From the Guidelines
For gums that bleed easily despite regular dental care, I recommend a comprehensive blood panel including complete blood count (CBC), platelet count, and coagulation studies (PT/INR, PTT) to identify underlying systemic conditions that may cause gum bleeding. These tests can help diagnose conditions such as thrombocytopenia, leukemia, vitamin K deficiency, or clotting disorders, which may be contributing to the gum bleeding 1. Additionally, hemoglobin A1C testing is important to rule out diabetes, which can significantly impact gum health. A vitamin C level test is also valuable as deficiency can lead to weakened gum tissue.
Laboratory Tests
- Complete blood count (CBC) to evaluate for anemia, infection, or blood disorders
- Platelet count to assess for thrombocytopenia or platelet dysfunction
- Coagulation studies (PT/INR, PTT) to evaluate for clotting disorders
- Hemoglobin A1C testing to rule out diabetes
- Vitamin C level test to assess for deficiency
It is essential to note that the 2019 study on clinical practice recommendations for the diagnosis and management of X-linked hypophosphataemia 1 does not directly address the question of gum bleeding despite regular dental care. However, the study highlights the importance of regular dental visits and monitoring of blood levels of certain nutrients, which can be relevant to overall health and gum health.
Dental Care
- Continue regular dental hygiene routine with a soft-bristled toothbrush and gentle technique to minimize trauma to the gums
- Schedule regular dental check-ups to monitor gum health and address any underlying dental issues
The results of the laboratory tests will guide appropriate treatment, which might include medication adjustments, vitamin supplementation, or referral to specialists depending on the underlying cause.
From the Research
Recommended Labs for Gums that Bleed Easily
There are no research papers to assist in answering this question, as the provided studies focus on:
- The usefulness of Complete Blood Count (CBC) to assess cardiovascular and metabolic diseases 2
- The effect of vitamin C supplementation on blood glucose and glycosylated hemoglobin in type 2 diabetes mellitus 3 These studies do not provide information on labs recommended for gums that bleed easily despite regular and good dental care.
Relevant Information
Some key points from the provided studies include:
- CBC components can be used to predict cardiovascular disease and metabolic diseases 2
- Vitamin C supplementation can improve glycosylated hemoglobin and reduce blood glucose in type 2 diabetes mellitus 3 However, this information is not directly relevant to the question of recommended labs for gums that bleed easily.