Gingivitis can be prevented and reversed. Brush twice daily using fluoride toothpaste, like stannous fluoride 0.454%, and consider an electric toothbrush with oscillating-rotating technology for superior plaque removal. Floss daily to clean between teeth, or supplement with a water flosser for improved efficacy. Use antimicrobial mouthwash twice daily to reduce bacterial load. For advanced cases, professional cleaning, such as scaling and root planing, may be necessary to remove plaque and tartar.
January 9, 2025

Gum Bleeding (Gingivitis) Reversal

Evidence-Based Over-The-Counter Guide

William Shen

William Shen

Co-founder & CPO

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Gingivitis is an inflammation of the gums caused by plaque buildup. Professional consensus is that gingivitis can be prevented and reversed with good oral hygiene. If it is not addressed, it can lead to peridontitis and bone destruction.

First-line recommendations:

Second-line recommendations:

  • Antimicrobial Mouthwash: Reduces bacterial load. Use after brushing twice daily. Listerine Clinical Solutions Mouthwash.

  • Water flossing: Can be used to supplement or substitute for traditional flossing. May be equally or more effective than physical floss at reducing gingivitis, depending on rigor of use. Waterpik Portable Water Floss (ADA Accepted).

Professional Cleaning: Scaling and root planing may be needed for plaque and tartar removal.

Citations:

Grender, J., Adam, R., & Zou, Y. (2020). The effects of oscillating-rotating electric toothbrushes on plaque and gingival health: a meta-analysis. Am J Dent, 33(1), 3-11.

Stephens, M. B., Wiedemer, J. P., & Kushner, G. M. (2018). Dental problems in primary care. American family physician, 98(11), 654-660.

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Levels of evidence considered:

  • Tier 1 (Safe and Definitely Effective): Professional field consensus or multiple randomized controlled clinical trials showing the same conclusion. Wherever possible, we use Tier 1 evidence for "first-line" recommendations.

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