May 15, 2025

 | Advanced Implant and Periodontal Specialists

Medically Reviewed By: Brandon G. Coleman, DDS, MS

While the occasional small amount of bleeding might seem harmless, blood when you brush or floss your teeth can be your body’s way of signaling a deeper issue. Bleeding gums aren’t normal, and you shouldn’t ignore them.

At Advanced Implant and Periodontal Specialists in Winchester, VA, our providers are here to help you understand what causes bleeding gums, what it might mean for your oral health, and what steps you can take to treat and prevent it.


What Causes Bleeding Gums?

There are several reasons why your gums might bleed, ranging from minor irritation to early signs of gum disease. Identifying the cause is key to determining the right treatment.

1. Gingivitis (Early Gum Disease)

The most common cause of bleeding gums is gingivitis, the earliest stage of periodontal disease. It occurs when plaque—a sticky film of bacteria—builds up along the gumline and causes inflammation. In response, your gums become red, swollen, and prone to bleeding.

The good news? Gingivitis is reversible with proper care. However, if left untreated, it can become a serious condition.

2. Periodontitis (Advanced Gum Disease)

If gingivitis is not addressed, it can progress to periodontitis, a more severe form of gum disease that affects the structures supporting the teeth. Bleeding is more persistent at this stage, and you may also notice:

  • Receding gums
  • Bad breath
  • Loose teeth
  • Pus between teeth and gums

Periodontitis requires professional treatment to protect your oral health.

3. Aggressive Brushing or Flossing

Sometimes bleeding gums are simply the result of brushing too hard. Similarly, if you’ve recently started flossing after a long break, you may see some bleeding initially as your gums adjust.

Our providers recommend using a soft-bristled toothbrush and gentle, circular motions when brushing. Stick with flossing—your gums will thank you.

4. Poor Oral Hygiene

Failing to brush and floss regularly allows plaque and bacteria to accumulate along the gumline, thereby increasing your risk of gum inflammation and bleeding. Good daily habits are essential.

5. Tobacco Use

Smoking and other forms of tobacco use weaken gum tissue and make it more susceptible to disease. It can also mask the symptoms of bleeding gums, meaning damage may go unnoticed until it’s advanced.

6. Hormonal Changes

Pregnancy, menstruation, and menopause can cause hormonal fluctuations that make gums more sensitive. If you’re experiencing bleeding gums during one of these stages, let our team know so we can tailor your care appropriately.

7. Medical Conditions and Medications

Certain health conditions, like diabetes and blood disorders, can affect your gums. Blood-thinning medications, such as aspirin or anticoagulants, can also make you more likely to bleed.

If you’re taking any prescription medications or have underlying health conditions, please share this information with our providers.


When Should You See a Specialist?

If your gums are bleeding regularly or you’re noticing other symptoms, it’s time to see a periodontist. Bleeding gums are often an early warning sign, and catching it early can make all the difference.

At Advanced Implant and Periodontal Specialists, our providers offer skilled diagnosis and personalized treatment plans to restore your gum health. Whether you need deep cleaning, laser therapy, or advanced periodontal care, we have the tools and experience to help.


How to Prevent Bleeding Gums

The best way to protect your gums is through proactive oral care, including:

  • Brushing twice daily with a soft-bristled toothbrush
  • Flossing once a day
  • Avoiding tobacco products
  • Eating a balanced diet rich in vitamins and minerals
  • Seeing your dentist regularly for cleanings and checkups

If you’ve been diagnosed with gum disease, regular maintenance appointments with a periodontist are crucial to prevent recurrence.


Learn More About Gum Disease Treatment

At Advanced Implant and Periodontal Specialists in Winchester, VA, our providers are here to offer compassionate, personalized care for all your gum health needs. Learn more about gum disease treatment and take the first step toward a healthier smile.