What could be the cause of bleeding on probing (BOP) after cleaning?

What could be the cause of bleeding on probing (BOP) after cleaning?

• A. Retained subgingival plaque
• B. Infection
• C. Improper cleaning technique
• D. Normal healing response

Answer: (A)

Bleeding on probing (BOP) after cleaning can indeed occur due to retained subgingival plaque. The presence of plaque beneath the gumline can lead to inflammation and irritation of the periodontal tissues, making them more susceptible to bleeding when probed. When plaque is not completely removed during the cleaning process, it can trigger an immune response, leading to the activation of inflammatory mediators that result in periodontal disease symptoms, including bleeding. Therefore, if retained bacteria or plaque are present, it is not unusual to see BOP after cleaning because these areas are still contributing to gingival inflammation. Understanding this concept is critical for effective periodontal therapy and management. Proper care involves thorough cleaning techniques that address both supragingival and subgingival deposits to minimize the likelihood of BOP due to retained plaque.

Bleeding on probing (BOP) after cleaning can indeed occur due to retained subgingival plaque. The presence of plaque beneath the gumline can lead to inflammation and irritation of the periodontal tissues, making them more susceptible to bleeding when probed. When plaque is not completely removed during the cleaning process, it can trigger an immune response, leading to the activation of inflammatory mediators that result in periodontal disease symptoms, including bleeding. Therefore, if retained bacteria or plaque are present, it is not unusual to see BOP after cleaning because these areas are still contributing to gingival inflammation.

Understanding this concept is critical for effective periodontal therapy and management. Proper care involves thorough cleaning techniques that address both supragingival and subgingival deposits to minimize the likelihood of BOP due to retained plaque.