Sunday, July 22, 2012

Bleeding gums

Bleeding is a condition that requires immediate medical attention. Heavier bleeding caused by injuries of soft tissues in the mouth in young children (cases where a child is playing) or other trauma in children and adults, require surgical treatment. 

In dentistry, the most common bleeding after tooth extraction. Then the bleeding occur from the alveoli and, possibly, from the torn edges of the gums. The reason for the injury to blood vessels at the bottom of the socket, or torn blood vessels of the gingiva. After each extraction, there is bleeding that clot formation after 15 to 20 minutes to have to stop. The blood and related tissues are two groups of substances that regulate blood clotting.

One group (prokoagulancije) promotes clotting, and the other (antikoagulancije) prevent it. Coagulation depends on the balance between these substances. When the wall of blood vessel damage, the balance in this area moves in favor of the first group, and the local clot.

Alveoli is a specific wound that remains after the extraction. Such a wound remains open. Between the severed blood vessels at the bottom of the socket and the gingival margin at the top of the alveolar space.Apart from the depth of the socket, the wound can bleed is gingival margins. Bleeding can be stopped only if blood clot in the alveolus or Zili that erupts from the alveoli. After tooth extraction, the blood flows slowly from the small arteries in the alveoli. Putting the ball gaze into the patient bites resulting clot. Any flushing wounds to expel blood from it and prevent clot formation. The blood is five to six minutes after removing the clot. A few minutes later a blood clot contraction and after half an hour to squeeze all the serum, the patient described as lymph.

Causes of bleeding after surgery in the mouth

Bleeding after extraction can be extended or later. The causes of the prolonged bleeding, local and general, and subsequently causes are usually local. Local factors in prolonged bleeding usually are local inflammation, damage to major blood vessels of the instrument and high blood pressure, although he at the Entity general factor. In all three cases the blood clotting mechanism is normal. The elevated blood pressure blood flows under more pressure. From broken blood vessels blood is going in quantity. In inflammation there is local congestion. General factors arising from physiological disorders of hemostasis. Since the initial momentum to final hemostasis (stopping bleeding) involving several components. The lack of one or more substances essential for clot formation, or decrease their amount is below the required level will reduce or prevent the clotting process. On the other hand, the excess antikoagulancija will give the same result.

Many substances that influence the process of blood clotting are created in the liver. Because of the liver health affects their quantity. For example, lack of bile in the digestive tract and therefore poor absorption of fat will cause a deficit of vitamin K, which is in the process of coagulation is inevitable. Lack of calcium can also slow down blood clotting process. The tendency to bleeding may be temporary, as the lack of vitamin C.

Diseases such as hemophilia, thrombocytopenia, diabetes mellitus, and hemoblastoses hypovitaminosis vitamin C, the factors are distinct bleeding tendency.

Delayed or secondary hemorrhage occurs as a result of infection in the alveoli and gums. Reaction bleeding occurs within 24 hours after a tooth extraction. This bleeding occurs due to infection of a blood clot that supurous decay or traumatic injury due to a clot, which on its part or all wastewater from the socket.

The application of local anesthesia with the addition of a vasoconstrictor (means for squeezing the blood vessels), often immediately after extraction, conditional on the absence of ischemia, the area of ​​bleeding.When you stop its operation due to the relative hyperemia, may be a heavier bleeding.

Prolonged and subsequent bleeding after tooth extraction can be complicated and life-threatening, and the exact hemostasis is not always easy to achieve. Assessment of the patient is often difficult because such a patient is excited, and his neighbors often exaggerate. However, if the patient has dizziness, nausea, sparks before the eyes, weakness, tinnitus, and we find dim pale skin and mucous membranes, weak and rapid pulse, rapid breathing, cold and damp skin, then these are serious symptoms. Local hemostasis is achieved by tamponade (iodine gauze), compression foam materials (gelastip, gelaspon) and fibrin foam human origin. In addition, it is good to suture the gingiva, to get closer to its edges. If the bleeding from the gums, wounds are not tamponira, but the treatment of gingival margins electrocautery. In patients of any blood disease should be especially cautious. These are high-risk patients, in whom every bloody procedure should be done in cooperation with the haematologist.


Trauma to the tooth condition requiring professional treatment as soon as possible, in order to preserve the vitality of the teeth, bleeding stopped and processed surgical wounds of soft tissues. Each tooth is knocked out at the site of the accident, in a moist medium (wet wipes, milk or saline) to bring it into practice so that it could be reinplantirati.

The dentist only when hurts

In Serbia, only 8.5 percent of the adult population has all his teeth, 9.3 percent does not have a single tooth, a quarter of citizens are more than ten teeth.

People in Serbia even before they could boast bright smile, but when the first four years of dental care for the majority of the population excluded from the compulsory health insurance package, go to the dentist more often.

Recent studies indicate that only 8.5 percent of the adult population has all his teeth, 9.3 percent does not have a single tooth, a quarter of the population (26.6 percent) are more than ten teeth.

Adults less use of dental services, a sharp reduction in the number of patients registered in the first year of the Health Insurance Act of 2005. year, which limited the rights of adults to dental care.

The total number of dental visits declined in 2006. compared to the previous year by as much as 44 percent in 2007. year for another 11 percent.

While dental care was covered by compulsory insurance package, dentists have had a year from 3.25 million to four visits, a number that is after the enactment of the law fell to below two million.

Number of visits to the dentist because of caries and caries complications decreased after the enactment of the law as much as 64 percent.

The consequence of lower use of dental services is more toothless and toothless, which is not only a matter of aesthetics, but also leads to many other health problems.

However, it is not to blame the system because it is primarily the behavior of the adult population in relation to the oral health of poor and above all when it comes to oral hygiene.

Periodontal disease, tooth decay, aesthetic and functional problems associated with tooth loss are the most common reasons for visiting the dental practice in the world, and the Serbian people come to a dentist when he has just said interlocutor Tanjug, a specialist in dental prosthetics, Dr. Marina Biljman.

She adds that the toothache is one of the most common disease and a small number of people who have suffered from it, and therefore for these diseases can be argued that a common phenomenon in our nation.

Dr Biljman believes that many dental diseases can be prevented or reduced to a lesser extent if the diseased teeth timely treatment, and recent scientific studies have proven that dental disease is very hidden cause of many serious diseases other human organs.

Periodontal disease, tooth decay, aesthetic and functional problems associated with tooth loss the most common reasons for visiting the dental practice in the world, says Dr. Biljman.

"The development of a country, culture, customs, eating habits, organization and accessibility of health care, particularly investment in prevention as well as genetic factors are the main factors affecting the condition of the mouth and teeth of a nation," she said.

She pointed us to the other doctors, who monitor and statistically processed data on the state of the mouth and teeth in our population, to assure that every year improves.

Dr Biljman believes that our citizens do not look so good when it comes to teeth, especially considering the times we live in and the opportunities offered by science, although indicators show improvement.

It underlines that the dentist when he went to just be, and that it is not only about poverty or rural environment.

"In addition to the social circumstances that are still unfavorable factor for the rooting of proper attitudes towards health in general, and especially the teeth, there was negligence in the maintenance of oral hygiene and lack of embarrassment about the visible lack of even more teeth."


  1. Yeah I also have been having the problem of gum bleeding. I am not able to fix this problem with home remedies so I think it would be great to have expert treatment. So I would like to consult our family dentist Manhattan Beach.