How to treat bleeding gums on one side of my mouth?

Hi,

Welcome to icliniq.com.

I have read your query and can understand your concern.

I have seen the pictures (attachment removed to protect the patient's identity). You have severe gingivitis and probably periodontitis at this stage. Gingivitis is the inflammation of the gums, basically due to either food lodgement or calculus deposits present within the teeth. That progresses to periodontitis, wherein the long run, the tooth-bound deposits start resorbing or receding the gums, making your tooth mobile. Tooth mobility can occur due to bone loss and receding gums in a few years or sometimes even months if it is aggressive.

I suggest deep oral prophylaxis or deep dental scaling at the dentist's office. After prophylaxis, you will be asked to rinse your mouth with an antiseptic mouthwash, or I would recommend you start using a Betadine (Povidone-iodine) gargle 2 percent every day to relieve this issue of bleeding gums. You need to brush twice a day and whenever you have time, do warm salt water rinsing five to six times a day. That will also prevent gingival inflammation.

So do not delay a visit to the dental surgeon, and this prophylaxis is a must, even for people with healthy gums, every six months to one year. I suggest the antibiotic tablet Amoxicillin 500 mg to 625 mg and tablet Metronidazole 400 mg to relieve and suppress this chronic gingival inflammation.

Treatment plan: Deep dental cleaning, strict oral hygiene, brushing twice a day, using a 2 percent Betadine gargle or 0.12 percent Chlorhexidine mouthwash every night, a suitable gel, antibiotic prophylaxis by the dentist, and post-scaling procedures.

I hope it helps.

Please let me know if I can assist you further.

Thank you.

Hi,

Welcome back to icliniq.com.

I have read your query and can understand your concern.

Never do the brushing aggressively. That will wear out the enamel of the tooth because it will already be weak due to the receding gum support. Use a soft or extra-soft toothbrush, and twice a day, especially at bedtime, you need to brush and then mouthwash either with Chlorhexidine or Betadine gargle. Only that will prevent gingival bleeding. The preventive measures also include the modified Bass technique for tooth brushing.

If you are not on any vitamin or antioxidant supplements, I would also suggest a diet rich in vitamin C and alpha-lipoic acid supplements or omega-3 to 6 fatty acid supplements at least thrice a week, once after breakfast. They will be available as over-the-counter drugs, and they are essential for gingival health. Just go for deep scaling. It hardly takes 20 to 30 minutes. Avoid aggressive brushing, and you can search up the 'modified bass technique' videos of brushing for the correct method to avoid dental plaque and calculus accumulation.

I hope this has helped you.

Please let me know if I can assist you further.

Thank you.