Acta Scientific Dental Sciences

Review Article Volume 9 Issue 2

A Comprehensive Review on Gingival Bleeding

Vishnusripriya J1*, Subair K1, Nanditha Chandran3, Hemalatha DM1, Aswathy Santhosh4 and Aswana Asok4

1 Senior Lecturer, Department of Periodontics, Mahe Institiute of Dental Sciences and Hospital, India
2Professor, Department of Periodontics, Mahe Institiute of Dental Sciences and Hospital, India
3Reader, Department of Periodontics, Mahe Institiute of Dental Sciences and Hospital, India
4Fourth Year BDS Student, Department of Periodontics, Mahe Institiute of Dental Sciences and Hospital, India

*Corresponding Author: Vishnusripriya J, Senior Lecturer, Department of Periodontics, Mahe Institiute of Dental Sciences and Hospital, India.

Received: January 23, 2025; Published: January 31, 2025

Abstract

Gingival inflammation, characterized by increased crevicular fluid production and bleeding from the gingival sulcus, is the earliest symptoms of gingivitis. This bleeding is crucial for early diagnosis and prevention of advanced gingivitis, as it indicates an inflamma tory lesion in the epithelium and connective tissue. Gingival bleeding is an early sign of periodontal destruction, and its severity can be evaluated using the gingival index and bleeding on probing. Despite the lack of data on the effectiveness of periodontal personal hygiene in treating gingival bleeding, continued bleeding on probing is a reliable indicator of periodontal disintegration.

