Dr. Jeevan Shetty

Hi, there are various reasons for bleeding gums like poor oral hygiene, vitamin deficiency, physical injury to gums, hormonal changes, medications etc. You have to visit dentist for professional cleaning and check-up to know the exact cause and solution of your problem.

Medical Care The treatment of patients with oral submucous fibrosis depends on the degree of clinical involvement. If the disease is detected at a very early stage, cessation of the habit is sufficient. Most patients with oral submucous fibrosis present with moderate-to-severe disease. Moderate-to-severe oral submucous fibrosis is irreversible. Medical treatment is symptomatic and predominantly aimed at improving mouth movements. Treatment strategies are described below. [4] The role of these treatments is still evolving. The US Food and Drug Administration has not yet approved these drugs for the treatment of oral submucous fibrosis. Steroids In patients with moderate oral submucous fibrosis, weekly submucosal intralesional injections or topical application of steroids may help prevent further damage. Placental extracts The rationale for using placental extract in patients with oral submucous fibrosis derives from its proposed anti-inflammatory effect, [58] hence, preventing or inhibiting mucosal damage. Cessation of areca nut chewing and submucosal administration of aqueous extract of healthy human placental extract (Placentrex) has shown marked improvement of the condition. [45] Hyaluronidase The use of topical hyaluronidase has been shown to improve symptoms more quickly than steroids alone. Hyaluronidase can also be added to intralesional steroid preparations. The combination of steroids and topical hyaluronidase shows better long-term results than either agent used alone. [59] IFN-gamma This plays a role in the treatment of patients with oral submucous fibrosis because of its immunoregulatory effect. IFN-gamma is a known antifibrotic cytokine. IFN-gamma, through its effect of altering collagen synthesis, appears to be a key factor to the treatment of patients with oral submucous fibrosis, and intralesional injections of the cytokine may have a significant therapeutic effect on oral submucous fibrosis. [60] Lycopene Newer studies highlight the benefit of this oral nutritional supplement at a daily dose of 16 mg. Mouth opening in 2 treatment arms (40 patients total) was statistically improved in patients with oral submucous fibrosis. This effect was slightly enhanced with the injection of intralesional betamethasone (two 1-mL ampules of 4 mg each) twice weekly, but the onset of effect was slightly delayed. [61] Pentoxifylline In a pilot study, 14 test subjects with advanced oral submucous fibrosis given pentoxifylline at 400 mg 3 times daily were compared to 15 age- and sex-matched diseased control subjects. Statistical improvement was noted in all measures of objective (mouth opening, tongue protrusion, and relief from fibrotic bands) and subjective (intolerance to spices, burning sensation of mouth, tinnitus, difficulty in swallowing, and difficulty in speech) symptoms over a 7-month period. [62] Further studies are needed, but this could be used in conjunction with other therapies. Surgical Care Surgical treatment is indicated in patients with severe trismus and/or biopsy results revealing dysplastic or neoplastic changes. Surgical modalities that have been used include the following: Simple excision of the fibrous bands: Excision can result in contracture of the tissue and exacerbation of the condition. Split-thickness skin grafting following bilateral temporalis myotomy or coronoidectomy: Trismus associated with oral submucous fibrosis may be due to changes in the temporalis tendon secondary to oral submucous fibrosis; therefore, skin grafts may relieve symptoms. [33] Nasolabial flaps and lingual pedicle flaps: Surgery to create flaps is performed only in patients with oral submucous fibrosis in whom the tongue is not involved. [63] KTP-532 laser: Use of a KTP-532 laser release procedure was found to increase mouth opening range in 9 patients over a 12-month follow-up period in one study. [64] ErCr: YSGG laser fibrotomy, performed under a local anesthesia: This may be a useful adjunct in managing oral submucous fibrosis. [65]Consultations Consult an ear, nose, and throat specialist for evaluation of dysplasia and close follow-up monitoring for the development of oral cancer. Consult a plastic surgeon for patients with severe trismus, in whom reconstructive surgery may be possible. Dietary focus should be on reducing exposure to the risk factors, especially the use of betel quid, and correcting any nutritional deficiencies, such as iron and vitamin B complex deficiencies. [3] Activity Physical therapy using muscle-stretching exercises for the mouth may be helpful in preventing further limitation of mouth movements. This is often combined with medical and surgical therapy. [66] Long-Term Monitoring Regular physical examinations, biopsy specimen analysis, and cytologic smear testing should be scheduled to detect oral dysplasia or carcinoma, especially in patients with severe oral submucous fibrosis. Patients with surface leukoplakias require close follow-up monitoring and repeat biopsies. Patients with dysplasias and carcinomas should receive routine treatment for these entities. [67] Watch for signs that indicate malignant change, which include the following: An unhealing ulcer in the lesion Lesion undergoing red changes (erythroplakia) A burning sensation in the mouth An exophytic mass A lump in the neck Difficulty in chewing, swallowing, or speaking.

U required scalling n gun uprighting of those teeth. Take tab mtz twice a day. Limcee one o d. Moxikind c v. For 15days.

Try Rinse

It is recommended to use a rinse with anti-plaque properties. It helps to reduce the amount of plaque mass in your mouth at any one time. Your best bet is a rinse that contains chlorhexidine. Since such products are only available by prescription, you should ask your dentist whether one would be right for you. Some over-the-counter rinses such as Listerine has been shown to be effective in preventing plaque buildup, but they don’t work as well as those with chlorhexidine.

Hi, lybrate-user. There is a simple home remedy I can suggest you. Try oil pulling using pure coconut oil every morning in empty stomach atleast for 5-10 mts. Take two teaspoon full of coconut oil. Put it in your mouth. Swish it atleast for 5-10 mts. This action supposedly draws out toxins in your body, primarily to improve oral health but also to improve your overall health.

These must be ulcers. Start taking multivitamin capsule. Maintain your oral hygiene. Brush twice a day. Avoid spicy food. Drink plenty of water.

On a cold wintery night, when you don't feel like brushing. , rinse your mouth with lukewarm water and a bit of salt before going to bed..
This 30 second process will leave you with a cleaner mouth overnight. .

Although excessive saliva is not too common, there are a number of conditions that can cause it - some harmless, others more serious. It is possible that your saliva problems are just a result of the way you speak. Some people speak faster or slower than others, just as some people blink more often, breathe faster, or have a more rapid heartbeat. This may just be what's normal for you. Since it is negatively affecting your life, I suggest your problem can be ignored. However there are medical conditions that causes excessive salivation injection glycopyrrolate reduces secretions in the mouth, throat, airway, and stomach.

Patients with an identifiable cause of bad breath e.g., periodontal (gum) disease, gingivitis, postnasal drip, systemic illness can be treated for these conditions.
Many cases of bad breath may be readily alleviated by:
Proper dental care and oral hygiene, including daily flossing.
Gentle cleaning of the posterior portion of the dorsum of tongue (e.g., with a plastic tongue cleaner).
Rinsing and deep gargling with an effective mouthwash (in order to get the liquid as far back as possible without swallowing it, one can extend the tongue while gargling). This is most effective when done at bedtime.
Eating fibrous foods (a healthy breakfast is recommended).
Chewing gum briefly (5 minutes is often sufficient) if the mouth is dry, or after meals, especially with high protein intake. Sugar-free gum is preferable.
Sufficient water intake.
Decreasing alcohol and coffee intake.