Do you spit blood when cleaning your teeth?
The most common reason for this is inflammation of the gum;
which could be a sign of gum disease.
Gum disease can be categorised in two different stages:
- Gingivitis – early
gum disease that is reversible through improved oral hygiene techniques at home
- Periodontitis – an
irreversible condition that happens if gingivitis progresses.
The symptoms of gingivitis
The signs of gingivitis include a red, swollen appearance
to the gums which can bleed easily. People most commonly notice that their gums
are bleeding when they brush them. Bad breath (halitosis) can also be related
to the disease.
The reason for this change in the gums is due to the body
trying to respond to bacteria in plaque and fight it off, the same way it would
if any other bacteria was to try and affect the body. Plaque is a normal part
of everyone’s life, but it is how you manage it that is most important.
One way to effectively manage and reduce your level of
plaque is by cleaning your teeth properly.
Using a manual toothbrush and an electric toothbrush
require slightly different technique. Whichever you are using, if you do it
thoroughly you can ensure adequate daily removal of plaque and help to prevent
dental disease (not just gum disease).
Below are some ways you can make sure you are cleaning your
- Brush twice a day, once before bed and at
another time (normally first thing in the morning)
- Aim along the gum line, i.e. where the tooth
and gum meet
- Massage the gum line gently in small circles
- Concentrate on one tooth at a time – it’s a
TOOTH brush, not a TEETH brush
- Try and use a timer to make sure you are using
a full two minutes – try splitting the mouth into quarters and spend 30 seconds
in each, cleaning all the surfaces thoroughly.
Using something in between the teeth is also key to help
stop bleeding gums. Brushing alone cleans around 60% of surfaces, which means
that even with excellent toothbrush technique, we’re still missing 40%!
Speak to a dental professional
It is important to note that although you may notice the
bleeding gums, gingivitis and periodontitis are generally painless until it
becomes too late. So regular dental visits are very important for identifying
Talking to a dentist, dental hygienist, dental therapist or
qualified oral health practitioner, can be beneficial as they can identify
areas which you may be able to improve at home.
This can be something as simple as modifying toothbrush
technique, as per the above tips, and identifying appropriate tools for use in
between the teeth such as floss or interdental aids.
It can be difficult to identify which would be best for the
spaces between your teeth and it can be daunting if you haven’t been shown how
to do it properly. Don’t be afraid to ask someone to show you at your next
Not only are we aiming to tackle any signs of gum disease,
but this can also reduce decay starting between the teeth where food regularly
When gingivitis turns into periodontitis
Periodontitis is an irreversible disease of the gums
including the structures surrounding the teeth below the gums. If the plaque
bacteria are left undisturbed around the teeth and gums then they begin to
cause further damage.
This damage includes loss of bone around the teeth,
resulting in what we call pockets, where bacteria can be even more protected
from our efforts to remove them. Long term, this increased bone loss can result
in mobile teeth and eventually tooth loss. According to the World Health
Organisation, “Severe periodontal
disease, which may result in tooth loss, was the 11th most prevalent disease
globally in 2016”.
Once the bone has been lost, it will not grow back. However, you can make changes to try and stabilise the disease and prevent further progression. At this stage you would benefit from the involvement of a dental professional who may be able to offer treatment options alongside giving you advice on home care.
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The post Toothbrushing techniques and tips to reverse gingivitis appeared first on Practice Plan Blog.