Gum bleeding is one of the common symptoms in stomatology. Generally speaking, gingival bleeding is common in the early stage of periodontitis-gingivitis. Gum bleeding does not only occur in stomatology, but also in other diseases of the whole body, suggesting that it may be diseases of other systems, such as leukemia, radiation exposure and autoimmune diseases. Pathological gingival bleeding has many causes and is one of the common symptoms of oral diseases. Generally divided into local type and systemic type: gingival bleeding caused by local causes is common in patients with gingivitis and periodontitis. Because these patients don't brush their teeth often, or the brushing method is incorrect, tartar is produced at the gingival margin. Dental calculus is a kind of hard lime-like substance, which can stimulate the gums and make them inflamed, swollen and congested, ranging from bleeding when brushing teeth, sucking, biting hard objects or picking teeth to bleeding when slightly stimulated or not. If inflammation and high fever change the vascular structure of gingival tissue, it will also cause bleeding. Gum bleeding caused by oral diseases is more common in gingivitis and periodontitis. In addition, improper dentures, food impaction, periodontal injury, etc. can all cause gingival bleeding. Some will leave bleeding marks on the toothbrush. People don't have to worry about this situation, because the bleeding will stop soon after brushing their teeth. In addition, if dental caries has destroyed the crown (medically called residual crown), there is sharp enamel tissue on the surface of the residual crown, which cuts the gums like a knife, causing gingival bleeding; Some people accidentally eat bones and cause gum bleeding, but this bleeding only happens on the gums of individual teeth. After removing the residual crown and bone spur, the bleeding stopped. Some people bleed because of improper use of toothpicks. If you stop picking your teeth or correct the naming method of toothpicks, the bleeding will soon stop. Gum bleeding caused by oral diseases is caused by systemic diseases. This kind of gingival bleeding is often one of the clinical symptoms of systemic diseases, which is helpful to the diagnosis of systemic diseases and should be treated with special attention. Scurvy is a biological hemorrhagic disease caused by the lack of ascorbic acid (also known as vitamin C), and gingival bleeding is a prominent symptom of the disease. The gums of scurvy patients are dark red and swollen, sometimes covering the crowns. With the continuous improvement of people's living standards, scurvy is very rare in China. It is worth noting that various blood system diseases will also show symptoms of gingival bleeding, such as leukemia, hemophilia, thrombocytopenic purpura, aplastic anemia and so on. It is often manifested as gingival bleeding or bleeding after tooth extraction, which is not easy to stop with general hemostasis methods. In this case, you must ask a doctor for a detailed examination to find out the cause of bleeding and prescribe the right medicine. Over the years, we have also found that some leukemia patients, because of gingival bleeding, not only came to the stomatology department first, but also should be highly vigilant against these patients. Liver cirrhosis, hypersplenism, advanced nephritis, some febrile diseases, etc. , gum bleeding will also occur. It should be noted that gingival bleeding caused by some systemic diseases, such as acute and chronic leukemia, hemophilia, liver cirrhosis and hypersplenism, may cause symptoms of gingival bleeding. Therefore, for patients who still have gingival bleeding after removing local stimulating factors and anti-inflammatory treatment, they should go to hematology or internal medicine for further examination as soon as possible, make clear the cause, and treat them in time to avoid misdiagnosis and mistreatment. Treatment 1 1, supplementary nutrition: There are many reasons for bleeding, and it is necessary to find out the reasons before effective prevention and treatment can be carried out. If vitamin C is lacking, besides taking vitamin C tablets under the guidance of a doctor, we should pay more attention to supplementing foods rich in vitamin C and eating more fruits and vegetables. If it is periodontitis, you should take anti-inflammatory drugs under the guidance of a doctor and follow the doctor's advice. You can't quit drugs yourself. But in fact, after adulthood, gums do not get nutrition from the human system, so there will be more problems. Supplementary nutrition can't solve the bleeding problem, which should be a misunderstanding at present. If you don't believe me, you can try to supplement VC first. 