Why do gums bleed?
Plaque that is not removed by brushing and cleaning between the teeth builds up and irritates the gums, so they become red, swollen and bleed. Tobacco makes gum disease worse.
When should I see a dentist?
- Gums bleed when brushing
- Red, swollen or tender gums
- Bad breath that doesn't go away
- Gums pulling back from teeth
- Loose or shifting teeth: book soon
How is it treated?
- Examination and X-ray
- Scaling and deep cleaning (root planing)
- Home-care plan
- Help to quit tobacco
- Review visits
What does treatment cost in Butwal?
| Treatment | Price (NPR) | Notes |
|---|---|---|
| Scaling & polishing | NPR 2,000–4,000 | |
| Root planing (deep cleaning) | NPR 1,000 per tooth | |
| Gum disease treatment (full) | NPR 5,000 |
Prices last updated: 24 October 2026. Your exact cost is explained and agreed before treatment starts.
What can I do at home?
- Brush with fluoride toothpaste at least twice a day; spit after brushing, do not rinse
- Clean between your teeth every day with floss or interdental brushes
- Stop smoking and chewing tobacco
- Keep up regular check-ups
How common is gum disease in Nepal?
A community study in Sunsari found periodontitis in 71.6% of rural adults, and in 85.4% of tobacco users, with cigarettes and khaini as significant factors.
Frequently asked questions
Is bleeding when I brush normal?
No. It is a common early sign of gum inflammation and should be checked, but it is usually reversible.
Can loose teeth become firm again?
If gum disease is treated early, teeth may stabilise. Advanced bone loss cannot be fully reversed, which is why early treatment matters.