Kamistad or Cholisal: what is the difference and what other gels treat stomatitis

Teething is a difficult period for babies and their parents. Every child experiences itching, pain and other unpleasant sensations at this time. And, of course, mom and dad don’t stand aside, trying to facilitate the appearance of the first teeth as much as possible by applying special gels for children’s gums, massage and other activities.

Let's figure out how to determine that your baby has started teething. Let's find out how to reduce discomfort.

Why do my gums bleed?

Bleeding from the gums can occur for mechanical or pathological reasons.
The first group includes a blow to the jaw area or minor injuries due to an incorrectly selected crown or filling. In this case, bleeding goes away immediately after the problem is eliminated. Only a doctor can assess whether a crown has been chosen correctly or a filling has been installed during a face-to-face consultation, because it is difficult to see such nuances on your own. Gums can also be damaged by a brush that is too hard, intensive use of dental floss, or careless impact with other objects in an attempt to completely remove food debris. In this case, bleeding appears only after the procedure and disappears after a few minutes.

Pathological causes are associated with diseases of the oral cavity and other organs. Bleeding is a symptom:

• gingivitis - inflammation of the gums;
• stomatitis - ulcers on the oral mucosa;
• periodontitis - inflammation of the soft tissues around the tooth (localized - in several units, or generalized with damage to the entire jaw);
• leukemia (leukemia) - blood cancer with a characteristic decrease in immunity;
• intoxication with heavy metals (lead, mercury);
• diabetes mellitus, which causes weakness of the gums and blood vessels due to characteristic angiopathy.

Often gums bleed due to hormonal changes. It can be caused by pregnancy, menstrual irregularities, and puberty.

When your gums bleed when brushing your teeth

Most patients' gums do not bleed constantly. Symptoms only appear when brushing your teeth or eating hard foods. This occurs for several reasons:

• inflammation of the gums makes them more vulnerable to injury;
• the process of desquamation of the epithelium of the oral mucosa intensifies, which thins the tissue;
• capillaries located close to the gums become more permeable and bleeding occurs more easily.

The combination of all three factors leads to the fact that when brushing your teeth, your gums begin to bleed. This symptom should not be ignored. Cure the disease at an early stage is much faster and cheaper than in an advanced form. And the appearance of blood when brushing your teeth is not considered normal; it is always a sign of pathology.

Basic painkillers

Not any anesthesia can be used when extracting a tooth. In dentistry, only the most common and effective medications are used. And almost every hospital has Novocaine.

But in modern treatment, novocaine is used much less frequently. If previously not a single operation could be done without it, now this drug causes an allergic reaction in most people. It has a number of side effects:

1. dizziness;
2. lethargy;
3. lowering blood pressure.

Today there are more intense anesthetics, and therefore novocaine is used only in combination. It is injected into the body with a small dose of adrenaline. In combination, these drugs have the best analgesic functions. But such a mixture should not be prescribed to people whose blood pressure is off the charts.

For infiltration anesthesia, a 0.5% lidocaine solution is used. This drug can be used for the conduction method; only a 1–2% solution is required. For an adult, the norm is 300–400 mg. Side effects of this medicine include:

1. headache;
2. fatigue;
3. loss of sensation in the lips and tongue;
4. heart rhythm is disturbed;
5. blood pressure decreases;
6. there may be hives.

The most modern anesthesia is a medicine based on the substance articaine. Such drugs can provide long-term and reliable pain relief. It is used by a large number of dental surgeons. The substance reaches its maximum effect after 10 minutes and maintains its result for 1–3.5 hours. But no matter how good the drug is, it always has side effects:

1. muscle twitching;
2. headache;
3. tremor;
4. nausea;
5. vomiting reflex;
6. diarrhea.

These are the most common side effects. But sometimes others happen:

1. blood pressure decreases;
2. cardiac arrhythmia is disturbed;
3. rashes appear on the skin;
4. angioedema may occur.

These painkillers cannot be used for meningitis, tumors, osteochondrosis, spondylitis, tuberculosis, metastatic lesions of the spine, heart failure, tumors in the abdominal area, severe arterial hypotension, and hemostasis disorders.

Use with caution during pregnancy. The drug may cause a decrease in the fetal heart rate.

A very good drug based on articaine is Ubistezin. It also contains adrenaline. It reduces blood vessels in the area where anesthesia was administered. This makes it difficult to absorb the substance. As a result, the analgesic effect begins to act within 3 minutes. In addition to the above listed side effects that drugs based on articaine have, Ubistezin also adds the likelihood of an ischemic zone in the area where anesthesia was administered. This occurs if a blood vessel has been hit or a nerve has been damaged.

Predisposing factors

Bleeding gums can be caused by injury or disease. But there are a number of factors that make the risk of this symptom appearing higher.