2, gum bleeding treatment: ultrasonic cleaning is familiar to everyone, aiming at removing calculus. Because dental calculus is more likely to cause the accumulation of oral bacteria, which leads to gingivitis, gingival bleeding and periodontal disease. Therefore, removing stones is a medical act. Of course, at the same time of treatment, the teeth will be whitened when the stones in the neck and adjacent surfaces are removed. The disadvantage of tooth washing is that it is more painful and produces more blood, and the surface of teeth is rough after washing, and dental plaque reappears faster. Finally, you may get sick. We should prevent and treat gingival bleeding according to different reasons, such as gingivitis and periodontal disease. As long as you pay attention to oral hygiene, brush your teeth and rinse your mouth frequently, remove the stimulation of dental calculus and bad denture inlay, eliminate dental plaque, repair or readjust inappropriate dentures, fix loose teeth and adjust the occlusal relationship of each tooth, it can be cured. Treatment 2 (1) Brush your teeth with a soft-bristled toothbrush immediately after three meals every day to achieve two "3s", that is, brush your teeth for 3 minutes each time, or rinse your mouth with warm and light salt water after meals. (2) The local gums can be rinsed with 3% hydrogen peroxide or 0. 1% potassium permanganate solution, dried and coated with iodine glycerin. (3) Raw watermelon seeds 50 ~ 100g, decocted in water, can cure tooth and gum bleeding. (4) Mix and grind the quicklime and white sugar evenly, and apply a little to the affected area to treat bleeding between teeth and toothache. (5) Ginger, Radix Rehmanniae Preparata, Radix Rehmanniae each 15g, egg 1 decoction. Eating eggs and drinking soup can cure periodontitis and gingival bleeding. Treatment 3 (1) The disease is contagious. The patient's toothbrush, chopsticks, cups, etc. It should be used alone and boiled regularly for disinfection. (2) Soak the cotton ball in 1:5000 potassium permanganate solution or 3% hydrogen peroxide to scrub the mouth and gums, repeat this for several times, and then apply 1% gentian violet, 2-3 times a day. Take vitamin C and vitamin B complex as appropriate. (3) folk prescription therapy: dry grinding with salt water, first rubbing the affected area with sugar, then rubbing it with dry powder calcined with salt water, or dipping it with salt water; Burning old taro leaves in the first frost, grinding into fine powder, adding Borneolum Syntheticum powder, and rubbing on the affected area; 3 olives (or salt olives), ground with fire and rubbed with 2.5 grams of borneol; Purslane 2.5 ~ 5 kg, washed, chopped, wrapped with clean gauze and pressed out the original juice. Drink 2 ~ 3 cups 1 time 1 cup, 1 day. All the above parties have the effect of treating toothache in horses, so they can be selected as appropriate. (4) Prescription therapy: Radix Sophorae Flavescentis 100g, 40g of hard ginseng, ground into fine powder, and blown into the affected area and teeth three times a day; 5g of turmeric and garlic 1 petal, mashed and evenly mixed, and applied to Yongquan point in the foot center; 3g of Coptidis Rhizoma and 4g of raw honey, parched with Coptidis Rhizoma honey for 7-8 times, ground and rubbed on the affected part; 20g of honeysuckle is decocted in water and gargled; Chop and mash a proper amount of fresh Hollyleaf, and apply it to the affected area with cotton swabs, or dry the leaves in the sun, and add 1 g borneol to the affected area per 1 g dry powder, or dry the leaves in the sun, and add1g borneol to the affected area to stop bleeding and diminish inflammation. All the above parties have the effect of treating toothache in horses, so they can be selected as appropriate. Prevention and health care should pay attention to the following points: (1) If bleeding is caused by poor oral hygiene and a large amount of tartar and tartar (this is the most common situation), you can go to the stomatology department to ask a doctor to clean your teeth, remove tartar and tartar (commonly known as tooth washing, medically called scaling), and take antibiotics orally 1 week, and gingival inflammation will be quickly eliminated and bleeding will stop. Generally speaking, even if there is no gingival bleeding, you should wash your teeth 1 time every six months to one year. (2) If gingival bleeding is caused by residual roots and crowns, the residual roots and crowns should be removed before denture implantation; If the braces are not good or can't be repaired well, it is necessary to make braces or fill teeth again. (3) Women should pay attention to maintaining oral hygiene during menstruation and pregnancy. Usually after menstruation and pregnancy, gingival bleeding can be significantly reduced. (4) Choose a new type of health toothbrush to avoid forcibly brushing teeth horizontally, and adopt a vertical brushing method to prevent gingival bleeding. 5] In case of unexplained large-scale spontaneous gingival bleeding, you should go to the hospital as soon as possible to determine whether there is a blood system disease. Especially recessive hematological diseases. We should attach great importance to it, find out the reasons in many ways and deal with them in time.

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