What should I do about bleeding gums, bad breath, and bleeding teeth when brushing my teeth in the morning?

Patient's question:

In the morning, when I wash my face, my skin often gets chafed. Is there any connection between bad breath and bleeding gums?

Doctor's answer:

The concern is chronic periodontitis. The main etiological factors of chronic periodontitis are plaque and calculus. Its symptoms include bleeding gums, periodontal pus discharge, and severe tooth mobility, which can even lead to tooth loss. Plaque and calculus occupy the normal position of the gums, causing gum recession and tooth loosening. Plaque and calculus can cause bad breath!
Treatment plan:
1. Implement thorough scaling and root planing to remove local irritants, followed by hydrogen peroxide rinsing and application of iodine glycerin.
2. Provide oral hygiene education to ensure the patient masters the correct brushing technique.
3. After one month, consider performing a flap surgery on the anterior teeth to completely eliminate periodontal pockets.
4. Follow up regularly post-surgery to maintain the therapeutic effect.
For patients with severe bad breath, it is recommended to seek immediate medical attention. Follow the doctor's advice for prompt treatment. Avoid changing medications arbitrarily, as this may counteract the therapeutic effect.

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