Spotting pink in the sink after brushing is common, but it is not normal. It is your gums telling you something needs attention.

Common causes

  • Plaque and tartar. Bacteria along the gumline irritate the gums, making them red, puffy and likely to bleed. This is gingivitis.
  • Brushing too hard or using a hard brush.
  • Starting to floss after a gap.
  • Hormonal changes, such as pregnancy and puberty, which make gums more reactive. See dental care during pregnancy.
  • Medicines, including blood thinners.
  • Smoking and tobacco, which can hide bleeding while masking disease.
  • Health conditions such as diabetes. Read diabetes and oral health.
  • Ill-fitting dentures, braces or rough fillings.

What to do at home

  1. Brush twice a day with a soft brush, angled at the gumline, with light pressure.
  2. Clean between your teeth daily. See our flossing guide.
  3. Rinse with warm salt water if gums feel sore.
  4. Stop smoking and chewing tobacco.
  5. Eat a balanced diet with plenty of fruit and vegetables.

If it is plaque-related, you should see improvement in one to two weeks.

When to see a dentist

  • Bleeding continues beyond two weeks of good care
  • Gums are swollen, receding, painful or pus is present
  • You have persistent bad breath or a bad taste
  • Teeth feel loose or your bite has changed
  • Gums bleed spontaneously, or bleed heavily or from other places

Professional treatment

A professional scaling removes the tartar that home care cannot. If infection has moved deeper, a more thorough gum treatment may be advised. The earlier it is treated, the easier it is to reverse. Learn the stages of gum disease and about our periodontal care.