Dear Dr. Seriki, Why are my gums bleeding?  

One of the toughest conversations I have…

…as a general dentist isn’t telling a patient they may lose a tooth or that a file broke during a root canal (yes, that happens—and yes, it’s as stressful as it sounds). Nope, the real heart-pounding moment for me is breaking the news that someone no longer qualifies for a “regular cleaning.” 

I know, I know—it doesn’t sound dramatic. But let me tell you, the looks of betrayal I get could win Oscars. Until it happens to you, you won’t fully grasp the disappointment that comes with being told, “Sorry, you’ve graduated from the basic club.” So, let’s break down what this shift actually means, how it happens, and what you can do to dodge the dreaded “deep cleaning” conversation. 

What’s Really Going On? 

Gum health is all about the supporting cast that keeps your teeth standing tall: the gums, bone, and ligaments. When things are going smoothly, a standard cleaning is enough to keep everything fresh and polished. But if plaque and tartar get cozy below the gum line, inflammation kicks in, and suddenly we’re talking gum disease, not just surface-level buildup. 

At that point, a “regular cleaning” just won’t cut it. Think of it like trying to wash a car with mud caked under the hood—you need more than a quick rinse. 

How Did We Get Here? 

Usually, it’s a mix of factors: maybe brushing was rushed (no judgment, mornings are hard), flossing was more of a “holiday activity,” or genetics simply stacked the deck against you. Add in lifestyle choices like smoking or stress, and gums can wave the white flag faster than you think. 

Can You Prevent the Upgrade? 

Mostly, yes! The golden trio—consistent brushing, daily flossing, and regular dental visits—is still undefeated. Think of them as your personal security detail against gum disease. Toss in a healthy diet and avoiding cigarettes, and you’re stacking the odds in your favor. 

The Silver Lining 

If you do end up needing more than a standard cleaning, don’t panic. It doesn’t mean you’ve failed; it just means your gums need a little extra TLC to get back on track. And honestly, once you’ve had that “deep reset,” many patients feel fresher than ever. 

Final Bite of Wisdom: 

Gum health is like maintaining a friendship: ignore it too long, and things get complicated. Show up consistently, give it some love, and it’ll be one of the best long-term relationships you’ll ever have. 

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