Can Bleeding Gums Kill You?

Can Bleeding Gums Kill You?

by | Sep 29, 2019 | Uncategorized

Maybe you’re thinking: “Wow, Doc! We’re being a little dramatic here, aren’t we?”  Well, read on.

No doubt, this title will elicit a few snickers and maybe even the occasional one-liner like “No, but I know someone whose breath could kill!” Nevertheless, the possibly shocking truth is that yes, bleeding gums can kill you.

As a practicing dentist, I see all levels of home care. There are patients who practice excellent hygiene and have firm, pink and healthy gums or teeth without cavities. Then there are those who probably wouldn’t recognize a toothbrush if it poked them in the eye and whose mouths have so much plaque it looks like they just finished eating cottage cheese.

The bottom line is – where along this spectrum do you fall – and what can it mean for your overall health?

As I write this, I recall a question posed to me by one of my patients just yesterday. He told me that one of his “lady friends” had recently passed away. According to his story, he had seen her a few weeks ago and then noticed she wasn’t around very much. When he asked about her, he learned she had died as a result of complications following a dental abscess. His question “is that possible?” reflected an incredulity that is typical when it comes to the effects of oral health on the body.

Again, my answer was “yes, it’s possible.” Severe sepsis, which is basically a systemic inflammatory response to infection, can lead to organ failure and death. His friend was forty-two years old.

Obviously, this is an extreme example of infection travelling from one site and affecting the entire organism, but there are more subtle examples that are no less significant. Take bleeding gums. There are probably few people who haven’t experienced this phenomenon at some point or another in their lifetimes. If you are a hypochondriac, you probably should stop reading right now. If, on the other hand, you are just interested in knowing what significant step you can take to reduce your risk for heart attack or stroke, read on.

If I were to speculate, I think that many physicians and dentists probably still don’t think of tooth-related infections as systemic risk factors. The science behind this concept, however, is clear. In fact, a number of studies have been completed which clearly show the following:

  • Tooth-related infection can cause death
  • Infection equates to heart attack and stroke
  • Periodontal diseases are a portal for systemic inflammation and disease
  • If you have a periodontal infection you are going to have elevated C-reactive proteins, and C-reactive proteins are four times more predictive of cardiovascular complications than cholesterol

References for these studies will be made available on my website. But that represents a relatively small sampling of the articles which conclude red gums represent a disease process unto itself. This observation is the critical point.

If red gums represent inflammation and infection, then bleeding gums are definitely not something you should ignore. Even if you are not worried about your health, you may be surprised to know that many clinicians believe that aging is caused by systemic inflammation. There are a few studies supporting this theory as well, but the point is simple: don’t ignore your oral health. You might even look younger if you take care of your teeth! One of the simplest ways to reduce inflammation is to control the bacteria in your mouth. Start by brushing after meals and flossing every day. Eat a proper diet rich in vitamins and minerals. Get enough rest. Exercise, and reduce stress.

Also, don’t forget to visit your dentist regularly. Because so many dental conditions are symptom-free in their early stages, patients can be hit hard by neglect. The perception of “no pain, no problems” is often misleading when it comes to dental problems. Couple this with the fact that in tough economic times, people tend to put off what they perceive as optional or unpleasant, and you can have a formula for disaster – financial, or otherwise….

 

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The “Flossing Thing”

The “Flossing Thing”

by | Oct 13, 2011 | Uncategorized

Here is an interesting exchange I had with a patient not too long ago. I’m getting ready to start a cleaning after completing my examination.  His gums are red (he has gingivitis), there is plaque visible, and I just know those gums will bleed when I start to clean them. I’d like to help him get this under control, but I suspect he doesn’t floss, so I ask “Do you floss?”

His answer: “Whenever I need to.”

I’m thinking: “That would be, like, EVERY DAY.”  But instead I ask: “How often is that?”

He replies: “Whenever food becomes noticeably stuck between my teeth.”

I’m actually detecting just a little annoyance now, and then he says: “Yeah, every dentist I have ever been to mentions the flossing thing.”

Well, I suppose I could talk about his favorite color, or maybe something equally inane, like the weather — but somehow the ‘flossing thing’ seemed appropriate.  And then it occurred to me, maybe that IS “flossing” for this guy.  And how many others, I wondered?

Therefore, in my quest to help rid the world of gingivitis and periodontal disease, (which just may be the shared goal of “every other dentist” who has recommended flossing) I’d like to clarify a few points about what it is and what it isn’t. While floss is unquestionably effective at removing food particles from between your teeth, just picking out the occasional chunk of steak from between your teeth doesn’t classify as “flossing.”

Flossing involves taking a piece of floss – say, about eighteen inches or so – grasping it between your thumb and index finger (just a few inches apart), then holding it in a “C” shape against the side of your tooth. Pre-threaded flossers are just fine in my opinion. Use whatever you are most comfortable with and whatever will get you to floss regularly.  Rub the floss up and down the sides of every tooth.  You actually want to slide the floss under the gum line.  This cleans out areas your toothbrush cannot effectively reach.

C-ShapeImagine not cleaning some parts of your teeth – ever.  Or maybe, you just clean some teeth and not others.  Do you think the unclean teeth might become more subject to tooth decay?  If you answered “Yes!” then you would be right.  This is exactly what occurs when you don’t floss.  The parts of the teeth that are in contact with each other never get brushed. It’s not physically possible.  So, a sizeable portion of all the fillings I end up having to place for patients are between the teeth. This is so easily helped . . . floss!

If you are just beginning to floss, you can expect your gums to bleed.  Don’t let this ‘freak you out.’  A number of patients have said to me over the years “I tried flossing but it made my gums bleed, so I quit.”  No.  Bacteria, gingivitis, and nutritional deficiencies made your gums bleed.  Flossing will help.  You just need to stick with it until you notice less and less bleeding.

It is important to have your teeth and gums examined regularly.  While gingivitis and periodontal disease are bad enough, there are a few even more serious conditions that could contribute to bleeding gums.

I actually could go on for quite a while about the many benefits to your overall health that flossing brings, but I’ll spare you for now.  Or shall we just talk about the weather?