Bleeding gums and bad breath are two of the most common reasons people avoid smiling and talking up close. They are also often linked. At Brampton Smiles, Dr. Azher Abbas and our hygiene team look for the real cause, then treat it. We do not just hand you a mouthwash.
Gum disease: what it is
Gum disease starts with a sticky bacterial film (plaque) that sits at and below the gumline. If it is not cleaned away regularly, it becomes more organized, and your body's reaction to it damages gum tissue and the bone that holds your teeth. Causes include genetics, missed cleaning along the gumline, long gaps between professional cleanings and tobacco use.
The early stage, gingivitis, can be reversed. The later stage, periodontitis, can be stabilized, but bone that has been lost does not grow back. Bleeding gums are never normal.
Warning signs
- bleeding when you brush or floss
- red, swollen or tender gums
- bad breath that does not go away
- gums pulling back from the teeth
- loose teeth or a changing bite
Learn more on our gum disease treatment page.
Bad breath: what it is
About 1 in 4 people have bad breath at some point. Most persistent cases start in the mouth, with the back of the tongue, gum pockets, dry mouth or decay as common sources. Mouthwash only masks the odour for a few minutes. Learn more on our bad breath treatment page.
How we help
- Gum charting. We measure each tooth at six points to see how healthy your gums are.
- Deep cleaning. Scaling and root planing below the gumline when needed, under local anesthetic.
- Cause-based bad breath care. We check your tongue, gums, saliva and fillings, and treat what we find.
- Maintenance. After gum treatment, cleanings move to every 3 to 4 months to keep bacteria from rebuilding.
Everyday tips
- Brush your teeth, gums and tongue at least twice a day, and floss daily.
- Scrape your tongue as far back as is comfortable.
- Drink water through the day.
- Chew sugar-free gum, ideally with xylitol.
- See your dentist at least twice a year.
Cost, insurance and CDCP
Extended plans often cover deep cleaning and gum maintenance as basic services, and CDCP covers scaling and periodontal services for eligible patients. We direct-bill Sun Life, Manulife, Canada Life, Green Shield, Desjardins and ClaimSecure, and we offer 0% in-house payment plans. You get a written estimate before treatment.
Before Your Visit
- Note when your gums bleed and when your breath is worst.
- Bring a list of medications. Some cause dry mouth.
- Tell us if you smoke or have diabetes, are pregnant or are going through menopause.
- Bring your insurance or CDCP card.
After Your Treatment
- After a deep cleaning, gums may be tender for 2 to 3 days. Over-the-counter pain relievers and desensitizing toothpaste help.
- Keep brushing gently at the gumline and clean between your teeth daily. Bleeding should ease within 1 to 2 weeks.
- Use an alcohol-free rinse if you use one.
- Book your re-evaluation and your maintenance cleanings.
- Call us if bleeding or swelling does not settle.
Visit Brampton Smiles
50 Sunny Meadow Blvd, Unit 300, Brampton, ON L6R 0Y7. Phone: (905) 793-8668.
Hours: Mon, Wed, Thu 10 AM to 7 PM. Tue, Fri 10 AM to 5 PM. Sat 9 AM to 2 PM. Sun closed.
Book your gum and breath assessment.
Frequently Asked Questions
Are bleeding gums normal?
No. They are a sign of inflammation and should be checked.
Can gum disease be cured?
Gingivitis can be reversed. Periodontitis is controlled, not cured, with treatment and regular maintenance.
Why does my breath smell even after brushing?
Bacteria also live on your tongue, along the gumline and between teeth. We find the source.
Does mouthwash fix bad breath?
No. It masks it for a short time. Alcohol-based rinses can dry your mouth and make it worse.
Do you offer evening appointments?
Yes, until 7 PM on Monday, Wednesday and Thursday, and Saturday mornings.
Is there a gum disease dentist near Bovaird Drive East?
Yes. Brampton Smiles is in Sunny Meadow Marketplace, off Bovaird Drive East near Highway 410, with free parking.