Question: When I brush my teeth my gums bleed is this normal?

     This is a question my hygienist and I are asked routinely. I explain to my patients that they have bleeding gums and frequently they respond that this is a normal condition since their gums have been bleeding their whole life.  Ask any physician and they will tell you that spontaneous bleeding from anywhere in your body is a sign of a problem.

    Bleeding gums is typically the beginning of the destructive process involving the tissue around the tooth. This could also be an indication of a serious underlying systemic problem else where in the body.   Some blood thinning medications such a cummadin or a deficiency of vitamin C or K could also be a reason for bleeding of the gums.

     More than 80% of adults have some form of gum disease.  Gingivitis is inflammation of the gums around the teeth usually due to improper cleaning of the teeth.  The usual signs of gingivitis are red and swollen gums which bleed when you brush.  If left unchecked, gingivitis can lead to a more serious form of gum disease called periodontitis. Gum disease, not decay is the #1 cause of tooth loss.

     The best way to prevent bleeding gums, gingivitis and periodontitis is with good oral hygiene.  Daily brushing and flossing combined with regular dental check ups is an absolute must in maintaining the optimum dental health of your mouth.

     I will leave you with one of my favorite dental adages –  “To keep your teeth, take care of your gums”