What should we do when dealing with bleeding gums in an emergency?
Let’s find out.
1. Gingivitis, periodontitis and proliferative gingivitis.
Often due to poor oral hygiene, tooth surface accumulation has soft dirt, dental plaque and tartar, or the arrangement of teeth, teeth trauma, bad food embedded plug and restoration of local stimulation, cause gingival papilla and gum inflammation, edema, congestion, caused by a ruptured blood vessel walls gums bleeding, especially in the bleeding is more obvious when brushing your teeth or bite hard objects.
2. Necrotizing gingivitis.
The symptoms of acute inflammation, acute onset, obvious papillary necrosis, pain, bleeding, often a spontaneous gingival bleeding, and a large amount.
Patients often suffer from bleeding saliva flowing out of the mouth during night sleep to pollute the corners of the mouth and pillow, and there are obvious gingival papillary necrosis, pain and bleeding, which is often a kind of spontaneous gingival bleeding, and the amount is large.
Patients often in the night sleep bloody saliva out of the mouth to pollute the mouth and pillow mattress, causing family members or I panic and eager to seek medical treatment.
3. When brushing teeth, chewing and other mechanical stimuli can be serious gingival bleeding, there can also be spontaneous bleeding.
Systemic factors of gingival bleeding, such as hematologic diseases: leukemia, hemophilia, pernicious anemia, thrombocytopenic purpura and other systemic symptoms.
In addition, due to endocrine reasons, such as menstrual period, pregnancy can have gum congestion, swelling;
During pregnancy, tumor-like hyperplasia of gingival papillae can occur, called “gestational gingival tumor”, which is easy to bleed. Generally, gingival tumor and bleeding symptoms can disappear during menstruation and after delivery.
According to the causes of gingival bleeding, symptomatic treatment includes local irritants such as calculus, occlusal trauma and poor prostheses. Periodontal cleaning and removal of calculus, adjustment of occlusal relationship, correction of food impaction and modification or renewal of denture prostheses should be carried out.
Local 2% iodine glycerol, oral metronidazole 0.2, 3 times a day, or acetyl spiramycin 0.2 grams, 4 times a day, for 4-5 days.
For patients with necrotizing gingivitis, oral care should be strengthened, including washing the mouth with 1% hydrogen peroxide, applying 2.5% aurethromycin glycerine locally to the affected area, multiple times a day, and using penicillin and anti-anaerobic drugs for the whole body.
If there is a gingival tumor, surgery should be performed.
For gingiva caused by hematologic diseases, gelatin sponge compression can be temporarily used to stop bleeding, and periodontal plugging can also be used to stop bleeding, mainly by the blood specialist for systemic treatment, contaboo all periodontal surgery.
