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Medium or Moderate Periodontitis is much better than Severe Periodontitis, but yes Moderate Perio., can cause some red saliva due to generally small amounts of blood. The use of Warfarin (a blood thinner) would tend to exacerbate the blood in the saliva situation - very possibly - yes. Citalopram also may lead to possible increased bleeding. I would consult your Physician regarding this problem, in conjunction with you Dentist or Periodontitis. My Father was having some medical troubles, and both of these medications were employed, so I'm fairly familiar with them. I'm not so certain that you actually are bleeding more at night (although you may be). But, it likely may well be that saliva flow during sleep, is somewhat subdued, and thus, it likely may appear that your saliva has a higher concentration of blood/red color on your pillow in the morning, etc. I hope that makes sense Sir.
*PS: I'm assuming you had teeth cleaned recently, likely with the Periodontist office? If you've not had them cleaned yet, I would suggest you do, and therafter have them cleaned as deemed prudent by your Dentist/Periodontist, as keeping them very clean will keep the blood to a lower level!
With warfarin in particular, you'll always need to be precautious as it is a medication which promote thin blood and thus more bleeding into your gums and other tissues potentially. Serious treatment stop bleeding over the medium to long term? A very good question. Truth be told, I'd ask the Periodontist that question. Why? If the amount of needed cleaning/debris and tartar in need of debriding is significant, then yes, over the medium to long term bleeding should decrease. But, I can't see "the amount of needed cleaning/debris", and your Periodontist could BEST answer that question. It is a good question however! With regard to at night grinding and sucking of the gums at night - yes it could indeed be a possible contributor as well Sir!
So; summarizing, perhaps asking your Periodontist about the amount of debris/cleaning, and will it decrease the bleeding. Warfarin will "yes" always be a at least a minor contributor to potential bleeding, but not significant bleeding necessarily. And, sucking the gums and grinding "may" also be a minor contributor. The bot***** *****ne to me is if your Periodontist would suggest performing the surgery on you, if his Father had the exact same situation. Would he perform it on his Father??? I'd ask him that, really... I hope this helps you Sir!
Perhaps when you rinse in the morning, you may inadvertently be swishing away the saliva?
I "DO" indeed hope the above made sense Sir!
If you have any additional concerns/questions, please do not hesitate to ask.
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Thank you. Dr. Rampton