If there is bleeding on probing after cleaning, what does this indicate?

When there is bleeding on probing after cleaning, it typically indicates underlying inflammation in the periodontal tissues, which is often associated with gingivitis. Retained subgingival plaque can be a significant contributing factor to this condition. When plaque accumulates below the gum line, it leads to inflammation of the tissues, causing them to become vascular and sensitive. As a result, probing can trigger bleeding.

In particular, gingivitis is characterized by the inflammation of the gums without loss of attachment to the teeth. This can manifest as redness, swelling, and susceptibility to bleeding. If cleaning was performed properly and there is bleeding on probing, it suggests that there may still be plaque or biofilm present subgingivally that needs to be addressed to resolve the inflammation.

Although probing too hard might cause bleeding, it is more pertinent when discussing the dental examination and not the underlying health of the gums. Similarly, noting that bleeding after cleaning is normal does not align with the clinical understanding of periodontal health. Instead, it indicates there may be a pathological process occurring, particularly if associated with retained subgingival plaque.