Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.

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Bleeding Gums: Oral Hygiene Tips

Preventing bleeding gums depends mostly on your daily care at home. Dental treatments can help, but if you do not clean your teeth and gums every day, the problem will come back. At Liv Hospital, we see our patients as partners in care. We give personalized advice based on your needs, such as if you have braces or bridges. Teaching you the right tools and techniques is the best way to keep your gums healthy for the long term.

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Toothbrushing: The First Line of Defense

The goal of brushing is not just to remove food, but to disorganize the bacterial biofilm.

The Modified Bass Technique

This is the gold standard technique for patients with periodontal disease.

  • Angulation: Place the toothbrush head at a 45-degree angle to the gum line. The bristles should point towards the root of the tooth.
  • Action: Apply gentle pressure so the bristles enter the gingival sulcus slightly. Use a short, vibratory back-and-forth motion (not a wide scrubbing motion) for about 10-15 seconds per area. This vibration dislodges subgingival plaque.
  • Roll: Finish with a sweeping roll of the brush head away from the gums towards the biting surface to clear the debris.
  • Coverage: Systematically move around the arch, overlapping areas to ensure no tooth is missed. Brush the outer, inner, and chewing surfaces.
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Toothbrush Selection

  • Texture: Always use a soft or extra-soft toothbrush. Stiff bristles can abrade the gingival tissue, causing recession and acute bleeding, and can wear away tooth structure (abrasion).
  • Electric Toothbrushes: High-quality electric toothbrushes (sonic or oscillating-rotating) are clinically proven to be more effective than manual brushes at removing plaque for most patients. Their built-in timers (2 minutes) and pressure sensors (that stop pulsation when you press too hard) are invaluable features for preventing trauma while ensuring thorough cleaning.

Interproximal Cleaning: Where the Disease Starts

Toothbrushing alone cleans only about 60% of tooth surfaces. The interdental areas (between teeth) are the most vulnerable sites for gum disease and bleeding. Cleaning here is mandatory, not optional.

Dental Floss

  • Technique: Use a piece of floss about 18 inches long. Wind it around the middle fingers. Gently guide it between teeth using a sawing motion—do not snap it into the gum.
  • The “C” Shape: Once through the contact point, curve the floss into a “C” shape around the side of one tooth. Slide it gently under the gum line until you feel resistance. Move it up and down to scrape the side of the tooth. Repeat for the adjacent tooth.
  • Type: Waxed floss slides more easily in tight contacts; dental tape is broader and good for more expansive spaces.

Interdental Brushes (Proximal Brushes)

For many patients, especially those with larger gaps, gum recession, or periodontal pockets, interdental brushes are superior to floss.

  • Function: These tiny bottle-brush-like tools fill the embrasure space and use friction to remove plaque from concave root surfaces that floss might miss.
  • Sizing: Using the correct size is crucial; it should fit snugly but without forcing. A wire center that scrapes the tooth indicates the brush is too big or the angle is wrong

Water Flossers (Oral Irrigators)

  • Mechanism: These devices shoot a pressurized, pulsating stream of water to flush out plaque, food debris, and bacteria.
  • Benefits: They are excellent for reaching deep into periodontal pockets (up to 6mm) where floss cannot reach. The pulsation also stimulates the gingival tissue and flushes out inflammatory mediators. They are highly recommended for patients with implants, bridges, or orthodontics.

Chemical Plaque Control

  • Chemotherapeutics serve as an adjunct to mechanical cleaning.

    Therapeutic Mouthrinses

    • Antiseptic: Rinses containing essential oils (e.g., Listerine) penetrate the biofilm and kill bacteria.
    • Cetylpyridinium Chloride (CPC): An ingredient in many alcohol-free rinses that reduces plaque adhesion.
    • Chlorhexidine Gluconate (CHX): The strongest prescription rinse available. It binds to oral tissues and releases slowly (substantivity), providing long-lasting bacterial kill. It is typically used for short periods (1-2 weeks) after surgery or for acute inflammation, as long-term use can lead to staining and calculus buildup.

Salt Water Rinses

  • A simple, isotonic solution of warm water and salt (1/2 teaspoon per cup) is a natural anti-inflammatory. It draws fluid out of swollen tissues (osmosis), reduces edema, and soothes bleeding gums.

    Tongue Cleaning

    The dorsum of the tongue is a reservoir for bacteria that can translocate to the gums and cause bad breath. Using a tongue scraper or brushing the tongue daily reduces the overall bacterial load in the mouth.

Dietary and Lifestyle Habits

    • Sugar Frequency: Every time you eat sugar, plaque bacteria produce acid for 20 minutes. Reducing the frequency of sugary snacks is more important than the total amount.
    • Nutrient Density: A diet rich in Vitamin C (citrus, peppers), Vitamin D, calcium, and anti-inflammatory Omega-3s supports immune function and bone health.

    Smoking Cessation: Smoking is the most significant modifiable risk factor. Quitting smoking improves blood flow to the gums, enhances the immune response, and dramatically improves the success rate of periodontal treatments.

Routine Professional Care

    • Even with perfect home care, calculus can form in hard-to-reach areas. Regular professional cleanings (prophylaxis or periodontal maintenance) every 3 to 6 months are essential to remove these deposits and monitor for disease recurrence.

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FREQUENTLY ASKED QUESTIONS

Is it better to floss before or after brushing?

CT scans use X-rays to create detailed cross-sectional images and are excellent for visualizing kidney stones, detecting tumors, and evaluating traumatic injuries. They are fast and widely available. MRI uses strong magnetic fields and radio waves to produce detailed images of soft tissues, making it superior for staging prostate cancer, evaluating bladder wall invasion, and assessing pelvic floor disorders without ionizing radiation.

Contrast dye, usually iodine-based, is injected into a vein to highlight the blood vessels and urinary tract organs. As the kidneys filter the dye from the blood, it opacifies the urine. This allows the radiologist to see the internal structure of the kidneys, the ureters, and the bladder clearly, revealing blockages, tumors, or structural abnormalities that would be invisible on a non-contrast scan.

Multiparametric MRI is an advanced imaging technique that combines standard anatomical sequences with functional sequences like Diffusion-Weighted Imaging and Dynamic Contrast-Enhanced imaging. This provides a comprehensive assessment of the prostate, allowing doctors to distinguish between benign conditions like BPH and significant prostate cancer, and to guide targeted biopsies.

CT scans do involve exposure to ionizing radiation, which carries a small theoretical risk of cellular damage over time. However, modern CT scanners use dose-modulation technology to minimize this exposure to the lowest level necessary for a diagnostic image. The benefit of an accurate and timely diagnosis for serious urological conditions typically far outweighs the minimal risk of radiation.

Many modern orthopedic implants are MRI-safe, although they may cause some image distortion. However, older pacemakers, defibrillators, and certain metal clips may be unsafe in the strong magnetic field. It is critical to inform the imaging team of any metallic implants so they can verify their safety compatibility or recommend an alternative test like a CT scan.

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