeding only happens on the gums of individual teeth. After removing the residual crown and bone spur, the bleeding stopped. Some people bleed because of improper use of toothpicks. If you stop picking your teeth or correct the naming method of toothpicks, the bleeding will soon stop.

Some gum bleeding is caused by systemic diseases. This kind of gingival bleeding is often one of the clinical symptoms of systemic diseases, which is helpful to the diagnosis of systemic diseases and should be treated with special attention.

Scurvy is a biological hemorrhagic disease caused by the lack of ascorbic acid (also known as vitamin C), and gingival bleeding is a prominent symptom of the disease. The gums of scurvy patients are dark red and swollen, sometimes covering the crowns. With the continuous improvement of people's life, scurvy is very rare in China.

It is worth noting that various blood system diseases will also show symptoms of gingival bleeding, such as leukemia, hemophilia, thrombocytopenic purpura, aplastic anemia and so on. It is often manifested as gingival bleeding or bleeding after tooth extraction, which is not easy to stop with general hemostasis methods. In this case, you must ask a doctor for a detailed examination to find out the cause of bleeding and prescribe the right medicine. Over the years, we have also found that some leukemia patients, because of gingival bleeding, not only came to the stomatology department first, but also should be highly vigilant against these patients.

Liver cirrhosis, hypersplenism, advanced nephritis, some febrile diseases, etc. , gum bleeding will also occur.

Gum bleeding is often accompanied by bad breath, which hinders patients' work and social activities, and some will also bring mental burden to patients. There are many reasons for gingival bleeding. Developing good oral hygiene habits can prevent gingivitis and periodontitis. Sticking to brushing your teeth in the morning and evening, gargling after meals, and removing dirt and food residues can prevent the formation of tartar and calculus. Going to the hospital regularly for periodontal cleaning (tooth washing) is the best method of tooth care.