The dentist performs a detailed examination of the teeth and gums and asks questions like.

     * Does the bleeding of the gums is plentiful?
     * Is the bleeding started recently?
     * Bleed frequently or occasionally?
     * Have you had problems in the gums before?
     * How often do you brush your teeth?
     * How often do you use dental floss?
     * How hard or soft is your toothbrush?
     * How strong is brushing?
     * Are there other related habits (use toothpicks or chopsticks)?
     * When was the last time there was a dental cleaning by the dentist?
     * Has the diet?
     * Does sufficient amount of fruits and vegetables?
     * Does any vitamin supplement?
     * Is the diet high in carbohydrates (pasta)?
     * What medications you are taking? Do you take anticonvulsants, anticoagulants (such as Coumadin, heparin) or aspirin?
     * Are you pregnant?
     * Has the mouthwash or toothpaste recently?
     * Does any other symptoms?