BoP is a sign of periodontal inflammation and indicates some sort of destruction and erosion to the lining of the sulcus[1] or the ulceration of sulcular epithelium.
The main cause of gingival bleeding is the formation and accumulation of plaque at the gum line due to improper brushing and flossing of teeth.
Other conditions associated with gingival bleeding include:[4] Other less common causes are: An examination by the dentist or dental hygienist should be sufficient to rule out the issues such as malnutrition and puberty.
This includes oral glucose tolerance test for diabetes mellitus, blood studies, human gonadotrophin levels for pregnancy,[5] and X-rays for teeth and jaw bones.
[4] In order to determine the periodontal health of a patient, the dentist or dental hygienist records the sulcular depths of the gingiva and observes any bleeding on probing.