Gums bleed in patients:

• with chronic inflammatory diseases of the oral cavity;
• with xerostomia - dry mouth;
• with reduced immunity, including HIV and AIDS;
• with vitamin deficiency, especially C and K;
• with mouth breathing;
• with poor or irregular oral hygiene.

These factors cannot be called the cause, but they contribute to the development of bleeding gums. Those for whom none of the points apply have a much greater chance of not learning about such a problem.

If your gums bleed in the morning or at night

Peak bleeding at night or in the morning indicates an unsuitable toothbrush. During brushing, the gums are injured. In this case, you need to visit the dentist and take a hygiene lesson with the selection of personal hygiene products.

Bleeding gums may not be normal. It is definitely worth finding out the cause and treating it before the disease reaches a chronic stage.

Bad breath due to bleeding gums

Bleeding from the gums is often accompanied by bad breath. There are several reasons for this:

• proliferation of bacteria against the background of inflammation;
• accumulation of soft and hard dental plaque;
• the presence of deposits under the gum that are not visible to the naked eye.

An unpleasant odor is a formidable symptom, since it does not appear immediately. This means the disease is already progressing. It is impossible to find out the cause and eliminate it on your own (without a dentist); The pathology will become chronic and it will be more difficult to cure.

A lump with pus on the gum against the background of bleeding

The appearance of a tumor on the gum can frighten anyone. The presence of a round swelling against the background of bleeding gums indicates one of the diseases:

• periodontitis - destruction of the soft tissue around the tooth with the formation of a characteristic lump;
• periodontitis - the presence of a capsule with pus on the gum due to destruction of the tooth root;
• intragingival fistula - a lump with pus inside, the contents of which, when ruptured, come out, significantly facilitating the patient’s well-being;
• periostitis (flux) - a red spherical formation on the gum, the appearance of which is accompanied by swelling of the cheeks and enlargement of the nearest lymph nodes;
• epulis is a neoplasm that does not contain pus, resulting from mechanical damage to the soft tissues of the oral cavity;
• Gingivitis is a painless lump on the gum.

Most of these conditions require urgent medical attention. If pus gets into the bloodstream or into the internal tissues of the tooth, it not only leads to severe pain, but also poses a fatal danger. If a lump appears on your gum, you should immediately go to see a dental surgeon. He will determine the cause of its formation and select treatment.

Medicines you shouldn't take

Many people use homemade medications for pain relief. But they have low efficiency and can provoke undesirable results:

1. Aspirin. The medicine is intended to perform an antipyretic function. The analgesic effect is minimal. Aspirin is a good blood thinner. This may lead to delayed bleeding. Although this medicine is included in many painkillers.
2. Paracetamol. The drug can only cope with mild headaches. It has no anti-inflammatory effect and has a negative effect on the liver. Included in painkillers as an adjuvant.
3. No-shpa. Many people think that this medicine is a pain reliever. But that's not true. No-spa is an antispasmodic drug that only eliminates pain associated with spasms. The pain after tooth extraction is completely different and no-spa will not be able to cope with it.

Gums bleed in pregnant women

While carrying a child, a woman’s body undergoes restructuring: special hormones begin to be produced, and the body changes. This also applies to the oral cavity. Every second pregnant woman is diagnosed with hypertrophic gingivitis. It is manifested by an increase in gingival papillae and the appearance of bleeding.

The cause of this condition in a pregnant woman can also be the accumulation of bacteria due to an increase in the depth of the gum pockets. Bacteria accumulate in them, causing inflammation. Proper brushing helps to avoid the development of bleeding gums. It is better to use an irrigator and mouth rinses for this.

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Children's gums bleed

Young children enjoy brushing their teeth the least. If parents do not control the quality of oral hygiene, gingivitis occurs. In this case, the main symptom of the disease is bleeding gums.

The physiological cause of this condition in children is the process of teething. In this case, the integrity of the gum is compromised and it can bleed.

Problems with the gums are also caused by an incorrect bite. In this case, soft tissues are injured by teeth that are incorrectly positioned relative to each other.

Wearing orthodontic appliances can damage the integrity of the gums. This especially happens when wearing braces with uneven edges. To prevent injury, locks must be treated with special wax. But children often forget to do this; as a result, braces damage soft tissues, causing bleeding.

“Disease of dirty hands” - stomatitis, also more often affects children. They take less care of hygiene, which provokes the appearance of characteristic ulcers on the mucous membrane.

Some parents believe that children do not need to treat their baby teeth, because they will still be replaced by molars. This opinion is erroneous, because caries is caused by bacteria, and their constant presence in the mouth leads to periodontitis. The disease is characterized not only by bleeding gums, but also by the appearance of bumps with pus. This condition requires immediate medical intervention, otherwise serious complications arise.

