Spontaneous bleeding from the gum tissue, i.e. blood in the mouth or blood in the saliva in the morning, is the first suspected periodontal system disorder, such as gingivitis, periodontitis, and if accompanied by bleeding from brushing, swollen or receding gums, and loss of attachment on clinical examination, the diagnosis of periodontitis is basically confirmed. Periodontal scaling and scaling are used to control plaque through aggressive treatment and regular review and monitoring. It is possible to get periodontitis under stable control. There are also some endocrine-induced gingival inflammation, such as drug-induced gingival hyperplasia, adolescent gingivitis, pregnancy gingivitis, etc., which may cause periodontal inflammation, manifested as bleeding gums, enlargement, and tissue hyperplasia. Regardless of the cause of periodontal inflammation, the first thing to do is to maintain good oral hygiene. Do the basic periodontal treatment. Remove all irritants including plaque and tartar, which can be combined with medication as appropriate, but be cautious with medication in pregnant patients.
Some patients with comorbid systemic diseases such as diabetes, uremia, and anemia also have to be treated aggressively to control systemic symptoms with medications and self-regulation to facilitate periodontal tissue healing. However, if the bleeding gums are enlarged due to leukemia, treatment should be cautious, especially in the acute stage. If necessary, a simple scaling procedure can be done to try to avoid bleeding during the procedure.