Dr. Sulabh Jain

As You have mentioned he is a chronic high blood pressure patient, u must be aware of his blood pressure. U can get a portable bp monitor instrument for home use. There may be a co relation between the blood oozing and high blood pressure. If he brushes hard there may be a chances of gingival trauma that give rise to bleeding. (a clinical co relation is must)

Roughness could b due to accumulation of plaque n calculus as one tends to brush less/ improperly the lingual surface of teeth. Get a professional cleaning done by dentist who'll guide you if decay exists.

Get scaling polishing done by a dentist than brush twice daily especially at night use any std tooth paste avoid coloured foodstuffs.

No one is asking you to take medicines. Medicines are not allergic. Human being is allergic to medicine. Keep your teeth clean, visit a dentist and get them cleaned.

Hi please train your kid with proper brushing technique. And rinse mouth after each meal. Avoid to give too much chocolates and sweetened drinks. You can take act anti cavity fluoride rinse or oral-b mouth wash for kid. But avoid using so frequently.

We need more investigations to decide upon treatment. You may need deep cleaning or surgical removal procedures for the mucosa above the tooth to prevent food stagnation or the tooth itself. Rinse frequently with mouth wash. You may consult me in person. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.

The symptoms you have mentioned can be due to developing deviated nasal septum, nasal obstructions like polyps, tonsillitis etc. Sometimes it can be related to mouth breathing habit which will cause severe future teeth and jaw related abnormality. You please visit a pediatrician/ ENT specialist/ pedodontist/Oral medicine dental specialist for confirmation.

I think you might be developing a condition called Oral Submucous Fibrosis (OSMF). This is considered a precursor stage to frank Oral Cancer. Please quit your tobacco as well as alcohol (if present) habits, immediately and completely. Do not use supaari or eat paan either. Avoid spicy foods. As for the reduced mouth opening, do start active and aggressive physiotherapy which would need to be continued lifelong. For additional treatment, please see an Oral & Maxillofacial Surgeon.

Mr. Lybrate-user, you should immediately consult your nearest dentist and get it checked. Bleeding from mouth (gums) when you brush is a common sign of periodontitis also known as pyorrhoea. Ideally you should get a professional cleaning done from a gum specialist (periodontist) which should help you in reducing the bleeding.