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FAQ:  Bleeding Gums

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Ask the Dentist about Bleeding Gums Corinne Scalzitti Question:
Post-Debridement Symptom? I've been diagnosed with ANUG and just had full-mouth debridement - the right side was done two days ago and the left side was done yesterday.

I have had bleeding around one of my lower rightside molars since the rightside debridement. I asked my dentist yesterday about it, and he kinda shrugged it off.

Today it started bleeding again. The bleeding doesn't seem to stop.

Trust me, I've tried all the tricks - salt water rinse, hydrogen peroxide, etc. What's going on here? Is it the infection still acting up (I'm on antibiotics)? Or is it some irritation from the debridement? ...Visitor from MO

Answer:
I don't know how much bleeding there is. Even a small amount of blood will look like a lot when it mixes with saliva.

If the bleeding is significant, I would let the dentist know how long it is going on. It may be normal from the procedure, or you could have clotting problems that are systemic and need treatment.

There is a solution that is used to control bleeding called tranexamic acid that I have used for patients on blood thinners to control bleeding. This can be made by a compounding pharmacy and used with gauze to soak the site.

Rinsing is not a good idea, since any activity will disturb a clot that is trying to form. Pressure and ice to the face would be better.

If you have significant bleeding and your dentist is not responsive, you may need to go to an emergency clinic over the weekend.

Corinne Scalzitti, DMD, MAGD

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