Dr. Lee to Nina: "Although your teeth are healthy, your gums are inflamed and bleed easily. Today, we are going to treat your gingivitis with a thorough cleaning and have you continue with a program of meticulous oral hygiene at home."

Because gingivitis is caused by build up of bacterial colonies in your mouth, I recommend twice-daily plaque removal followed by an antibacterial mouth rinse. Our hygienist will demonstrate the proper techniques.

We will also schedule another cleaning for six months from now. There is no evidence your oral contraceptive has any effect on your gingival inflammation. A recent review of the literature strongly supports oral contraceptives no longer place users at any increased risk for gingivitis or periodontitis.1

Image: Inflamed gums.