Book a dental exam if possible, even if you start with home care
Use a soft-bristled toothbrush and brush at least twice daily for two minutes
Clean along the gumline gently with small, angled strokes
Floss daily or use interdental brushes to clean between teeth
Rinse with warm salt water (½ teaspoon salt in a cup of warm water) 1–2 times daily
Use an antiseptic mouthwash such as chlorhexidine as directed on the label or by a clinician
Consider an OTC antiseptic rinse (e.g., essential-oil or cetylpyridinium chloride) as directed
Use an OTC toothpaste for gum health (look for anti-gingivitis/antiplaque formulations)
Replace your toothbrush every 3 months or sooner if bristles fray
Stop smoking and avoid vaping
Avoid chewing tobacco and nicotine products
Improve diet: reduce sugary and frequent snacking; increase water and nutrient-dense foods
Stay hydrated and reduce alcohol mouth rinses that can irritate tissue
Manage blood sugar if you have diabetes
Treat dry mouth (water, sugar-free gum/lozenges; ask a pharmacist about options)
Review medications with a clinician if they cause gum overgrowth or dryness
Use a professional-grade water flosser if you have heavy bleeding and can tolerate it (use gentle settings)
Do not ignore persistent or worsening symptoms
Seek urgent care if you have swelling, pus, fever, severe pain, loose teeth, or rapidly worsening gums
If bleeding doesn’t improve within 1–2 weeks of consistent cleaning, get professional dental scaling as soon as possible
If you suspect periodontitis (deep pockets, recession, loose teeth), arrange dental care for scaling and evaluation