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Bleeding teeth, redness in gums. Have flossed. What does it sound like?

My eight year old daughters teeth have suddenly started to bleed during flossing and brushing. My husband or I have always flossed her teeth (nightly) since she has had them. At her dentists suggestion we started letting her brush them in the am about 8 months ago. But we still floss and brush them for her in pm. Her teeth are very crowded together and has lost her first 6 teeth in the last year (one adult tooth never emerged) Her gums seem red and it looks like teeth are erupting all over- but it is so sudden. Our dentist said to let them come in at there own pace and keep her regular appt.- Would you suggest we seek a second opinion? She has not seen her dentist in 5 months and has an appt scheduled in 4 weeks.
Asked On : Sun, 14 Apr 2013
Answers:  8 Views:  72
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Dentist 's  Response
Welcome to HCM

I would like to tell you that your child is in mixed dentition stage & crowding can be due to that reason.Regarding this you should wait for sometime & if it does not resolve then consult orthodontist.
Your daughter is having gingivitis & its symptoms are bleeding gums & foul smell from mouth.
Ask her to use soft bristles tooth brush.
Along with that give her chlorhexidine mouthwash for maintaining good oral hygiene.
Once she needs to go for oral prophylaxis.
Maintain proper oral hygiene & consult your dentist.

Take Care
Answered: Thu, 25 Apr 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Hello and Welcome to HCM,
Thanks for writing to us.
at this age she is having both primary and permanent dentition and because of crowding there might be accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth.
start brushing twice daily with mild brush in a circular manner. use warm saline rinses (half cup Luke warm water + half tbs table salt). rinse with it every day twice after brushing.
some time bleeding is due to vit. C Deficiency, increace intake of citrus fruits and salads .
or take vit c supplements.
bleeding can also b there due to hormonal changes.
visit a dentist for TEETH cleaning
Hope this helps you.
Wishing you good health...
Answered: Thu, 25 Apr 2013
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Dentist Dr. Bindiya Bhaskar's  Response
Thanks for writing in.
From the details provided,i assume your daughter's gums are infected.
Use soft bristled toothbrush and brush involving all aspects of teeth in back-forth and up-down motion.
Use chlorhexidine mouthrinses to gargle.
Get a full mouth scaling done by a dentist to remove the plaque and calculus.
Include vitamin rich food and fluids into diet.
Take vitamin becosules,c iron tablets.
sINce your child's teeth are crowded,it will be difficult to clean her teeth.
So orthodontic appliances can be put,once all the permanent teeth erupts.
Take care.
Answered: Thu, 25 Apr 2013
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Dentist Dr. Farah Hussain's  Response
hello there ,

According to your history i suspect you daughter is in her mixed dentition phase where her permanent teeth are replacing her milk teeth .

She may have gingival inflammation which is caused due poor oral hygiene ,improper brushing and flossing that leads to accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth.

Gingivitis presents with symptoms of redness , bleeding gums , swelling , pain .

It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants ,this will help in resolving the symptoms followed by a course of antibiotic and analgesics.

meantime i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine.

i hope this helps ,

take care.
Answered: Mon, 15 Apr 2013
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Dentist Dr. Tarush Thakur's  Response
hello dear,

It is very good to know that your daughter is now brushing twice daily. I recommend you to use a soft bristle tooth brush for her and clean the tooth surface gently, without hurting the gums. Mouth wash should be used in case the crowding is making tooth brush inaccessible to some areas.

Regarding the eruption of permanent teeth. There are two things.

1) Your daughter is in the stage of mixed dentition, where her primary teeth will be replaced by the permanent teeth. So it is very common for permanent teeth to show in various stages of erruption..

2) The major problem affecting your daughter is crowding, which i presume by your words, is severe. This might also effect the erupting permanent teeth as there may not be sufficient space for them to errupt. Quiet often they do not erupt because of lack of space and remain in the bone, technically called as impaction.

I would recommend you to visit a orthodontist without wasting any time, who specializes in positioning the teeth. There might be a need for extraction of some of the teeth, in case the space deficiency is severe and also to prevent impactions.

Have a healthy life,
Thank You.

Answered: Thu, 25 Apr 2013
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

After reading your complete history i would say your dentist has advised you in completely in right direction.please follow the directions.

your daughter has developed gingivitis,which is often seen at this age,but remember it should not be neglected.

presently she requires a through scaling and then regular brushing and flossing along with periodic follow up.

After her permanent canine erupts on either side then she can get her orthodontic treatment done for her irregular teeth.

Hope it helps.
for further query let me know.

Take care.
Answered: Sun, 14 Apr 2013
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Dentist Dr. Qazi Ammara's  Response

Thanks for asking the query,

Bleeding and swollen gums occurs due to poor oral hygiene due to crowded teeth, due to errupting permanent teeth, plague and calculus deposition, nutritional deficiencies.

If your daughter is traumatising her gums while flossing, you can quit flossing for 4-5 days till the gums heal. Select a proper toothbrush for her, you can go for a soft bristle toothbrush and brush the teeth in circular motion and for gums use flicking movements without any pressure.

You can visit to an Orthodontist and get a checkup done, treatment of malaligned teeth is necessary.
Swollen gums can be due to errupting permanent teeth.

Meanwhile go for a symptomatic treatment of complete mouth scaling and polishing.
Use antiseptic mouthwash gargles twice daily.
Maintain a good oral hygiene.
Take complete balanced diet.
Give her plenty of drinks, juices and water and keep her body hydrated.

Hope this helps out.

Answered: Sun, 14 Apr 2013
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  User's Response
Hello dear
Information provided by you shows that your daughter 's milk teeth are exfoliating regularly.while exfoliation the gums surrounding the teeth become tender and delicate and some times it bleeds also. So i dont think there is anything to worry about.Rest see your dentist as per appointment.
Dr. Amit k. Gaba
Answered: Mon, 15 Apr 2013
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