Bleeding gums at night are often linked to nighttime teeth grinding (bruxism) or gum disease. Let's explore these and other possibilities.
Common Causes of Nighttime Gum Bleeding:
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Bruxism (Teeth Grinding): As noted in multiple sources, clenching or grinding your teeth at night puts consistent pressure on your gums, leading to soreness, inflammation, and bleeding. This is a very common cause. [1, 5, 7, 9]
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Gum Disease (Gingivitis): Bleeding gums are a primary symptom of gingivitis, an early stage of gum disease. Plaque buildup irritates the gums, causing inflammation and bleeding, often noticed after brushing or flossing, but potentially also during sleep. [2, 6, 8, 10]
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Other Less Common Causes: While less frequent, several other factors can contribute:
- Mouth Breathing: Sleeping with your mouth open can dry out your mouth, making your gums more susceptible to irritation and bleeding. [4]
- Certain Medical Conditions: Conditions like HIV infection, anemia, herpes, leukemia, and gum cancer can sometimes manifest as bleeding gums. [3]
- Poor Oral Hygiene: Insufficient brushing and flossing allow plaque to accumulate, leading to gingivitis and bleeding gums. [2, 7, 8]
- Irregular Blood Sugar: High blood sugar can increase the risk of gum problems and bleeding. [5]
- Stress: Stress can exacerbate gum issues and increase bleeding. [3]
What to Do:
If you experience persistent bleeding gums at night, consult a dentist. They can diagnose the underlying cause and recommend appropriate treatment, which may include:
- Improved Oral Hygiene: Thorough brushing and flossing are crucial for preventing plaque buildup.
- Mouthguard: A custom-fitted mouthguard can protect your teeth and gums from the damage caused by bruxism.
- Treatment for Gum Disease: Professional cleaning and possibly medication may be necessary to manage gingivitis or other gum diseases.
- Addressing Underlying Medical Conditions: If a medical condition is contributing, managing that condition is essential.
References:
[1] Can your gums bleed while you sleep? Clenching or grinding your teeth is one of the most common causes of bleeding gums. Typically, this happens while you're asleep. The continual pressure and clenching of the teeth may seriously affect the gums, leading to bleeding gums.
[2] Cleveland Clinic: Bleeding Gums: Causes & Treatment. Bleeding gums are the No. 1 symptom of gingivitis and other forms of gum disease.
[3] News Medical: When Should You be Concerned about Bleeding Gums? Lists several medical conditions that can cause bleeding gums, including HIV infection, anemia, herpes infection, stress, leukemia, and gum cancer.
[4] Quora: Why do I always have bleeding gums when I wake up? Suggests mouth breathing as a potential cause.
[5] Spring Cypress Dental: Mouth Bleeding At Night - Suggests bruxism and irregular sugar as potential causes.
[6] Golden State Dentistry: 7 Causes of Bleeding Gums - Highlights gingivitis as the primary cause.
[7] Baltimore Dental Co.: How to Stop Bleeding Gums - Mentions gingivitis and plaque buildup.
[8] Healthline: How to Stop Bleeding Gums: 10 Methods to Try - Connects bleeding gums to poor dental hygiene and plaque buildup.
[9] Corsodyl: How To Treat & Prevent Bleeding Gums - Attributes bleeding gums to plaque buildup.
[10] Josey Lane Dentistry: Why Do Gums bleed Sometimes? - Points out bruxism as a likely cause of evening bleeding.