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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gums In Bad Shape, Bleeding After Fixing Braces. Using Hi-prodent Tooth Paste. Worried?

one month ago dentist cut my gums,scaling etc. Because my gums were in very bad condition.After this i got Braces on my teeth ,but still my gums are bleeding and in bad condition i am using Hi- Prodent tooth paste. Simply i wanna ask what i should do now. Am every time worry . am from Pakistan. am 23 years old, please....................................................... guide me. I will be very thankful to you. sir simply detist cut my gums....................
Thu, 21 Feb 2013
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Dentist 's  Response
hello hiba and welcome to HCM,
After reading your query i suspect you were having periodontal problems and your dentist has done scaling ,currettage or as you have mentioned about gum cutting , it must be gingivectomy .
After gingivectomy it takes a time of 15 to 20 days for the new gum tissue to develop under normal condition .
healing may prolong if there is super infection due to poor oral hygiene , accumulation of bacterial plaque or food debris.
Application of braces may also have traumatic effect on the gums leading to bleeding.
i suggest you to consult a dentist and get the evaluation done , check your braces for any sharp points or edges that hurt the gum tissue.
Meantime apply dentogel ointment topically over the gums , use antiseptic mouthwash like chlorhexidine for mouth rinsing helps in healing .
take care.
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Dentist Dr. Anshumala Singh's  Response
dear friend
don't worry,its very much normal..scaling is to remove calculus and stains existing on teeth.so that adequate hygiene can be maintained before putting braces(orthodontic treatment ).

as you know you had problem with gums earlier too that is gingivitis. its good that you have got scaling done.

now it will definitely take some time for your gingiva to come back to normal. once it is normal , you will have very little or no bleeding at all. slowly bleeding will also stop.a healthy gum has no bleeding , no redness and no swelling .

you can use any toothpaste but just see it has, sodium mono flouro phosphate in its ingredients .
my advice to you is do frequent warm saline rinses and do use a mouth wash like hexidine 2% also periodically.

you have to really really take care of your gums now so that they can help you in your orthodontic tooth movement. for that you just have to maintain hygiene and above measures. your gums will be problem free.
thank you
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Dentist Dr. Deepthi Reddy's  Response
Hi,
Thank you for the query.
According to the history it suggests of long standing gingivitis .
I would advise you to take an OPG and see your dentist .
Because presence of infection in the gums will lead to repeated swelling and bleeding in the gums.
This has to be treated by flap surgery and the x-ray will help you know the amount of infection and bone loss present .
You have to concentrate on your oral hygiene and should maintain it by brushing twice and flossing and gargling thoroughly after every meal . A course of antibiotics is required to control the infection.
See your dentist for clinical examination to rule out the exact cause .
Hope this infromation helps you.
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Dentist Dr. Bindiya Bhaskar's  Response
HELLO,

THANKS FOR THE QUIERY.

Your gums are in bad shape due to accumulation of plaque and food debris causing poor oral hygiene maintenance,resulting in gingivitis.

Your dentist has cut your gums due to highly inflammed gums.

Since you are wearing orthodontic braces now,you should be very careful regarding your oral hygiene maintenance.

Usually in patients with braces,chance of gum infection is very high since brushing is difficult thro'the braces.

Use INTERDENTAL TOOTHBRUSH TO CLEAN YOUR TEETH.

RINSE YOUR MOUTH AFTER EVERY MEALS.

IF bleeding persists,please do visit your dentist and get scaling done.

ANTIBIOTICS CAN BE Taken as per dentist's advice.

Hope you get well soon.

REGARDS

DR.BINDIYA

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Dentist Dr. Neha Gupta's  Response
Hello,
Thanks for sharing your concern with us
Gum disease happens when plaque builds up around teeth that aren’t cleaned properly. This is more likely to happen if you find it difficult to clean your teeth well, for example if you wear braces or dentures, or have irregularities in your teeth that you can't reach with a toothbrush.
You may also need to have X-rays to check the condition of your teeth and jaw bone.
Regular visits to your dentist or hygienist, brushing and flossing your teeth properly and stopping smoking will help to do this.
Dental floss or inter-dental brushes can remove plaque and small bits of food from between your teeth and under your gum line. Some antiseptic mouthwashes reduce the amount of plaque bacteria when combined with regular brushing.
You can contact me again directly through my profile.
Regards.
Dr Neha Gupta
Dentist
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Gums In Bad Shape, Bleeding After Fixing Braces. Using Hi-prodent Tooth Paste. Worried?

hello hiba and welcome to HCM, After reading your query i suspect you were having periodontal problems and your dentist has done scaling ,currettage or as you have mentioned about gum cutting , it must be gingivectomy . After gingivectomy it takes a time of 15 to 20 days for the new gum tissue to develop under normal condition . healing may prolong if there is super infection due to poor oral hygiene , accumulation of bacterial plaque or food debris. Application of braces may also have traumatic effect on the gums leading to bleeding. i suggest you to consult a dentist and get the evaluation done , check your braces for any sharp points or edges that hurt the gum tissue. Meantime apply dentogel ointment topically over the gums , use antiseptic mouthwash like chlorhexidine for mouth rinsing helps in healing . take care.