The effectiveness of baby gels for gums, how to use them when teething

Before buying this or that gel, consult your doctor to be sure of the safety and effectiveness of the product. Be sure to read the instructions before first use.

Basic rules for using gum gel when teething in a child:

• Apply the gel using a sterile cotton swab or very carefully with clean fingers.
• The product must be rubbed in slowly in a circular motion.
• Remember that a very small amount of gel is enough. Do not overdo it.
• The product can be used no more than four to five times a day, with a minimum interval of four hours between applications.
• Gels should only be used in cases of severe pain or discomfort. Usually the most painful teeth are the first two incisors and those that appear in the second year of life.

Which doctor will help if my gums are bleeding?

If you have bleeding gums, you should consult a dentist. In the absence of complications, the doctor’s specialization does not play a role.

If the condition is complicated by the appearance of a lump with pus, you should immediately go to a dental surgeon. He will determine the type of tumor, choose treatment tactics and, if necessary, perform urgent surgery. At the Matisse Dent clinic, you don’t need to make an appointment several weeks in advance, endure pain and wait for help. With an acute condition, doctors will accept and perform surgery on the day of treatment.

SOS remedies against bleeding gums

Sometimes it’s impossible to get to the doctor and you need to wait 1-2 days until the appointment. In this case, several SOS tools will help.

1. Rinses: chlorhexidine, oak bark decoction, LACALUT Aktiv rinses with aluminum lactate and sodium fluoride, PRESIDENT Antibacterial with plant extracts - relieve inflammation, prevent bleeding.
2. Gels: Cholisal, Parodontocid - reduce pain, remove signs of inflammation.
3. Pastes: Forest balm - contains oak bark, stops bleeding, strengthens gums.

All means must be used comprehensively. First, brush your teeth, then rinse (1 minute). After this, the solution is spat out and the gums are dried with gauze: this way the gel is better fixed. Then use ointments, applying with your finger to the entire inflamed surface. If saliva comes out during treatment, you should not swallow it, you need to spit it out.

After the procedure, you should refrain from drinking for 30 minutes and from eating for 2 hours. Treatment is carried out twice a day: after breakfast and at night.

The most effective remedy for diseases in which the gums begin to bleed is antibiotics. They help to quickly relieve inflammation and improve well-being. But they are available with a prescription and are taken only as prescribed by a doctor. Therefore, you won’t be able to buy and prescribe antibiotics yourself. It is better to immediately make an appointment with a specialist so as not to waste time and money on something that will not solve the problem, but will only delay the inevitable.

How to make teething easier

While the teeth are just getting ready to appear, the baby experiences a lot of unpleasant sensations, which, of course, causes a lot of trouble for the parents. During this period, the child needs care and affection, as well as plenty of fluids. It is recommended that infants be breastfed more often, and children on artificial nutrition should be offered more warm water.

There are many ways to relieve discomfort. Two most popular:

• Give your child special teethers - these are soft silicone toys filled with liquid. Cool the toy slightly in the refrigerator before use. This will help relieve swelling and reduce pain. The textured surface of the teether will give the baby the opportunity to thoroughly massage and “scratch” the gums. The bright design of the toy will attract attention to it and amuse the child.
• Use topical medications - pain-relieving gels and ointments for gums, designed specifically for children. These remedies act very quickly and help the child forget about discomfort for several hours.

Mistakes in self-medication

When trying to get rid of bleeding gums on their own, patients make a number of mistakes. Never worth it:

• start taking antibiotics without a prescription - they may not be needed, but the blow to the body will be dealt;
• Stop brushing your teeth - this will only lead to a worsening of the condition;
• getting too carried away with oral hygiene - this will not save you from complications and will not cure, but will only aggravate the situation due to systematic injury to soft tissues;
• be afraid to go to the dentist - modern treatment methods are painless and do not cause discomfort, unlike purulent complications.

Lack of timely and competent treatment of bleeding gums leads to the spread of inflammation to bone formations. As a result, teeth become loose and fall out, requiring implants to be inserted. This is much more expensive than contacting a specialist in time to solve a gum problem.

You should not let the disease progress and self-medicate; come to the Matisse Dent clinic and receive competent medical care.

Eating after removal

It is not recommended to eat salty and spicy foods after tooth extraction. They irritate the mucous membrane and increase pain. Consuming hot food and drinks can cause bleeding and increase swelling.

Many people have been afraid to eat ice cream for a long time, claiming that they will catch a cold. Cold food has no effect on this. This problem can be caused by general hypothermia of the body or a draft. The main thing is to eat the ice cream slowly and not bite into large pieces. This delicacy is even recommended, because it forces the blood vessels to constrict, which means that there is no risk of bleeding.

Category: Tooth extraction Published by Mister stomatolog