Gum treatment

Bleeding when brushing is neither trivial nor normal. It is the first sign of inflammation, which is where loss of tooth support begins.

Gum inflammation begins where plaque accumulates: at the gumline and between the teeth. At first this is gingivitis — the gums redden, swell and bleed, but the bone is still intact and at this stage everything is reversible. Left untreated, the inflammation goes deeper, to the ligament and bone, and becomes periodontitis.

With periodontitis the bone around the tooth gradually recedes, the gums drop and the teeth become mobile. Lost bone is hard to restore, so treatment is aimed primarily at stopping the process. The earlier it starts, the more support can be preserved.

When to come in

Gums bleed when brushing or biting

Gums are swollen, red or tender

Teeth look longer — the gum is receding

There is tooth mobility or persistent odour

What this includes

Classic injection therapy A course of injections into the gum to relieve inflammation.

Plasma lifting (single or a course of 3) Plasma obtained from the patient’s own blood is injected into the gum.

Curasept gel therapy An antiseptic gel applied to the gum following the manufacturer’s protocol.

Lumoral photodynamic therapy A light-activated compound acts on the bacterial biofilm without antibiotics.

How treatment goes

1 Examination The dentist assesses the gums, pocket depth and bone level — the plan depends on this.

2 Removing deposits Any gum treatment starts with removing calculus and plaque: without that, inflammation returns.

3 Therapy The dentist selects a method for the situation — injections, plasma lifting, gel or Lumoral, often in combination.

4 Home care and follow-up A brush, paste and interdental brushes are chosen and a follow-up is scheduled — without home hygiene the result does not hold.

Common questions

Isn’t bleeding just from a hard brush? Healthy gums do not bleed even from a hard brush. Blood when brushing almost always means inflammation, not injury. Switching to a soft brush makes sense, but it does not remove the cause.

Will the gum grow back? Swelling subsides and colour returns once inflammation is treated. But if the gum has receded because of bone loss, it will not rise back on its own — surgical options such as a connective tissue graft are then discussed.

Is one cleaning enough? With gingivitis, often yes — remove deposits and establish home care. With periodontitis, cleaning is essential but not enough on its own: a course of treatment and regular monitoring are needed.

Still have questions?

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The information on this page is general. A treatment plan, indications and contraindications are determined by a dentist at an in-person examination.