BLEEDING GUMS- Ayurvedic medicines, Tooth powders, Home remedies, research papers

BLEEDING GUMS

Gum, also called gingiva, plural gingivae, in anatomy, connective tissue covered with mucous membrane, attached to and surrounding the necks of the teeth and adjacent alveolar bone. Bleeding gums is the most common ailment associated with many gum diseases.

SIGNS AND SYMPTOMS OF BLEEDING GUMS

  • Bleeding from gums with or without a mechanical stimuli

CAUSES OF BLEEDING GUMS

  • The build-up of plaque at the gum
  • Bleeding disorders
  • Improper flossing
  • Infection, which can be either in a tooth or the gum
  • Leukaemia, a type of blood cancer
  • Scurvy, a vitamin C deficiency and Vitamin K deficiency
  • Improper Brushing
  • Ill-fitting dentures or other dental appliances

PATHOPHYSIOLOGY OF BLEEDING GUMS

Due to the above-mentioned causes bleeding from gums occur particularly during brushing.

DIAGNOSIS OF BLEEDING GUMS

  • Bleeding gums may occur in following gum diseases
  • Gingivitis
  • Spongy gums
  • Gum boils
  • Gum abscesses
  • Allergic gums
  • Laboratory tests carried to find out the associated systemic illness
  • The biopsy is done to find out the infections and malignancy

TREATMENTS OF BLEEDING GUMS

  • Dental hygiene is the first step to managing bleeding gums
  • Pharmacological therapy
  • Management of underlying disease
  • Vitamin supply
  • Antiseptic mouthwashes

PROGNOSIS OF BLEEDING GUMS

  • Prognosis is based on the cause of the diseases, duration  and condition of the patient
  • Generally, bleeding gums are curable.

COMPLICATIONS OF BLEEDING GUMS

  • Bleeding may be prolonged in patients using blood thinners

Bleeding Gums AND AYURVEDA

Bleeding gums in Ayurveda known as sheetada. In Ayurvedic classics, the brief description regarding sheetada is found in susrutha Samhita.

NIDANA- AYURVEDIC CAUSES OF BLEEDING GUMS

In this disease mainly kapha dosha is involved (vitiated). Dushya involved is raktha dhatu.

  • Mechanical injuries
  • More acrid, sour, ushna virya foods
  • Danta moola vyadhis – gum diseases

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF BLEEDING GUMS

  • Bleeding on gums during brushing
  • Gingivitis

SAMPRAPTHI –MATURATION OF BLEEDING GUMS

Due to the causative factors, kapha dosha along with rakta vitiated and resides in the gums. When a mechanical stimulus occurs then bleeding from gums manifested.

LAKSHANA -AYURVEDIC SIGNS AND SYMPTOMS OF BLEEDING GUMS

  • Gums become soft
  • Bleeding from gums
  • Blackish discolouration with the accumulation of debris on gums
  • Foul smell from mouth
  • Severe pain and finally gums are destructed

AYURVEDIC PROGNOSIS OF BLEEDING GUMS

  • Curable – sugha sadhya
  • If the underlying diseases are serious then difficult to cure – krichra sadhya

CHIKITSA- AYURVEDIC TREATMENT OF BLEEDING GUMS

AYURVEDIC SAMANA TREATMENT OF BLEEDING GUMS

  • Soolahara – pain relievers
  • Sothahara – anti-inflammatory
  • Raktha stambana – bleeding arresting medicines
  • Vrana ropaka – wound healers

AYURVEDIC SHODHANA TREATMENT OF BLEEDING GUMS

  • Gandoosha – using the decoction of musta, arjuna twak, triphala, shunti or Saptachadadi Gandoosham
  • Nasyam – triphala ghrita/ Anu tailam nasya
  • Raktamokshana – bloodletting
  • Pratisarana – application of medicine to the gums

COMMONLY USED AYURVEDIC MEDICINES FOR BLEEDING GUMS

Internal Ayurvedic Medicines for Bleeding Gums

  • Kanchanara guggulu
  • Lakshadi guggulu
  • Triphala guggulu
  • Khadiradi vati
  • Sarivadi vati

Tooth Powders for Bleeding Gums

Gairika+ Pepper + Clove + Rock salt

HOME REMEDIES for Bleeding Gums

  • Intake of Indian gooseberry – By preventing the vitamin C deficiency
  • Mouth washing with the decoction of triphala
  • Gargle with water boiled of Clove.

DIET AND BEHAVIOUR for Bleeding Gums

  • Avoid food items which produce dosha imbalance like cold, acrid and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
  • Use a soft toothbrush for brushing

YOGA for Bleeding Gums

Nadi Shuddi Pranayam    – cleans the respiratory passage and relieves the oral foul smell

The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.

RESEARCH PAPERS of Bleeding Gums

  1. Role of Ayurveda in the management of oral hygiene

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931197/

Keywords: bleeding gums, sheetada, Ayurveda

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