The triggering causes mostly reside in "insufficient oral hygiene, which allows plaque to settle along the collar of the teeth, ie in the transition area between crown and root, protected and" sealed "by the gum. In addition to bleeding, made evident by traces reddish in the saliva, it is possible to notice a redness of the gingival margin and an edematous swelling, soft to the touch, of the same.
Gums that bleed: when they depend on drugs
Bleeding gums can indicate a variety of less common conditions; among these, the one linked to the use of anticoagulants, such as warfarin (coumadin), acenocoumarol (sintrom) and heparin, deserves particular attention. Excessive doses of these medicines, in fact, cause spontaneous bleeding or caused by minimal trauma, such as tooth brushing; these symptoms will obviously be subjected to the attention of the doctor for the adjustment of the therapeutic dose. The use of aspirin also increases the risk of gingival bleeding.
Other possible causes of blood from the gums
Bleeding from the gums can also be associated with:
- Severe vitamin C (scurvy) or vitamin K deficiencies
- Hematological disorders, such as hemophilia and idiopathic thrombocytopenic purpura (ITP);
- Poorly controlled diabetes.
There are also conditions that facilitate bleeding, such as pregnancy, smoking or chewing tobacco, dental malocclusions or the intake of chemical irritants; of course, too vigorous brushing of the teeth and the improper use of dental floss can cause gum bleeding.
, or alternatively a home remedy based on hydrogen peroxide diluted with natural water, to be used for oral rinses without ingesting (alternatively, you can use simple salt water).
When the bleeding is quite conspicuous, it can be stopped by soaking a gauze pad in very cold water, then applying it to the bleeding gum while maintaining constant pressure for a few minutes.
Particular care must be taken during subsequent brushing, exploiting above all the sanitizing action of the less traumatic rinses. The use of commercial alcohol-based mouthwashes should however be avoided.
with soft bristles, flanked by little aggressive toothpastes specific for bleeding gums.
In addition to proper brushing after each main meal, the prevention of gingivitis and its unpleasant consequences is based on the daily use of dental floss, on professional cleaning every six months and possibly on the use of oral irrigators (water jets) to remove food residues between the teeth and under the gums.
Finally, optimal oral health cannot be separated from a balanced diet, which by definition is low in simple sugars; these, especially those present in sugary acidic drinks and sticky foods - such as jam, honey or gummy candies - are the most faithful allies of plaque, tooth decay and bleeding gums.