HomeAnswersDentistryspacing in between the teethDoes dental scaling cause bleeding and gaps between teeth?

I have bleeding and a large gap between my teeth after scaling. Is this normal?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At June 23, 2021
Reviewed AtJune 23, 2021

Patient's Query

Hi doctor,

I have severe gingivitis and have done three sessions of deep tooth cleaning (each one week apart). When I rinse at the dentist, my mouth is full of blood every time, and I see pieces of tissue floating in the blood, and it takes three to five of the little rinsing cups for the whole red blood to go away. Is this normal? Also, is it possible for root planing and tooth scaling to cause damage to the actual gums, like breaking the chunks of the gum tissue? I have huge gaps in my teeth now, which I realize are possibly due to the removed calculus. Some damage may have been done to my gums because there is a big gapping hole between my two front teeth now that was not present after my first deep cleaning session. Why did these gaps only show after the second session? Today I did my third session, and although each session hurts, this last session hurt when the scaling tool went between the tooth to the roots. Is it possible for a dentist to cause damage to the gums if the procedure was done incorrectly? Is it likely? I have huge gaps between three of my front teeth now that only appeared after sessions two and three. Is this normal? Thank you.

Hi,

Welcome to icliniq.com.

I checked your history and photographs (attachments removed to protect the patient's identity). As per my diagnosis, there is no need to worry. Space has been created due to scaling, which is normal in patients who do oral prophylaxis with doctors. This gap closes after some time once the gingiva regrows in the space earlier held by calculus. As far as bleeding is concerned, it occurs due to calculus, and it must stop after scaling. In case it continues after scaling, we need to look for other reasons. Can you share further details about your history? Do you have any other issues related to health? Please revert with more information.

Patient's Query

Hi doctor,

Thanks for the fast reply.

I made a mistake in my post. I think I did three regular ultrasound cleaning and not the root scaling. It took 20 minutes for the whole mouth, and there was no anesthesia. The bleeding only occurs at the dentist after the cleaning is finished when the dentist tells me to rinse. At home, there is no bleeding at all. It is present only after every session or during the brushing of teeth. Severe bleeding is present only during the cleaning at the dentist.

I have no other health issues. It is my understanding that gums cannot regenerate or grow back. Could you explain to me how the gap closes? Does it usually close wholly? Is there any possibility that it will not close at all? Are four sessions of cleaning too much (one per week)?

Thank you again.

Hi,

Welcome back to icliniq.com.

Good to see your detailed reply. Nothing to worry about. If there was no gap before cleaning, then after cleaning, such gaps can arise, which I have observed too in my clinic, but it closes after few weeks due to the growth of healthy gingiva or gums. Often, patients complain that after scaling, cleaning, or root planing, space occurs, so many patients avoid it. It is 100% true, but it closes in few weeks, and teeth get stronger and firm. However, if there was a gap already present between the teeth, it will not close, which can only close by fillings or braces. I think in your case, the issue is minor, so do not take it seriously.

Thanks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Soheel Hussain Zargar
Dr. Soheel Hussain Zargar

Dentistry

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