Keywords: Gingival Bleeding; Oral Hygiene; Periodontal Diseases; Smoking

References

  1. Alasqah M., et al. “The effect of gingival bleeding on oral home care practices in Saudi Arabia”. Journal of Family Medicine and Primary Care 8 (2019): 2696-2698.
  2. Asikainen S., et al. “Gingival bleeding after chlorhexidine rinses with or without mechanical oral hygiene”. Journal of Clinical Periodontology2 (1984): 87-94.
  3. Bertelsen RJ., et al. “Association of oral bacteria with oral hygiene habits and self-reported gingival bleeding”. Journal of Clinical Periodontology8 (2022): 768-781.
  4. Butera A., et al. “Management of Gingival Bleeding in Periodontal Patients with Domiciliary Use of Toothpastes Containing Hyaluronic Acid, Lactoferrin, or Paraprobiotics: A Randomized Controlled Clinical Trial”. Applied Science 11 (2021): 8586.
  5. Caton J., et al. “Associations between bleeding and visual signs of interdental gingival inflammation”. Journal of Periodontology11 (1988): 722-727.
  6. Chaves ES., et al. “Relationship of "bleeding on probing" and "gingival index bleeding" as clinical parameters of gingival inflammation”. Journal of Clinical Periodontology2 (1993): 139-143.
  7. Elad S., et al. “A critically severe gingival bleeding following non-surgical periodontal treatment in patients medicated with anti-platelet”. Journal of Clinical Periodontology4 (2008): 342-345.
  8. Ervasti T., et al. “Relation between control of diabetes and gingival bleeding”. Journal of Periodontology3 (1985): 154-157.
  9. Figuero E., et al. “Effect of pregnancy on gingival inflammation in systemically healthy women: a systematic review”. Journal of Clinical Periodontology5 (2013): 457-473.
  10. Gómez Real F., et al. “The Association of Gum Bleeding with Respiratory Health in a Population Based Study from Northern Europe”. PLoS One1 (2016): e0147518.
  11. Gonzalez S., et al. “Gingival bleeding on probing: relationship to change in periodontal pocket depth and effect of sodium hypochlorite oral rinse”. Journal of Periodontal Research3 (2015): 397-402.
  12. Handschel J., et al. “Complications after oral surgery in patients with congenital or drug-induced bleeding disorders”. In Vivo2 (2011): 283-286.
  13. Holde GE., et al. “To what extent does smoking affect gingival bleeding response to supragingival plaque? Site-specific analyses in a population-based study”. Journal of Periodontal Research2 (2020): 277-286.
  14. Kumar Santhosh. “Local hemostatic agents in the management of bleeding in oral surgery”. Asian Journal of Pharmaceutical and Clinical Research 9 (2016).
  15. Lal S., et al. “Gingival bleeding in 6- to 13-year-old children with diabetes mellitus”. Pediatric Dentistry5 (2007): 426-430.
  16. Lang NP., et al. “Gingivitis as a risk factor in periodontal disease”. Journal of Clinical Periodontology 36 (2006): 3-8.
  17. Manzalawi R., et al. “Gingival bleeding associated with COVID-19 infection”. Clinical Case Report1 (2020): 294-297.
  18. Maroneze MC., et al. “Edema and gingival bleeding in anterior region have a negative influence on quality of life of adolescents”. Brazilian Oral Research 32 (2018): e112.
  19. Mittal S., et al. “Gingival bleeding and pocket depth among smokers and the related changes after short-term smoking cessation”. Acta Odontologica Scandinavica4 (2022): 258-263.
  20. Morozumi T., et al. “Smoking cessation increases gingival blood flow and gingival crevicular fluid”. Journal of Clinical Periodontology4 (2004): 267-272.
  21. Murakami S., et al. “Dental plaque-induced gingival conditions”. Journal of Periodontology 89 (2018): S17-S27.
  22. Newbrun E. “Indices to measure gingival bleeding”. Journal of Periodontology6 (1996): 555-561.
  23. Pesce P., et al. “Effect of different anticoagulants and antiplatelets on intraoral bleeding time during professional oral hygiene session”. BMC Oral Health1 (2024): 957.
  24. Pflipsen M and Zenchenko Y. “Nutrition for oral health and oral manifestations of poor nutrition and unhealthy habits”. Genetic Dentistry6 (2017): 36-43.
  25. Preber H and Bergström J. “Effect of non-surgical treatment on gingival bleeding in smokers and non-smokers”. Acta Odontologica Scandinavica 2 (1986): 85-89.
  26. Ramsay EI., et al. “Honey in oral health and care: A mini review”. Journal of Oral Bioscience1 (2019): 32-36.
  27. Ramseier CA., et al. “Effect of Age on Bleeding on Probing (BOP) as an Indicator of Periodontal Inflammation in Patients Enrolled in Supportive Periodontal Therapy”. Oral Health Prevention Dentistry 19 (2021): 43-50.
  28. Rosema NA., et al. “The effect of different interdental cleaning devices on gingival bleeding”. Journal of the International Academy of Periodontology1 (2011): 2-10.
  29. Schenkein HA and Loos BG. “Inflammatory mechanisms linking periodontal diseases to cardiovascular diseases”. Journal of Clinical Periodontology14 (2014): S51-69.
  30. Taani DQ and Alhaija ES. “Self-assessed bleeding as an indicator of gingival health among 12-14-year-old children”. Journal of Oral Rehabilitation1 (2003): 78-81.
  31. Tada A and Miura H. “The Relationship between Vitamin C and Periodontal Diseases: A Systematic Review”. International Journal of Environmental Research and Public Health14 (2019): 2472.
  32. Tarighi P and Khoroushi M. “A review on common chemical hemostatic agents in restorative dentistry”. Dental Research Journal (Isfahan)4 (2014): 423-428.
  33. van Galen KP., et al. “Antifibrinolytic therapy for preventing oral bleeding in patients with haemophilia or Von Willebrand disease undergoing minor oral surgery or dental extractions”. Cochrane Database System Review 12 (2015): CD011385.
  34. Watanabe T., et al. “Septic pulmonary embolism associated with periodontal disease: a case report and literature review”. BMC Infectious Disease1 (2019): 74.

Citation

Citation: Vishnusripriya J., et al. “A Comprehensive Review on Gingival Bleeding". Acta Scientific Dental Sciences 9.2 (2025): 86-94.

Copyright

Copyright: © 2025 Vishnusripriya J., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Impact Factor1.278

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