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Is Bleeding While Brushing Normal? What It Really Means

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Bleeding while brushing isn’t normal. It’s often an early sign of gum disease—your body’s warning that your gums need professional dental care.

You’re brushing your teeth, and you notice blood in the sink. It’s a little unsettling, but you might shrug it off and assume it’s normal. After all, your gums don’t hurt… so what’s the harm?

At The Dental Anesthesia Center in St. Louis, we specialize in sedation dentistry and early intervention for gum disease, especially for patients who may have avoided dental care due to fear, anxiety, or special needs.

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I have NEVER had a positive experience with dentist…until now!! I was mind blown how kind the staff was, not just to me but to everyone! I have debilitating anxiety when it comes to dentists because of bad previous experiences, so I was very nervous. But, all the staff, including Dr. Thom, were very gentle, kind, and understanding. They took time to listen to all my concerns and address them, helping to put me at ease. I was also amazed how professional the whole office ran and how completely reliable they were. They easily guided me through the process and everything went so smoothly, including my sedation. I have never been treated so kindly by any dental office before, I was struggling to believe I wasn’t in some kind of dream. But. They really were that nice.

My recovery from sedation and all
The dental work they did to save my tooth was amazing, not a single issue! Dr. Thom even called personally to check on me a day later.

Coming back to put my permanent crown in was the same experience. They were all so kind,
Good about explaining everything they were doing and make the experience light and dare I say…fun.

I would drive 2.5 hours again in a heartbeat to do my work here. Best dental experience I’ve ever
had hands down!!!!!!! Thank you Dr. Thom for giving my life and tooth back. I’m so excited to not be in so much excruciating pain anymore!
Response from the owner:We can’t thank you enough for your kind and heartfelt words. Our entire team is dedicated to creating a gentle, supportive, and positive experience for every patient, so it means the world to hear your visit felt that way. We’re so glad you felt cared for and comfortable throughout the process, and we truly appreciate you making the trip to see us. Thank you for trusting us—it’s an honor to care for patients like you!
Dr. Hoffmann and his team takes great care of my special needs daughter. We have been coming here for over 20 years. The staff is so kind and patient with her and explains everything to help her stay calm.
Response from the owner:Thank you so much for sharing your kind words and for trusting our team for so many years. We’re honored to care for your family and appreciate the opportunity to make each visit a positive experience.
I have had the best experience with Dr Behl and her staff! I have awful dental anxiety from some past experiences and they are so kind and supportive. Rebecca is incredible to work with. I highly recommend them to everyone I know!!
Response from the owner:Thank you so much for sharing your kind words! We’re happy to know you felt supported and comfortable during your visit. Our team strives to create a welcoming environment for everyone, and we truly appreciate your recommendation.
We always receive excellent care at the Dental Anesthesia Center.
Response from the owner:Thank you for your kind words! We truly appreciate your trust in our team and are grateful for the opportunity to provide care.
Our adult daughter has cerebral palsy and requires being fully sedated when having anything done. The DAC was such a positive experience. Dr Hoffmann and his staff were kind and did great explaining things. As a mom, I had a lot of questions about how certain things would be done as usually she’s in her chair when getting examined at her local dentist and they had everything under control including transferring from her chair to the dentist chair and keeping her secured in the dentist chair as well as keeping her neck and legs comfortable. Many thanks to them!
Response from the owner:Thank you so much for your kind words. We’re grateful for your trust and happy to hear that you had such a positive experience with our team. Our goal is always to provide compassionate, attentive care in a safe and comfortable environment. We truly appreciate you taking the time to share your experience.

Why Do My Gums Bleed When I Brush?

Bleeding gums are usually a symptom, not a condition. They’re often a sign of gum inflammation, also known as gingivitis, the earliest stage of gum disease (periodontal disease).

Common Causes Include:

  • Poor brushing or flossing habits
    • (Not brushing long enough or skipping flossing allows plaque to build up.)
  • Brushing too hard
    • (Using a hard-bristled brush or scrubbing aggressively can irritate gums.)
  • Gum disease (gingivitis or periodontitis)
    • (Plaque buildup causes the gums to become swollen, red, and bleed easily.)
  • Hormonal changes
    • (Pregnancy, menopause, or puberty can increase gum sensitivity.)
  • Vitamin deficiencies
    • (Especially Vitamin C and Vitamin K.)
  • Tobacco use
    • (Weakens gum tissue and masks inflammation symptoms.)
  • Medications
    • (Blood thinners or certain antihypertensives can contribute to bleeding.)

What Is Gum Disease, Really?

Gum disease is a progressive infection of the tissues supporting teeth. It starts with gingivitis and, if untreated, can evolve into periodontitis.

Progression of Gum Disease:

  • Gingivitis: Gums are red, puffy, and bleed easily. Reversible with proper care.
  • Early Periodontitis: Gums start to pull away from teeth; mild bone loss may occur.
  • Moderate to Advanced Periodontitis: Deep pockets form, teeth may loosen, and infection can spread to the bone.

Untreated gum disease is the leading cause of tooth loss in adults.

When Bleeding Gums Signal a Bigger Health Issue

Did you know your mouth can be a window into your overall health?

Chronic gum inflammation is linked to several systemic conditions, including:

  • Heart disease
  • Diabetes
  • Respiratory infections
  • Pregnancy complications (preterm birth, low birth weight)

Your gums might be bleeding, but the underlying issue could be more widespread than you think.

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How to Stop Bleeding Gums: Treatment & Prevention

1. Improve Your Oral Hygiene Routine

  • Brush twice daily for two minutes with a soft-bristled brush.
  • Floss at least once daily, even if your gums bleed at first.
  • Use antibacterial mouthwash to reduce plaque.

2. Schedule a Professional Dental Cleaning

  • A deep cleaning can remove tartar (hardened plaque) that brushing can’t reach.
  • Your hygienist can also assess your gum health and teach you proper techniques.

3. Consider Periodontal Treatment

If gum disease has progressed, we may recommend:

  • Scaling and root planing (deep gum cleaning)
  • Antibacterial therapy
  • Gum surgery for advanced cases

4. Fear of the Dentist? We Can Help.

Many patients delay care due to dental anxiety. At The Dental Anesthesia Center, we offer:

  • Sedation options for mild to severe fear
  • General anesthesia for patients with special needs or complex treatment needs
  • Non-judgmental care focused on making you feel safe and supported

My Gums Bleed Sometimes—Should I Be Worried?

Occasional, minor bleeding can happen if you’ve just started flossing again or brushed a little too hard. But frequent or unexplained bleeding should never be ignored. It’s often the first sign of something deeper, and earlier intervention makes treatment faster, easier, and more effective.

Don’t Let Bleeding Gums Turn Into Tooth Loss

Bleeding gums are your mouth’s way of asking for help. Let’s stop the progression before it becomes something bigger.

Located in St. Louis, The Dental Anesthesia Center offers comprehensive care for gum disease with sedation options for patients who need extra comfort or support.

Call us today at (314) 862-7844 or contact us online to schedule a gentle exam and personalized treatment plan.

Updated: May 17, 2025